Abstract
This study compares a vigorous shaking and an inflicted impact, defined as the terminal portion of a vigorous shaking, using a finite element model of a 6-month-old child head. Whereas the calculated values in terms of shearing stress and brain pressure remain different and corroborate the previous studies based on angular and linear velocity and acceleration, the calculated relative brain and skull motions that can be considered at the origin of a subdural haematoma show similar results for the two simulated events. Finite element methods appear as an emerging tool in the study of the biomechanics of head injuries in children.
References
Guthkelch AN (1971) Infantile subdural haematoma and its relationship to whiplash injuries. Br Med J 2:431 (May 22)
Duhaime AC, Gennarelli TA, Thibault LE, Bruce DA, Margulies SS, Wiser R (1987) The shaken baby syndrome. A clinical, pathological, and biomechanical study. J Neurosurg 66:409–415
Prange MT, Coats B, Duhaime AC, Margulies SS (2003) Anthropomorphic simulations of falls, shakes, and inflicted impacts in infants. J Neurosurg 99:143–150
Cory CZ, Jones BM (2003) Can shaking alone cause fatal brain injury? A biomechanical assessment of the Duhaime shaken baby syndrome model. Med Sci Law 43:317–333
Bandak FA (2005) Shaken baby syndrome: a biomechanics analysis of injury mechanisms. Forensic Sci Int 151:71–79
Willinger R, Baumgartner D (2003) Human head tolerance limits to specific injury mechanisms. Int J Crashworthiness 6(8):605–617
Raul JS, Baumgartner D, Willinger R, Ludes B (2005) Finite element modelling of human head injuries caused by a fall. Int J Legal Med 30:1–7
Raul JS, Deck C, Meyer F, Geraut A, Willinger R, Ludes B (2005) A finite element model investigation of gunshot injury. Int J Legal Med 17:1–4
Jans G, Van Audekercke R, Vander Sloten J, Gobin R, Van der Perre G, Mommaerts MY (1998) Bending properties of cranial bone segments of new-born children. J Biomech Supplement 31:65
Margulies SS, Thibault KL (2000) Infant skull and suture properties: measurements and implications for mechanisms of pediatric brain injury. J Biomech Eng 122(4): 364–371
Coats B, Margulies SS (2003) Characterization of pediatric porcine skull properties during impact. IRCOBI conference, Lisbon, Portugal, pp 57–66
Thibault KL, Margulies SS (1998) Age-dependent material properties of the porcine cerebrum: effect on pediatric inertial head injury criteria. J Biomech 31:1119–1126
Mc Pherson GK, Kriewall TJ (1980) Fetal head moulding: an investigation utilizing finite element model of the fetal parietal bone. J Biomech 13:17–26
Currey JD, Butler G (1975) The mechanical properties of bone tissue in children. J Bone Jt Surg Am 57:810–814
Swischuk LE (1997) Imaging of the newborn, infant, and young child, 4th Edn. Williams & Wilkins, Baltimore
Lee MC, Haut RC (1989) Insensitivity of tensile failure properties of human bridging veins to strain rate: Implications in biomechanics of subdural hematoma. J Biomech 22(6/7):537–542
Caffey J (1974) The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation. Pediatrics 54:396–403
Geddes JF, Hackshaw AK, Vowles GH, Nickols CD, Whitwell HL (2001) Neuropathology of inflicted head injury in children. I. Patterns of brain damage. Brain 124:1290–1298
Geddes JF, Vowles GH, Hackshaw AK, Nickols CD, Scott IS, Whitwell HL (2001) Neuropathology of inflicted head injury in children. II. Microscopic brain injury in infants. Brain 124:1299–1306
Lapeer RJ, Prager RW (2001) Fetal head moulding: finite element analysis of a fetal skull subjected to uterine pressures during the first stage of labour. J Biomech 34:1125–1135
Mizuno K (2004) Development of three-year old child human FE model. IRCOBI Conference, Graz, Switzerland, pp 335–336
De Santis Klinich KD, Hulbert GM (2002) Estimating infant head injury criteria and impact response using crash reconstruction and finite element modeling. Stapp Car Crash J 46:165–194
Prange MT, Kiralyfalvi G (1999) Pediatric rotational inertial brain injury: the relative influence of brain size and mechanical properties. Proceedings of the 43rd Stapp Car Crash Conf, SAE, 333–341
Zhou C, Kahlil TB, Dragovic LJ (1996) Head injury assessment of a real world crash by finite element modelling. Proceedings of the AGARD conference, New Mexico, USA, 81–87
Willinger R, Taleb L (1995) Modal and temporal analysis of head mathematical models. J Neurotrauma 12(4):743–754
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Roth, S., Raul, JS., Ludes, B. et al. Finite element analysis of impact and shaking inflicted to a child. Int J Legal Med 121, 223–228 (2007). https://doi.org/10.1007/s00414-006-0129-3
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DOI: https://doi.org/10.1007/s00414-006-0129-3