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Sensitivity analysis of skull fracture

  • Vicini, Anthony (Department of Biomedical, Industrial, and Human Factors Engineering, Wright State University) ;
  • Goswami, Tarun (Department of Biomedical, Industrial, and Human Factors Engineering, Wright State University)
  • Received : 2015.05.21
  • Accepted : 2015.12.04
  • Published : 2016.03.25

Abstract

Results from multiple high profile experiments on the parameters influencing the impacts that cause skull fractures to the frontal, temporal, and parietal bones were gathered and analyzed. The location of the impact as a binary function of frontal or lateral strike, the velocity, the striking area of the impactor, and the force needed to cause skull fracture in each experiment were subjected to statistical analysis using the JMP statistical software pack. A novel neural network model predicting skull fracture threshold was developed with a high statistical correlation ($R^2=0.978$) and presented in this text. Despite variation within individual studies, the equation herein proposes a 3 kN greater resistance to fracture for the frontal bone when compared to the temporoparietal bones. Additionally, impacts with low velocities (<4.1 m/s) were more prone to cause fracture in the lateral regions of the skull when compared to similar velocity frontal impacts. Conversely, higher velocity impacts (>4.1 m/s) showed a greater frontal sensitivity.

Keywords

References

  1. Allsop, D.L., Perl, T.R. and Warner, C.Y. (1992), "Force/deflection and fracture characteristics of the temporor-parietal region of the human head", Proceedings of the 32th Stapp Car Crash Conference, SAE Paper No. 881719.
  2. Annegers, J.F. and Coan, S.P. (2000), "The risks of epilepsy after traumatic brain injury", Seizure, 9(7), 453-457. https://doi.org/10.1053/seiz.2000.0458
  3. Bazarian, J.J., Mcclung, J., Shah, M.N., Ting Cheng, Y., Flesher, W. and Kraus, J. (2005), "Mild traumatic brain injury in the united states, 1998-2000", Brain Injury, 19(2), 85-91. https://doi.org/10.1080/02699050410001720158
  4. Billmire, M.E. and Myers, P.A. (1985), "Serious head injury in infants: Accident or abuse?", Pediatrics, 75(2), 340-342.
  5. Bruns, J. and Hauser, W.A. (2003), "The epidemiology of traumatic brain injury: A review", Epilepsia, 44(s10), 2-10.
  6. Centers for Disease Control and Prevention (2014), "Report to congress on traumatic brain injury in the United States: Epidemiology and rehabilitation", National Center for Injury Prevention and Control; Division of Unintentional Injury Prevention, Atlanta, GA.
  7. Cormier, J., Manoogian, S., Bisplinghoff, J., Rowson, S., Santago, A., McNally, C., Duma, S. and Bolte, J. (2011), "The tolerance of the frontal bone to blunt impact", J. Biomech. Eng., 133(2), 021004. https://doi.org/10.1115/1.4003312
  8. Crisco, J.J., Fiore, R., Beckwith, J.G., Chu, J.J., Brolinson, P.G., Duma, S., McAllister, T.W., Duhaime, A.C. and Greenwald, R.M. (2010), "Frequency and location of head impact exposures in individual collegiate football players", J. Athl. Train, 45(6), 549-559. https://doi.org/10.4085/1062-6050-45.6.549
  9. Faul, M., Xu, L., Wald, M.M. and Coronado, V.G. (2010), "Traumatic brain injury in the United States: Emergency department visits, hospitalizations and deaths 2002-2006", Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA.
  10. Forbes, J.A., Withrow, T.J., Erwin Yap, B., Abla, A.A., Cheng, J.S., Thompson, R. and Sills, A. (2010), "Biomechanics of subdural hemorrhage in American football", Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN.
  11. Gadd, C.W. (1966), "Use of a weighted-impulse criterion for estimating injury hazard", Proceedings 10th Stapp Car Crash Conference, SAE 660793.
  12. Galarneau, M.R., Woodruff, S.I., Dye, J.L., Mohrle, C.R. and Wade, A.L. (2008), "Traumatic brain injury during operation Iraqi freedom: Findings from the united states Navy-Marine corps combat trauma registry", No. NHRC-06-25, Naval Health Research Center, San Diego, CA.
  13. Gennarelli, T.A., Champion, H.R., Copes, W.S. and Sacco, W.J. (1994), "Comparison of mortality, morbidity, and severity of 59,713 head injured patients with 114,447 patients with extracranial injuries", J. Trauma-Injury, Infection, Critical Care, 37(6), 962-968. https://doi.org/10.1097/00005373-199412000-00016
  14. Graham, D., Clark, J., Adams, J. and Gennarelli, T. (1992), "Diffuse axonal injury caused by assault", J. Clin. Pathol., 45(9), 840-841. https://doi.org/10.1136/jcp.45.9.840
  15. Gurdjian, E., Webster, J.E. and Lissner, H. (1950), "The mechanism of skull fracture", J. Neurosurg., 7(2), 106-114. https://doi.org/10.3171/jns.1950.7.2.0106
  16. Hodgson, V.R., Brinn, J., Thomas, L. and Greenberg, S. (1970), "Fracture behavior of the skull frontal bone against cylindrical surfaces", Development, 2010, 4-13.
  17. Hodgson, V.R. (1967), "Tolerance of the facial bones to impact", Am. J. Anat., 120(1), 113-122. https://doi.org/10.1002/aja.1001200109
  18. Hodgson, V., Thomas, L. and Khalil, T. (1983), "The role of impact location in reversible cerebral concussion", Proceedings 27th Stapp Car Crash Conference, SAE 831618, 225-240.
  19. Hofman, P.A., Nelemans, P., Kemerink, G.J. and Wilmink, J.T. (2000), "Value of radiological diagnosis of skull fracture in the management of mild head injury: Meta-analysis", J. Neurol. Neurosurg. Psychiatry, 68(4), 416-422. https://doi.org/10.1136/jnnp.68.4.416
  20. Holcomb, J.B., Stansbury, L.G., Champion, H.R., Wade, C. and Bellamy, R.F. (2006), "Understanding combat casualty care statistics", J. Trauma, 60(2), 397-401. https://doi.org/10.1097/01.ta.0000203581.75241.f1
  21. Kremer, C., Racette, S., Dionne, C. and Sauvageau, A. (2008), "Discrimination of falls and blows in blunt head trauma: Systematic study of the hat brim line rule in relation to skull fractures", J. Forensic Sci., 53(3), 716-719. https://doi.org/10.1111/j.1556-4029.2008.00725.x
  22. Ling, G., Bandak, F., Armonda, R., Grant, G. and Ecklund, J. (2009), "Explosive blast neurotrauma", J. Neurotrauma, 26(6), 815-825. https://doi.org/10.1089/neu.2007.0484
  23. Mac Donald, C.L., Johnson, A.M., Cooper, D., Nelson, E.C., Werner, N.J., Shimony, J.S., Snyder, A.Z., Raichle, M.E., Witherow, J.R. and Fang, R. (2011), "Detection of blast-related traumatic brain injury in US military personnel", New England J. Med., 364(22), 2091-2100. https://doi.org/10.1056/NEJMoa1008069
  24. Moss, W.C., King, M.J. and Blackman, E.G. (2009), "Skull flexure from blast waves: A mechanism for brain injury with implications for helmet design", Phys. Rev. Lett., 103(10), 108702. https://doi.org/10.1103/PhysRevLett.103.108702
  25. Nahum, A.M., Gatts, J.D., Gadd, C.W. and Danforth, J. (1968), "Impact tolerance of the skull and face", Proceedings 12th Stapp Car Crash Conference, SAE 680785.
  26. Newman, J.A., Shewchenko, N. and Welbourne, E. (2000), "A proposed new biomedical head injury assessment function - the maximum power index", Stapp Car Crash J., 44, 215-247.
  27. Newman, J.A. (1980), "Head injury criteria in automotive crash testing", Proceedings of the 24th Stapp Car Crash Conference, SAE 801317.
  28. Ommaya, A.K. (1981), Head and Neck Injury Criteria: A Consensus Workshop, US Department of Transportation, National Highway Traffic Safety Administration, Washington, DC.
  29. Panzer, M.B., Myers, B.S., Capehart, B.P. and Bass, C.R. (2012), "Development of a finite element model for blast brain injury and the effects of CSF cavitation", Ann. Biomed. Eng., 40(7), 1530-1544. https://doi.org/10.1007/s10439-012-0519-2
  30. Schneider, D.C. and Nauhm, A.M. (1972), "Impact studies of facial bones and skull", Proceedings of the 16th Stapp Car Crash Conference, SAE 720965.
  31. Stevens, J.A. and Adekoya, N. (2001), "Brain injury resulting from falls among elderly persons", JAMA: J. Am. Med. Assoc., 286(21), 2665-2666. https://doi.org/10.1001/jama.286.21.2665
  32. Swearingen, J.J. (1965), Tolerances of the human face to crash impact, #AD621434, Federal Aviation Agency, Office of Aviation Medicine, Civil Aeromedical Research Institute.
  33. Takhounts, E.G., Eppinger, R.H., Campbell, J.Q., Tannous, R.E., Power, E.D. and Shook, L.S. (2003), "On the development of the SIMon finite element head model", Stapp Car Crash J., 47, 107-133.
  34. Vander Vorst, M., Stuhmiller, J., Ho, K., Yoganandan, N. and Pintar, F. (2003), "Statistically and biomechanically based criterion for impact-induced skull fracture", Ann. Proc. Assoc. Adv. Automot. Med., 47, 363-381.
  35. Versace, J. (1971), "A review of the severity index", Proceedings 15th Stapp Car Crash Conference, SAE 710881.
  36. Viano, D.C., Pellman, E.J., Withnall, C. and Shewchenko, N. (2006), "Concussion in professional football:Performance of newer helmets in reconstructed game impacts-part 13", Neurosurg., 59(3), 591-606. https://doi.org/10.1227/01.NEU.0000231851.97287.C2
  37. Watson, W. and Mitchell, R. (2011), "Conflicting trends in fall-related injury hospitalisations among older people: Variations by injury type", Osteoporosis Int., 22(10), 2623-2631. https://doi.org/10.1007/s00198-010-1511-z
  38. Willinger, R., Kang, H. and Diaw, B. (1999), "Three-dimensional human head finite-element model validation against two experimental impacts", Ann. Biomed. Eng., 27(3), 403-410. https://doi.org/10.1114/1.165
  39. Yoganandan, N. and Pintar, F.A. (2004), "Biomechanics of temporo-parietal skull fracture", Clin. Biomech., 19(3), 225-239. https://doi.org/10.1016/j.clinbiomech.2003.12.014
  40. Yoganandan, N., Pintar, F.A., Sances, Jr A., Walsh, P.R., Ewing, C.L., Thomas, D.J. and Snyder, R.G. (1995), "Biomechanics of skull fracture", J. Neurotrauma, 12(4), 659-668. https://doi.org/10.1089/neu.1995.12.659
  41. Yoganandan, N., Sances, Jr A., Pintar, F.A., Maiman, D.J., Hemmy, D.C., Larson, S.J. and Haughton, V.M. (1991), "Traumatic facial injuries with steering wheel loading", J. Trauma-Injury, Infection, Critical Care, 31(5), 699-710. https://doi.org/10.1097/00005373-199105000-00015

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