title: The effect of rear-seat overloading in a car crash: pathological and kinematics evidences.
abstract: Seat belts have been shown to decrease the incidence of lethal lesions to the head, chest, and abdomen. Since the introduction of seat belts, it is reported that the incidence of traumatic lesions in these body parts is reduced. In the meantime, the characteristic lesions to the chest and abdomen caused by the use of seat belts are described (J Trauma. 2007;62(6):1473-1480).Reported is a peculiar case of an oblique front-to-rear car collision, in which overloading of the rear seat with packages pushed forward the passenger front seat in an abnormal way, causing fatal thoracic and abdominal lesions.The authors underline that the seat belt protection device is defeated if front seats are damaged by heavy unanchored bags on the rear seat or on the rear parcel shelf of a motor vehicle.
authors.affiliation: Department of Legal Medicine, University of Siena, Siena, Italy. duccioluchini@alice.it
authors.forename: Duccio
authors.initials: D
authors.lastname: Luchini
authors.forename: Michele
authors.initials: M
authors.lastname: Sammicheli
authors.forename: Cristiano
authors.initials: C
authors.lastname: Cortucci
mesh_terms: D000007:Abdominal Injuries / Q000473:pathology*; D000063:Accidents, Traffic; D001012:Aorta, Abdominal / Q000293:injuries / Q000473:pathology; D001336:Automobiles; D001696:Biomechanical Phenomena; D055592:Biophysical Phenomena; D003106:Colon / Q000293:injuries / Q000473:pathology; D004867:Equipment Design; D005260:Female; D049429:Forensic Pathology; D006465:Hemoperitoneum / Q000473:pathology; D006470:Hemorrhage / Q000473:pathology; D006491:Hemothorax / Q000473:pathology; D006801:Humans; D008099:Liver / Q000293:injuries / Q000473:pathology; D008875:Middle Aged; D012253:Rib Fractures / Q000473:pathology; D012622:Seat Belts; D013249:Sternum / Q000293:injuries / Q000473:pathology; D013898:Thoracic Injuries / Q000473:pathology*