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Thoracic Injuries

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Trauma Biomechanics

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Abstract

Injury to the thorax commonly occurs in impact from the front and the side as well as in all impact directions intermediate to these two. Impact to the thorax is frequently observed due to contact, for example, with various components of the vehicle interior (like the steering assembly, safety belt, the door or the dashboard). In case of sports, thorax impacts may be due to contact with an opponent player (soccer, ice hockey) or due to direct blows (boxing, taekwondo).

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References

  • AAAM (2005) AIS 2005: the injury scale. In: Gennarelli T, Wodzin E (eds). Association of Advancement of Automotive Medicine

    Google Scholar 

  • Bendjellal F, Walfisch G, Steyer C, Ventre P, Foret-Bruno J (1997) The programmed restraint system—a lesson from accidentology. In: Proceedings of 41st Stapp car crash conference, pp 249–264

    Google Scholar 

  • Butler K, Moore E, Harken A (1996) Traumatic rupture of the descending thoracic aorta. AORN J 63(5):917–925

    Article  Google Scholar 

  • Cavanaugh JM (2002) The biomechanics of thoracic trauma. In: Nahum M (ed) Accidental injury—biomechanics and prevention. Springer, New York

    Google Scholar 

  • Cavanaugh JM, Zhu Y, Huang Y, King AI (1993) Injury and response of the thorax in side impact cadaveric tests. In: Proceedings of 37th Stapp car crash conference, pp 199–221

    Google Scholar 

  • Cesari D, Ramet M, Bloch J (1981) Influence of arm position on thoracic injuries in side impact. In: Proceedings of 25th Stapp car crash conference, pp 271–297

    Google Scholar 

  • Coris E, Higgins HW (2005) First rib stress fractures in throwing athletes. Am J Sports Med 33(9):1400–1404

    Article  Google Scholar 

  • Creasy JD, Chiles C, Routh WD, Dyer R (1997) Overview of traumatic injury of the thoracic aorta. Radiographics 17(1):27–45

    Article  Google Scholar 

  • Eppinger RH, Marcus JH, Morgan RM (1984) Development of dummy and injury index for NHTSA’s thoracic side impact protection research program. SAE 840885

    Google Scholar 

  • Foret-Bruno J, Trosseille X, Le Coz J, Bendjellal F, Steyer C, Phalempin T, Villeforceix D, Dandres P (1998) Thoracic injury risk in frontal car crashes with occupant restrained with belt load limiter. SAE 983166, pp 331–352

    Google Scholar 

  • Fung YC, Yen MR (1984) Experimental investigation of lung injury mechanisms. Topical report U.S. Army, DAMD17-82-C-2062

    Google Scholar 

  • Kallieris D, Mattern R, Schmidt G, Eppinger R (1981) Quantification of side impact responses and injuries. In: Proceedings of 25th Stapp car crash conference, pp 329–366

    Google Scholar 

  • Kallieris D, Rizzetti A, Mattern R, Morgan R, Eppinger R, Keenan L (1995) On the synergism of the driver airbag and the three-point belt in frontal collisions. In: Proceedings of 39th Stapp car crash conference, pp 389–402

    Google Scholar 

  • Karlson K (2012) Rowing: sport-specific concerns for the team physician. Curr Sports Med Rep 11(5):257–261

    Article  Google Scholar 

  • Kleinberger M, Sun E, Eppinger R, Kuppa S, Saul R (1998) Development of improved injury criteria for the assessment of advanced automotive restraint systems. NHTSA report, September 1998

    Google Scholar 

  • Kramer F (1998) Passive Sicherheit von Kraftfahrzeugen. Vieweg Verlag, Braunschweig

    Book  Google Scholar 

  • Kroell CK, Schneider DC, Nahum AM (1971) Impact tolerance and response to the human thorax. In: Proceedings of 15th Stapp car crash conference, pp 84–134

    Google Scholar 

  • Kroell CK, Schneider DC, Nahum AM (1974) Impact tolerance and response to the human thorax II. In: Proceedings of 18th Stapp car crash conference, pp 383–457

    Google Scholar 

  • Lobdell T (1973) Impact response of the human thorax; In: Human impact response: measurement and simulation. Plenum Press, New York, pp 201–245

    Google Scholar 

  • Maron B, Estes N III (2010) Commotio cordis. N Engl J Med 362:917–927

    Article  Google Scholar 

  • McDonnell L, Hume P, Nolte V (2011) Rib stress fractures among rowers. Sports Med 41(11):883–901

    Article  Google Scholar 

  • McElhaney J, Nightingale R, Winkelstein B, Chancey V, Myers B (2002) Biomechanical aspects of cervical trauma. In: Nahum M (ed) Accidental injury—biomechanics and prevention. Springer, New York

    Google Scholar 

  • Melvin JW, Mertz H (2002) Airbag inflation-induced injury biomechanics. In: Nahum M (ed) Accidental injury—biomechanics and prevention. Springer, New York

    Google Scholar 

  • Melvin JW, Mohan D, Stalnaker RL (1975) Occupant injury assessment criteria. SAE 750914

    Google Scholar 

  • Melvin JW, King AI, Alem NM (1985) AATD system technical characteristics, design concepts, and trauma assessment criteria. NHTSA report, DOT-HS-807-224

    Google Scholar 

  • Netter F (2003) Atlas der Anatomie des Menschen. Georg Thieme Verlag, StuttgartGermany. ISBN 3131090235

    Google Scholar 

  • Ochsner MG, Champion HR, Chambers RJ, Harviel J (1989) Pelvic fracture as an indicator or increased risk of thoracic aortic rupture. J Trauma 29(10):1376–1379

    Article  Google Scholar 

  • Otte D (1995) Review of airbag effectiveness in real life accidents demands—for positioning and optimal deployment of airbag systems. In: Proceedings of 39th Stapp car crash conference, pp 1–10

    Google Scholar 

  • Patrick LM, Mertz HJ, Kroell CK (1969) Cadaver knee, chest and head impact loads. In: Proceedings of 9th Stapp car crash conference, pp 168–182

    Google Scholar 

  • Pintar F, Yoganandan N, Hines M, Maltese M, McFadden J, Saul R, Eppinger R, Khaewpong N, Kleinberger M (1997) Chestband analysis of human tolerance to side impact. In: Proceedings of 41st Stapp car crash conference, SAE 973320, pp 63–74

    Google Scholar 

  • Serina ER, Lieu DK (1991) Thoracic injury potential of basic competition Taekwondo kicks. J Biomech 24:951–960

    Article  Google Scholar 

  • Shaw G, Lessley D, Evan J, Crandall J, Shin J, Portier P, Paoloni G (2007) Quasi-static and dynaic thoracic loading tests: cadaveric torsos. In: Proceedings of IRCOBI Conference, pp 325–348

    Google Scholar 

  • Smith RS, Chang FC (1986) Traumatic rupture of the aorta: still a lethal injury. Am J Surg 152(6):660–663

    Article  Google Scholar 

  • Sobotta J (1997) Atlas der Anatomie des Menschen; Band 1 & 2. Urban und Schwarzenberg; München

    Google Scholar 

  • Stalnaker RL, Mohan D (1974) Human chest impact protection. In: Proceedings of 3rd international conference on occupant protection, SAE, pp 384–393

    Google Scholar 

  • Stalnaker RL, Tarriere C, Fayon A, Walfisch G, Balthazard M, Masset J, Got C, Patel A (1979) Modification of part 572 dummy for lateral impact according to biomechanical data. In: Proceedings of 23rd Stapp car crash conference, pp 843–872

    Google Scholar 

  • Tarriere C, Walfisch G, Fayon A (1979) Synthesis of human tolerances obtained from lateral impact simulations. In: Proceedings of 7th international technical conference on experimental safety vehicles, pp 359–373

    Google Scholar 

  • Viano D (1983) Biomechanics of non-penetrating aortic trauma: a review. In: Proceedings of 27th Stapp car crash conference, pp 109–114

    Google Scholar 

  • Viano D (1989) Biomechanical responses and injuries in blunt lateral impact. In: Proceedings of 33rd Stapp car crash conference, pp 113–142

    Google Scholar 

  • Viano D (1990) Chest: anatomy, types and mechanisms of injury, tolerance criteria and limits and injury factors. Seminar at AAAM conference, Orlando

    Google Scholar 

  • Viano D, Lau IV (1985) Thoracic impact: a viscous tolerance criterion. In: Proceeding of 10th international technical conference on experimental safety vehicles, pp 104–114

    Google Scholar 

  • Yoganandan N, Pintar FA, Stemper BD, Gennarelli TA, Weigelt JA (2007) Biomechanics of side impact: injury criteria, aging occupants, and airbag technology. J Biomech 40:227–243

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute for Biomedical Engineering, ETH Zurich, Zürich, Switzerland

    Kai-Uwe Schmitt & Peter F. Niederer

  2. Department of Mechanical and Mechatronics Engineering, University of Waterloo, Waterloo, ON, Canada

    Duane S. Cronin

  3. AGU Zurich, Zürich, Switzerland

    Markus H. Muser & Felix Walz

Authors
  1. Kai-Uwe Schmitt
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  2. Peter F. Niederer
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  3. Duane S. Cronin
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  4. Markus H. Muser
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  5. Felix Walz
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Correspondence to Kai-Uwe Schmitt .

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Schmitt, KU., Niederer, P.F., Cronin, D.S., Muser, M.H., Walz, F. (2014). Thoracic Injuries. In: Trauma Biomechanics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53920-6_5

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  • DOI: https://doi.org/10.1007/978-3-642-53920-6_5

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-53919-0

  • Online ISBN: 978-3-642-53920-6

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