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Injuries of the Pelvis and the Lower Extremities

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Trauma Biomechanics

Abstract

Injuries to the lower extremities play a major role in sports (soccer, skiing, etc.). They have furthermore emerged as the most frequent non-minor injury resulting from frontal vehicle crashes since restraint systems (belts, airbag in frontal impacts) are not particularly designed for the protection of the legs (and arms). Yet, injuries of the extremities are often the reason for long-term impairment.

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References

  • AAAM (2005) AIS 2005: The injury scale (Eds. Gennarelli T and Wodzin E), Association of Advancement of Automotive Medicine

    Google Scholar 

  • Anderson K, Strickland S, Warren R (2001) Hip and groin injuries in athletes. Am J Sports Med 29(4):521–533

    Google Scholar 

  • Arnoux P, Thollon L, Behr M, Brunet C, Cesari D (2006) Knee joint injury mechanisms and injury criteria in full scale tests according to impact position. Proceedings IRCOBI Conference, pp 319–330

    Google Scholar 

  • Autoliv (2003) Autoliv. http://www.autoliv.com. Accessed Mar 14 2010

  • Beiner J, Jokl P (2002) Muscle contusion injury and myositis ossificans traumatica. Clin Orthop Relat Res 403S:S110–S119

    Article  Google Scholar 

  • Begeman P, Prasad P (1990) Human ankle impact response in dorsiflexion. Proceedings of 34th Stapp Car Crash Conference, pp 39–54

    Google Scholar 

  • Bere T, Flørenes T, Krosshaug T, Koga H, Nordsletten L, Irving C, Muller E, Reid R, Senner V, Bahr R (2011) Mechanisms of anterior cruciate ligament injury in world cup alpine skiing: a systematic video analysis of 20 cases. Am J Sports Med 39:1421–1429

    Article  Google Scholar 

  • Blankenbaker D, De Smet A (2010) Hip injuries in athletes. Radiol Clin N Am 48:1155–1178

    Article  Google Scholar 

  • Boles C, Ferguson C (2010) The female athlete. Radiol Clin N Am 48:1249–1266

    Article  Google Scholar 

  • Brun-Cassan F, Leung YC, Tarriere C, Fayon A, Patel A, Got C, Hureau J (1982) Determination of knee-femur-pelvis tolerance from the simulation of car frontal impacts. Proceedings IRCOBI Conference, pp 101–115

    Google Scholar 

  • Butler D, Kay M, Stouffer D (1986) Comparison of material properties in fascicle-bone units from human patellar tendon and knee ligaments. J Biomech 19(6):425–432

    Article  Google Scholar 

  • Cappon H, van den Krooenberg A, Happee R, Wismans J (1999) An improved lower leg multibody model. Proceedings IRCOBI Conference, pp 499–509

    Google Scholar 

  • Cavanaugh J, Walilko T, Malhotra A, Zhu Y, King A (1990) Biomechanical response and injury tolerance of the pelvis in twelve sled side impact tests. Proceedings of 34th Stapp Car Crash Conference, SAE 902307

    Google Scholar 

  • Crandall J (2001) Crashworthiness and Biomechanics, Euromotor Course, June 11-13 2001, Göteborg

    Google Scholar 

  • Crandall J, Portier L, Petit P, Hall G, Bass C, Klopp G, Hurwitz S, Pilkey W, Trosseille X, Tarriere C, Lassau J (1996) Biomechanical response and physical properties of the leg, foot, and ankle. SAE 962424

    Google Scholar 

  • Crandall J, Martin P, Sieveka E, Klopp G, Kuhlmann T, Pilkey W, Dischinger P, Burgess A, O’Quinn T, Schmidhauser C (1995) The influence of footwell intrusion on lower extremity response and injury in frontal crashes. Proceedings 39th AAAM Conference, pp 269–286

    Google Scholar 

  • de Visser H, Reijman M, Heijboer M, Bos P (2012) Risk factors of recurrent hamstring injuries: a systematic review. Br J Sports Med 46:124–130

    Article  Google Scholar 

  • Dugan S (2005) Sports-related knee injuries in female athletes: what gives? Am J Phys Med Rehabil 84(2):122–130

    Article  Google Scholar 

  • Egol K, Koval K, Kummer F, Frankel V (1998) Stress fractures of the femoral neck. Clin Orthop Relat Res 348:72–78

    Article  Google Scholar 

  • Francisco A, Nightingal R, Guilak F, Glisson R, Garrett W (2000) Comparison of soccer shin guards in preventing tibia fracture. Am J Sports Med 28(2):227–233

    Google Scholar 

  • Gorissen P, Staat M, van Laack W (2012) Experimental measurement of forces as a contribution to evaluate the effectiveness of shin guards in soccer (article in German: Experimentelle Kraftmessungen als Beitrag zur Wirksamkeitsbeurteilung von Schienbeinschonern im Fußballsport). OUP Zeitschrift für die orthopädische und unfallchirurgische Praxis 1(1):10–15. doi:10.3238/oup.2012.0010-0015

    Google Scholar 

  • Håland Y, Hjerpe E, Lövsund P (1998) An inflatable carpet to reduce the loading of the lower extremites—evaluation by a new sled test method with toepan intrusion. Proceedings ESV Confernce, paper no. 98-S1-P-18E

    Google Scholar 

  • Hirsch A, WhiteL (1965) Mechanical stiffness of man’s lower limbs.Proceedings ASME Winter Congress

    Google Scholar 

  • Hunter R (1999) Skiing injuries. Am J Sports Med 27(3):381–389

    Google Scholar 

  • Ivarsson J, Lesslex D, Kerrigan J, Bhalla K, Bose D, Crandall J, Kent R (2004) Dynamic response corridors and injury thresholds of the pedestrian lower extremities. Proceedings of IRCOBI Conference, pp 179–191

    Google Scholar 

  • Kerrigan J, Ivarsson B, Bose D, Madeley N, Milliongton S, Bhalla K, Crandall J (2003) Rate-sensitive constitutive and failure properties of human collateral knee ligaments. Procedings of IRCOBI Conference, pp 177–190

    Google Scholar 

  • King A (2002) Injuries to the the thoracolumbar spine and pelvis. In: Nahum Melvin (ed) Accidental Injury—Biomechanics and Prevention. Springer, New York

    Google Scholar 

  • Kitagawa Y, Ichikawa H, King A, Levine R (1998a) A severe ankle and foot injury in frontal crashes and its mechanism. SAE 983145

    Google Scholar 

  • Kitagawa Y, Ichikawa H, Pal C, King A, Levine R (1998b) Lower leg injuries caused by dynamic axial loading and muscle tensing. Proceedings ESV Conference, Paper no. 98-S7-O-09

    Google Scholar 

  • Kramer F (1998/2006) Passive Sicherheit von Kraftfahrzeugen. Vieweg Verlag, Braunschweig, Germany

    Google Scholar 

  • Lawn ND, Bamlet WR, Radhakrishnan K, O’Brien PC, So EL (2004) Injuries due to seizures in persons with epilepsy—a population-based study. Neurology 63:1565–1570

    Article  Google Scholar 

  • Levine R (2002) Injuries to the extremities. In: Nahum Melvin (ed) Accidental Injury—Biomechanics and Prevention. Springer, New York

    Google Scholar 

  • Majewski M, Habelt S, Steinbrück K (2006) Epidemiology of athletic knee injuries: a 10-year study. Knee 13:184–188

    Article  Google Scholar 

  • Majumder S, Roychowdhury A, Pal S (2008) Effects of trochanteric soft tissue thickness and hip impact velocity on hip fracture in sideways fall through 3D finite element analysis. J Biomech 41:2834–2842

    Article  Google Scholar 

  • McMaster J, Parry M, Wallace W, Wheeler L, Owen C, Lowne R, Oakley C, Roberts A (2000) Biomechanics of ankle and hindfoot injuries in dynamic axial loading. Proceedings of 44th Stapp Car Crash Conference, paper no. 2000-01-SC23

    Google Scholar 

  • Meyer E, Haut R (2003) The effect of impact angle on knee tolerance to rigid impacts. Stapp Car Crash J 47:1–19

    Google Scholar 

  • Morris A, Welsh R, Barnes J, Frampton R (2006) The nature, type and consequences of lower extremity injuries in front and side impacts in pre- and post-regulatory passenger cars. Proceedings of RCOBI Conference, pp 19–33

    Google Scholar 

  • Morrison K, Kaminski T (2007) Foot characteristics in association with inversion ankle injury. J Athletic Training 42(1):135–142

    Google Scholar 

  • Murphy D, Connolly D, Beynnon B (2003) Risk factors for lower extremity injury: a review of the literature. Br J Sports Med 37:13–29

    Article  Google Scholar 

  • Nusholtz G, Alem N, Melvin J (1982) Impact response and injury to the pelvis. Proceedings of 26th Stapp Car Crash Conference, SAE 821160

    Google Scholar 

  • Opar D, Williams M, Shield A (2012) Hamstring strain injuries. Sports Med 42(3):209–226

    Article  Google Scholar 

  • Otte D (1999) Severity and mechanism of head impacts in car to pedestrian accidents. Proceedings of IRCOBI Conference, pp 329–341

    Google Scholar 

  • Otte D (2002) Unpublished evaluation of the MHH data base

    Google Scholar 

  • Parenteau C, Viano D, Petit P (1998) Biomechanical properties of human cadaveric ankle-subtalar joints in quasi-static loading. J Biomech Eng 120:105–111

    Article  Google Scholar 

  • Peterson L, Renström P (2002) Verletzungen im Sport. Deutscher Ärzte Verlag, Cologne

    Google Scholar 

  • Peterson J, Hölmich P (2005) Evidence based prevention of hamstring injuries in sport. Br J Sports Med 39:319–323

    Article  Google Scholar 

  • Petit P, Portier L, Foret-Bruno J, Trosseille X, Parenteau C, Coltat J, Tarriere C, Lassau J (1996) Quasistatic characterization of the human foot-ankle joints in a simulated tensed state and updated accidentological data. Proceedings of IRCOBI Conference, pp 363–376

    Google Scholar 

  • Rishiraj N, Taunton J, Lloyd-Smith R, Woollard R, Regan W, Clement D (2009) The potential role of prophylactic/functional knee bracing in preventing knee ligament injury. Sports Med 39(11):937–960

    Google Scholar 

  • Robinson J, Bull A, Amis A (2005) Structural properties of the medial collateral ligament complex of the human knee. J Biomech 38:1067–1074

    Article  Google Scholar 

  • Rudd R, Crandall J, Millington S, Hurwitz S, Höglund N (2004) Injury tolerance and response of the ankle joint in dynamic dorsiflexion. Stapp Car Crash J 48:1–26

    Google Scholar 

  • Schmid Daners M, Wullschleger L, Derler S, Schmitt KU (2008) Development of a new design of hip protectors using finite element analysis and mechanical tests. Med Eng Phys 30(9):1186–1192

    Article  Google Scholar 

  • Schmitt KU, Schlittler M, Boesiger P (2009) Biomechanical loading of the hip in side jumps of soccer goal keepers. J Sports Sci 28(1):53–59

    Article  Google Scholar 

  • Schmitt KU, Nusser M, Boesiger P (2008a) Verletzungen bei Fussballtorhüter/-innen unterschiedlicher Leistungsstufen [Hip injuries in professional and amateur soccer goalkeepers]. Sportverletz Sportschaden 22(3):159–163

    Article  Google Scholar 

  • Schmitt KU, Nusser M, Derler S, Boesiger P (2008b) Analysing the protective potential of padded soccer goalkeeper shorts. Br J Sports Med 44(6):426–429

    Article  Google Scholar 

  • Senter C, Hame SL (2006) Biomechanical analysis of tibial torque and knee flexion angle: implications for understanding knee injury. Sports Med 36(8):635–641

    Article  Google Scholar 

  • Snedeker J, Muser M, Walz F (2003) Assessment of pelvis and upper leg injury risk in car-pedestrian collisions: comparison of accident statistics, impactor tests and a human body finite element model. Stapp Car Crash J 47:437–457

    Google Scholar 

  • Simms C, Wood D (2009) Pedestrian and cyclist impact—a biomechanical perspective. Springer, Heidelberg. ISBN 978-90-481-2742-9

    Book  Google Scholar 

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

    Google Scholar 

  • Sutton K, Bullock J (2013) Anterior cruciate ligament rupture: differences between males and females. J Am Acad Orthop Surg 21(1):41–50

    Article  Google Scholar 

  • Vetter D (2000) Seminar: biomechanik und Dummy-Technik, TU-Berlin

    Google Scholar 

  • Viano D, Lau I, Asbury C, King A, Begeman P (1989) Biomechanics of the human chest, abdomen, and pelvis in lateral impact. Proceedings of 33rd AAAM Conference, pp 367–382

    Google Scholar 

  • Voos J, Mauro C, Wente T, Warren R, Wickiewicz T (2012) Posterior cruciate ligament: anatomy, biomechanics and outcomes. Am J Sports Med 20:222–231

    Article  Google Scholar 

  • Whiting W, Zernicke R (1998) Biomechanics of musculoskeletal injury. Human Kinetics Pub, Champaign

    Google Scholar 

  • Yamada H (1970) Strength of biological materials. Krieger Publication, New York

    Google Scholar 

  • Yoganandan N, Pintar F, Boynton M, Begeman P, Prasad D, Kuppa S, Morgan R, Eppinger R (1996) Dynamic axial tolerance of the human foot-ankle complex. SAE 962426

    Google Scholar 

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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). Injuries of the Pelvis and the Lower Extremities. In: Trauma Biomechanics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53920-6_7

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  • DOI: https://doi.org/10.1007/978-3-642-53920-6_7

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