Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m

被引:8
作者
Brooks, Tom [1 ]
Zwirner, Johann [2 ]
Hammer, Niels [3 ,4 ,5 ]
Ondruschka, Benjamin [6 ]
Jermy, Mark [1 ]
机构
[1] Univ Canterbury, Dept Mech Engn, Christchurch, New Zealand
[2] Univ Otago, Dept Anat, Dunedin, New Zealand
[3] Med Univ Graz, Dept Macroscop & Clin Anat, Graz, Austria
[4] Univ Leipzig, Dept Orthoped & Trauma Surg, Leipzig, Germany
[5] Fraunhofer IWU, Dresden, Germany
[6] Univ Med Ctr Hamburg Eppendorf, Inst Legal Med, Hamburg, Germany
关键词
Paediatric; Children; Impact; Biomechanics; Head injury; HEAD-INJURIES; INFANT SKULL; CHILDREN; BIOMECHANICS; FRACTURE; SUTURE; IMAGE; STEP;
D O I
10.1007/s00414-020-02409-7
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
There is much debate within the forensic community around the indications that suggest a head injury sustained by a child resulted from abusive head trauma, rather than from accidental causes, especially when a fall from low height is the explanation given by a caregiver. To better understand this problem, finite element models of the paediatric head have been and continue to be developed. These models require material models that fit the behaviour of paediatric head tissues under dynamic loading conditions. Currently, the highest loading rate for which skull data exists is 2.81 ms(-1). This study improves on this by providing preliminary experimental data for a loading rate of 5.65 +/- 0.14 ms(-1), equivalent to a fall of 1.6 m. Eleven specimens of paediatric cranial bone (frontal, occipital, parietal and temporal) from seven donors (age range 3 weeks to 18 years) were tested in three-point bending with an impactor of radius 2 mm. It was found that prompt brittle fracture with virtually no bending occurs in all specimens but those aged 3 weeks old, where bending preceded brittle fracture. The maximum impact force increased with age (or thickness) and was higher in occipital bone. Energy absorbed to failure followed a similar trend, with values 0.11 and 0.35 mJ/mm(3)for age 3 weeks, agreeing with previously published static tests, increasing with age up to 9 mJ/mm(3)for 18-year-old occipital bone. The preliminary data provided here can help analysts improve paediatric head finite element models that can be used to provide better predictions of the nature of head injuries from both a biomechanical and forensic point of view.
引用
收藏
页码:527 / 538
页数:12
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