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Leg, Foot, and Ankle Injury Biomechanics

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Accidental Injury

Abstract

Though rarely life-threatening by themselves, lower extremity injuries are often a debilitating and costly injury affecting the broad populace, and can occur as result of a variety of different injury mechanisms. This chapter details basic lower extremity anthropometry, and reviews the currently available studies and injury criteria available for automotive, sports, and military related injury mechanisms. Detailed analysis and critique of published injury studies are presented.

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References

  1. Crandall J, Portier L, Petit P, Hall G, Klopp G, Bass C, Hurwitz S, Trosseille X, Tarriere C, Pilkey W, Lavaste F, Lassau M (1996) Biomechanical response and physical properties of the leg, foot, and ankle. Paper 962424, Society of Automotive Engineering

    Google Scholar 

  2. Parham KR, Gordon CC, Bensel CK (1992) Anthropometry of the foot and lower leg of U.S. army soldiers: Fort Jackson, SC—1985. United States Army Natick Research, Development and Engineering Center, Natick

    Google Scholar 

  3. Diffrient N, Tilley AR, Bardagjy JC (1974) Humanscale 1/2/3. The MIT Press, Massachusetts Institute of Technology, Cambridge

    Google Scholar 

  4. Rupp J, Reed M, Van Ee C, Kuppa S, Wang S, Goulet J, Schneider L (2002) The tolerance of the human hip to dynamic knee loading. Stapp Car Crash J 46:211–228

    PubMed  Google Scholar 

  5. Kuppa S, Fessahaie O (2003) An overview of knee-thigh-hip injuries in frontal crashes in the United States. Paper 416. In: Proceedings of the 18th international technical conference on the enhanced safety of vehicles

    Google Scholar 

  6. Nyquist G (1986) Injury tolerance characteristics of the adult human lower extremities under static and dynamic loading. SAE paper 861925, Society of Automotive Engineers

    Google Scholar 

  7. Mather BS (1967) Correlations between strength and other properties of long bones. J Trauma 7(5): 633–638

    Article  CAS  PubMed  Google Scholar 

  8. Mather SB (1968) Impact tolerance of the human leg. J Trauma 8(6):1084–1088

    Article  CAS  PubMed  Google Scholar 

  9. Yamada H (1970) Strength of biological materials. The Williams and Wilkins, Baltimore

    Google Scholar 

  10. Nyquist G, Cheng R, El-Bohy A, King A (1985) Tibia bending: strength and response. SAE Paper 851728, The Society of Automotive Engineers

    Google Scholar 

  11. Rabl W, Haid C, Krismer M (1996) Biomechanical properties of the human tibia: fracture behavior and morphology. Forensic Sci Int 83:39–49

    Article  CAS  PubMed  Google Scholar 

  12. Schreiber P, Crandall J, Micek T, Hurwitz S, Nusholtz G (1997) Static and dynamic bending strength of the leg. In: Proceedings of the IRCOBI conference on the biomechanics of impact. Hanover, 24–26 Sept 1997

    Google Scholar 

  13. Kerrigan J, Bhalla K, Madeley NJ, Funk J, Bose D, Crandall J (2003a) Experiments for establishing pedestrian-impact lower limb injury criteria’. SAE 2003-01-0895. Society of Automotive Engineers (SAE) Congress, Detroit

    Google Scholar 

  14. Kerrigan J, Bhalla K, Madeley NJ, Crandall J, Deng B (2003b) Response corridors for the human leg in 3-point lateral bending. Paper 1281. The 7th US National Congress on computational mechanics, Albuquerque

    Google Scholar 

  15. Kerrigan J, Drinkwater DC, Kam CY, Murphy D, Ivarsson BJ, Crandall J, Patrie J (2004) Tolerance of the human leg and thigh in dynamic latero-medial bending. Int J Crashworthiness 9(6):607–623

    Article  Google Scholar 

  16. Ivarsson J, Kerrigan J, Lessley D, Drinkwater C, Kam C, Murphy D, Crandall J, Kent R (2005) Dynamic response corridors of the human thigh and leg in non-midpoint three-point bending. Paper no. 2005-01-0305, Society of Automotive Engineers

    Google Scholar 

  17. Carter DR, Hayes WC (1977) The compressive behavior of bone as a two-phase porous structure. J Bone Joint Surg 59(7):954–962

    CAS  PubMed  Google Scholar 

  18. McElhaney JH (1966) Dynamic response of bone and muscle tissue. J Appl Physiol 21(4): 1231–1236

    CAS  PubMed  Google Scholar 

  19. Martens M, van Audekercke R, de Meester P, Mulier J (1980) The mechanical characteristics of the long bones of the lower extremity in torsional loading. J Biomech 13:667–676

    Article  CAS  PubMed  Google Scholar 

  20. Kent RW, Funk JR (2004) Data censoring and parametric distribution assignment in the development of injury risk functions from biomechanical data. SAE 2004-01-0317. Society of Automotive Engineers (SAE) Congress, Detroit

    Google Scholar 

  21. Crandall J, Funk J, Rudd R, Tourret L (1999) The tibia index: a step in the right direction. In: Proceedings of the Toyota international symposium on human life support biomechanics. Nagoya, Japan

    Google Scholar 

  22. Mertz HJ (1993) Antropometric test devices. In: Nahum AM, Melvin JW (eds) Accidental injury: biomechanics and prevention. Springer-Verlage, New York

    Google Scholar 

  23. Kjaersgaard-Anderson P, Wethelund JO, Helmig P, Soballe K (1988) The stabilizing effect of the ligamentous structures in the sinus and canalis tarsi on movements in the hindfoot. Am J Sports Med 16(5): 512–516

    Article  Google Scholar 

  24. Parenteau CS, Viano DC, Petit PY (1998) Biomechanical properties of human cadaveric ankle-subtalar joints in quasi-static loading. J Biomech Eng 120:105–111

    Article  CAS  PubMed  Google Scholar 

  25. Petit P, Portier L, Foret-Bruno JY, Trosseille X, Parenteau C, Coltat JC, Tarrière C, Lassau JP (1996) Quasistatic characterization of the human foot-ankle joints in a simulated tensed state and updated accidentological data. In: Proceedings of the international research council on the biomechanics of impact. Dublin, Ireland, pp 363–376

    Google Scholar 

  26. Jaffredo A, Potier P, Robin S, Le Coz JY, Lassau JP (2000) Cadaver lower limb dynamic response in inversion-eversion. In: Proceedings of the IRCOBI conference on the biomechanics of impact. Montpellier, France

    Google Scholar 

  27. Funk JR, Crandall JR, Tourret L, MacMahon C, Bass CR, Khaewpong K, Eppinger R (2002) The axial injury tolerance of the human foot/ankle complex and the effect of Achilles tension. J Biomed Eng 124:750–757

    Google Scholar 

  28. Morgan RM, Eppinger RH, Hennessey BC (1991) Ankle joint injury mechanism for adults in frontal automotive impact. Paper 912902, Stapp Car Crash Conference. San Diego, CA

    Google Scholar 

  29. Lauge-Hansen N (1950) Fractures of the ankle II: combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 60:957–985

    Article  CAS  PubMed  Google Scholar 

  30. Dias LS (1979) The lateral ankle sprain: an experimental study. J Trauma 19:266–269

    Article  CAS  PubMed  Google Scholar 

  31. Rasmussen O, Kromann Andersen C (1983) Experimental ankle injuries analysis of the traumatology of the ankle ligaments. Acta Orthop Scand 54(3):356–362

    Article  CAS  PubMed  Google Scholar 

  32. Begeman P, Balakrishnan P, Levine R, King A (1993) Dynamic human ankle response to inversion and eversion. In: Proceedings of the 37th Stapp Car Crash Conference. San Antonio, TX. SAE 933115, pp 83–93

    Google Scholar 

  33. Funk JR, Srinivasan SCM, Crandall JR, Khaewpong N, Eppinger RH, Jaffredo AS, Potier P, Petit PY (2002) The effects of axial preload and dorsiflexion on the tolerance of the ankle/subtalar joint to dynamic inversion and eversion. Stapp Car Crash J 46:245–265

    PubMed  Google Scholar 

  34. Schreiber P, Crandall J, Dekel E, Hall G, Pilkey W (1995) The effects of lower extremity boundary conditions on ankle response during joint rotation tests. In: Proceedings of the 23rd international workshop on human subjects for biomechanical research. San Diego, CA

    Google Scholar 

  35. Colville MR, Marder RA, Boyle JJ, Zarins B (1990) Strain measurement in lateral ankle ligaments. Am J Sports Med 18(2):196

    Article  CAS  PubMed  Google Scholar 

  36. Begeman PC, Prasad P (1990) Human ankle impact response in dorsiflexion. In: Proceedings of the 34th Stapp Car Crash Conference. Society of Automotive Engineers, pp 39–53

    Google Scholar 

  37. Begeman P, Balakrishnan P, Levine R, King A (1992) Human ankle response in dorsiflexion. Injury prevention through biomechanics symposium proceedings, Wayne State University

    Google Scholar 

  38. Portier L, Petit P, Domont A, Trosseille X, Le Coz J-Y, Tarriere C, Lassau J-P (1997) Dynamic biomechanical dorsiflexion responses and tolerances of the ankle joint complex. SAE paper 973330, pp 207–224

    Google Scholar 

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

    Google Scholar 

  40. Kennett K, Crandall J, Bass C, Klopp G (1996) In situ measurement of loads in the tibia. In: Proceedings of the 24th international workshop on human subjects for biomechanical research. Albuquerque, NM

    Google Scholar 

  41. Fleming BC, Good L, Peura GD, Beynnon BD (1999) Calibration and application of an intra-articular force transducer for the measurement of patellar tendon graft forces: an in situ evaluation. J Biomech Eng 121(4):393–398

    Article  CAS  PubMed  Google Scholar 

  42. Hall G, Klopp G, Crandall J, Carmines D, Hale J (1997) Rate independent characteristics of an arthroscopically implantable force probe in the Achilles tendon. In: Proceedings of the 21st annual meeting of the American Society of Biomechanics. Clemson University, SC

    Google Scholar 

  43. Fleming BC, Peura GD, Beynnon BD (2000) Factors influencing the output of an implantable force transducer. J Biomech 33:889–893

    Article  CAS  PubMed  Google Scholar 

  44. Kajzer J, Cavallero C, Ghanouchi S, Bonnoit J, Ghorbel A (1990) Response of the knee joint in lateral impact-effect of shearing loads. In: Proceedings of the IRCOBI conference on the biomechanics of impact, Berlin, 11–13 Sept 1990

    Google Scholar 

  45. Kajzer J, Schroeder G, Ishikawa H, Matsui Y, Bosch U (1997) Shearing and bending effects at the knee joint at high speed lateral loading. SAE paper 973326, Society of Automotive Engineers

    Google Scholar 

  46. Kajzer J, Ishikawa H, Matsui Y, Schroeder G, Bosch U (1999) Shearing and bending effects at the knee joint at low speed lateral loading. SAE paper 1999-01-0712, Society of Automotive Engineers

    Google Scholar 

  47. Kajzer J, Cavallero C, Bonnoit J, Morjane A, Ghanouchi S (1993) Response of the knee joint in lateral impact-effect of bending moment. In: Proceedings of the international conference on the biomechanics of impact (IRCOBI), Eindhoven, 8–10 Sept 1993

    Google Scholar 

  48. Kerrigan JR, Ivarsson BJ, Bose D, Madeley NJ, Millington SA, Bhalla KS, Crandall JR (2003) Rate-sensitive constitutive and failure properties of human collateral knee ligaments. In: Proceedings of the international research council on the biomechanics of impacts (IRCOBI) conference. Lisbon, Portugal

    Google Scholar 

  49. Konosu A, Issiki T, Tanahashi M (2005) Development of a biofidelic flexible pedestrian leg-form impactor (Flex-Pli 2004) and evaluation of its biofidelity at the component level and at the assembly level. Paper 2005-01-1879, Society of Automotive Engineers (SAE)

    Google Scholar 

  50. Ramet M, Bouquet R, Bermond F, Caire Y (1995) Shearing and bending human knee joint tests in quasi-static lateral load. In: Proceedings of the IRCOBI conference on the biomechanics of impact. Brunnen, Switzerland

    Google Scholar 

  51. Bose D, Bhalla K, Rooij L, Millington S, Studley A, Crandall J (2004) Response of the knee joint to the pedestrian impact loading environment. Paper no. 2004-01-1608. World Congress SAE, Detroit

    Google Scholar 

  52. Bose D, Bhalla K, Untaroiu C, Ivarsson BJ, Crandall J, Hurwitz S (2008) Injury tolerance and moment response of the knee joint to combined valgus bending and shear loading. J Biomech Eng 130(3):031008. doi: 10.1115/1.2907767

  53. Ivarsson J, Lessley D, Kerrigan J, Bhalla K, Bose D, Crandall J, Kent R (2004) Dynamic response corridors and injury thresholds of the pedestrian lower extremities. In: Proceedings of the IRCOBI conference on the biomechanics of impact, Graz

    Google Scholar 

  54. Kaplan LD, Jost PW, Honkamp N, Norwig J, West R, Bradley JP (2011) Incidence and variance of foot and ankle injuries in elite college football players. Am J Orthop 40(1):40–44

    PubMed  Google Scholar 

  55. Orendurff MS, Rohr ES, Segal AD, Medley JW, Green JR III, Kadel NJ (2008) Regional foot pressure during running, cutting, jumping, and landing. Am J Sports Med 36(3):566–571. doi:10.1177/ 0363546507309315

    Article  PubMed  Google Scholar 

  56. Bowers KD Jr, Martin RB (1976) Turf-toe: a shoe-surface related football injury. Med Sci Sports 8(2):81–83

    PubMed  Google Scholar 

  57. Anderson RB (2002) Turf toe injuries of the hallux metatarsophalangeal joint. Tech Foot Ankle Surg 1(2):102–111. doi:10.1097/00132587-200212000-00004

    Article  Google Scholar 

  58. Frimenko RE, Lievers WB, Coughlin MJ, Anderson RB, Crandall JR, Kent RW (2012) Etiology and biomechanics of first metatarsophalangeal joint sprains (turf toe) in athletes. Crit Rev Biomed Eng 40(1): 43–61

    Article  PubMed  Google Scholar 

  59. Rodeo SA, O’Brien S, Warren RF, Barnes R, Wickiewicz TL, Dillingham MF (1990) Turf-toe: an analysis of metatarsophalangeal joint sprains in professional football players. Am J Sports Med 18(3): 280–285

    Article  CAS  PubMed  Google Scholar 

  60. Frey C, Andersen GD, Feder KS (1996) Plantarflexion injury to the metatarsophalangeal joint (“sand toe”). Foot Ankle Int 17(9):576–581

    Article  CAS  PubMed  Google Scholar 

  61. Prieskorn D, Graves S, Yen M, Ray J Jr, Schultz R (1995) Integrity of the first-metatarsophalangeal joint: a biomechanical analysis. Foot Ankle Int 16(6):357–362

    Article  CAS  PubMed  Google Scholar 

  62. Frimenko RE, Lievers WB, Riley PO, Park JS, Hogan MV, Crandall JR, Kent RW (2013) Development of an injury risk function for first metatarsophalangeal joint sprains. Med Sci Sports Exerc. 45(11):2144–2150. doi:10.1249/MSS.0b013e3182994a10

    Google Scholar 

  63. Lievers WB, Frimenko RE, Crandall JR, Kent RW, Park JS (2012) Age, sex, causal and injury patterns in tarsometatarsal dislocations: a literature review of over 2000 cases. Foot (Edinb) 22(3):117–124. doi:10.1016/j.foot.2012.03.003

    Article  Google Scholar 

  64. de Palma L, Santucci A, Sabetta SP, Rapali S (1997) Anatomy of the Lisfranc joint complex. Foot Ankle Int 18(6):356–364

    Article  PubMed  Google Scholar 

  65. Ouzounian TJ, Shereff MJ (1989) In vitro determination of midfoot motion. Foot Ankle 10(3):140–146

    Article  CAS  PubMed  Google Scholar 

  66. Johnson A, Hill K, Ward J, Ficke J (2008) Anatomy of the Lisfranc ligament. Foot Ankle Spec 1(1): 19–23. doi:10.1177/1938640007312300

    Article  PubMed  Google Scholar 

  67. Kura H, Luo ZP, Kitaoka HB, Smutz WP, An KN (2001) Mechanical behavior of the Lisfranc and dorsal cuneometatarsal ligaments: in vitro biomechanical study. J Orthop Trauma 15(2):107–110

    Article  CAS  PubMed  Google Scholar 

  68. Solan MC, Moorman CT III, Miyamoto RG, Jasper LE, Belko SM (2001) Ligamentous restraints of the second tarsometatarsal joint: a biomechanical evaluation. Foot Ankle Int 22(8):637–641

    CAS  PubMed  Google Scholar 

  69. Jeffreys TE (1963) Lisfranc’s fracture-dislocation: a clinical and experimental study of tarso-metatarsal dislocations and fracture-dislocations. J Bone Joint Surg 45B(3):546–551

    Google Scholar 

  70. Wilson DW (1972) Injuries of the tarso-metatarsal joints: etiology, classification and results of treatment. J Bone Joint Surg 54B(4):677–686

    Google Scholar 

  71. Wiley JJ (1971) The mechanism of tarso-metatarsal joint injuries. J Bone Joint Surg 53B(3):474–482

    Google Scholar 

  72. Charrois O, Béqué T, Mulier GP, Masquelet AC (1998) Luxation plantair de l’articulation tarso-métatarsienne (articulation de Lisfranc): a propos d’un cas [Lisfranc plantar fracture dislocation: a case report]. Rev Chir Orthop 84(2):197–201

    CAS  PubMed  Google Scholar 

  73. Nishi H, Takao M, Uchio Y, Yamagami N (2004) Isolated plantar dislocation of the intermediate cuneiform bone: a case report. J Bone Joint Surg 86A(8): 1772–1777

    Google Scholar 

  74. Kadel N, Boenisch M, Tietz C, Trepman E (2005) Stability of Lisfranc joint in ballet pointe position. Foot Ankle Int 26(5):394–400

    PubMed  Google Scholar 

  75. Kaar S, Femino J, Morag Y (2007) Lisfranc joint displacement following sequential ligament sectioning. J Bone Joint Surg 89A(10):2225–2232. doi:10.2106/JBJS.F.00958

    Article  Google Scholar 

  76. Smith BR, Begeman PC, Leland R, Levine RS, Yang KH, King AI (2003) A mechanism of injury to the forefoot in car crashes. In: Proceedings of the 2003 international IRCOBI conference on the biomechanics of impact, Lisbon, 25 Sept 2003

    Google Scholar 

  77. Smith BR, Begeman PC, Leland R, Meehan R, Levine RS, Yang KH, King AI (2005) A mechanism of injury to the forefoot in car crashes. Traffic Inj Prev 6(2):156–169. doi:10.1080/15389580590931635

    Article  CAS  PubMed  Google Scholar 

  78. Frimenko RE, Lievers WB, Riley PO, Crandall JR, Kent RW (2012) A method to induce navicular‐cuneiform/cuneiform‐first metatarsal sprain in athletes. In: Proceedings of the international research council on the biomechanics of injury (IRCOBI) conference, Dublin, 12–14 Sept 2012

    Google Scholar 

  79. Guise ER (1976) Rotational ligamentous injuries to the ankle in football. Am J Sports Med 4(1):1–6. doi:10.1177/036354657600400101

    Article  CAS  PubMed  Google Scholar 

  80. Boytim MJ, Fischer DA, Neumann L (1991) Syndesmotic ankle sprains. Am J Sports Med 19(3): 294–298. doi:10.1177/036354659101900315

    Article  CAS  PubMed  Google Scholar 

  81. Nussbaum ED, Hosea TM, Sieler SD, Incremona BR, Kessler DE (2001) Prospective evaluation of syndesmotic ankle sprains without diastasis. Am J Sports Med 29(1):31–35

    CAS  PubMed  Google Scholar 

  82. Hopkinson WJ, St Pierre P, Ryan JB, Wheeler JH (1990) Syndesmosis sprains of the ankle. Foot Ankle 10(6):325–330

    Article  CAS  PubMed  Google Scholar 

  83. Close JR (1956) Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg 38A(4):761–781

    Google Scholar 

  84. Rasmussen O, Tovborg-Jensen I, Boe S (1982) Distal tibio-fibular ligaments: analysis of function. Acta Orthop Scand 53(4):681–686. doi:10.3109/ 17453678208992276

    Article  CAS  PubMed  Google Scholar 

  85. Xenos JS, Hopkinson WJ, Mulligan ME, Olson EJ, Popovic NA (1995) The tibiofibular syndesmosis: evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. J Bone Joint Surg 77A(6):847–856

    Google Scholar 

  86. Wei F, Villwock MR, Meyer EG, Powell JW, Haut RC (2010) A biomechanical investigation of ankle injury under excessive external foot rotation in the human cadaver. J Biomech Eng 132(9):091001. doi:10.1115/1.4002025

    Article  PubMed  Google Scholar 

  87. Wei F, Hunley SC, Powell JW, Haut RC (2011) Development and validation of a computational model to study the effect of foot constraint on ankle injury due to external rotation. Ann Biomed Eng 39(2):756–765. doi:10.1007/s10439-010-0234-9

    Article  PubMed  Google Scholar 

  88. Wei F, Post JM, Braman JE, Meyer EG, Powell JW, Haut RC (2012) Eversion during external rotation of the human cadaver foot produces high ankle sprains. J Orthop Res 30(9):1423–1429. doi:10.1002/jor.22085

    Article  PubMed  Google Scholar 

  89. Meyer EG, Wei F, Button K, Powell JW, Haut RC (2012) Determination of ligament strain during high ankle sprains due to excessive external foot rotation in sports. In: Proceedings of the international research council on the biomechanics of injury (IRCOBI) conference, Dublin, 12–14 Sept 2012

    Google Scholar 

  90. NATO Science and Technology Centres (2007) Test methodology for protection of vehicle occupants against anti-vehicular landmine effects. ISBN 978-92-837-0068-5. https://www.cso.nato.int/pubs/rdp.asp?RDP=RTO-TR-HFM-090

  91. Bass CR, Hall GW, Crandall JR, Pilkey WD (1996) The influence of padding and shoes on the dynamic response of dummy lower extremities. SAE technical papers series, Detroit

    Google Scholar 

  92. Harris RM, Griffin LV, Hayda RA, Rountree MS, Bryant RG, Rossiter ND et al (1999) The effects of antipersonnel blast mines of the lower extremity. In: IRCOBI conference proceedings, Sitges, pp 457–467

    Google Scholar 

  93. Reilly DT, Burstein AH (1975) The elastic and ultimate properties of compact bone tissue. J Biomech 8(6):393–405

    Article  CAS  PubMed  Google Scholar 

  94. Dionne JP, Makris A, Nerenberg J (2001) Blast evaluation of spider boot foot protection system employing surrogates and biological specimens. In: IRCOBI conference proceedings. Isle of Man, UK

    Google Scholar 

  95. Makris A, Islam S (2000) Performance tests of ‘spider boot’ for demining. World EOD Gazette, pp 33–44

    Google Scholar 

  96. Chaloner EJ, McMaster J, Hinsley DE (2002) Principles and problems underlying testing the effectiveness of blast protective footwear. J R Army Med Corps 148(1):38–43

    Article  CAS  PubMed  Google Scholar 

  97. Bass CR, Folk B, Salzar RS, Davis M, Donnellan L, Harris R, Rountree M, Gardner M, Harcke T, Rouse E, Oliver W, Sanderson E, Waclawik S, Holthe M, Hauck B (2004) Development of a test methodology to evaluate mine protective footwear. In: Proceedings of the Personal Armor Systems Symposium (PASS), The Hague

    Google Scholar 

  98. Wolff K, Prusa A, Wibmer A, Rankl P, Firbas W, Teufelsbauer H (2005) Effect of body armor on simulated landmine blasts to cadaveric legs. J Trauma 59(1):202–208

    Article  PubMed  Google Scholar 

  99. U.S. Army Institute of Surgical Research (2000) Final report of the Lower Extremity Assessment Program (LEAP 99–2). Fort Sam Houston, TX

    Google Scholar 

  100. Funk, JR, Tourret, L, Crandall, JR, Pilkey, WD, McMaster, J, Khaewpong, N, Eppinger, R. (2001) The Effect of Active Muscle Tension on the Axial Injury Tolerance of the Lower Extremity. Paper 237, Proceedings of the 17th International Technical Conference on the Enhanced Safety of Vehicles (ESV), Amsterdam, The Netherlands

    Google Scholar 

  101. Vasquez K, Logsdon K, Shivers B, Chancey C (2011) Medical injury data 10 Nov 2011. Unclassified// Public Release

    Google Scholar 

  102. Schueler F, Mattern R, Zeidler F, Scheunert D (1995) Injuries of the lower legs-foot, ankle joint, tibia. Mechanisms, tolerance limits, injury—criteria evaluation of a recent biomechanics experiment series (impact tests with a pneumatic biomechanic impactor). In: Proceedings of the international research council on the biomechanics of impact, Brunnen

    Google Scholar 

  103. McKay BJ, Bir CA (2009) Lower extremity injury criteria for evaluating military vehicle occupant injury in underbelly blast events. Stapp Car Crash J. 2009 Nov;53:229–249

    Google Scholar 

  104. Yoganandan, N., Pintar, F., Boynton, M., Begeman, P. et al., Dynamic Axial Tolerance of the Human Foot-Ankle Complex, SAE Technical Paper 962426, 1996, doi:10.4271/962426

  105. Kitagawa Y, Ichikawa H, Pal C, King A (1998) Lower leg injuries caused by dynamic axial loading and muscle tensing. In: Proceedings of the international technical conference on the Enhanced Safety of Vehicles (ESV). Windsor, Ontario, Canada

    Google Scholar 

  106. Quenneville C, Fraser G, Dunning C (2010) Development of an apparatus to produce fractures from short duration high impulse loading with an application in the lower leg. J Biomech Eng 132(1): 014502. doi: 10.1115/1.4000084

    Google Scholar 

  107. Ramasamy A, Masouros S, Newell N, Hill AM, Proud WG, Brown KA et al (2011) In vehicle extremity injuries from improvised explosive devices: current and future foci. Philos Trans Roy Soc Biomech 366:160–170

    Article  Google Scholar 

  108. Otte D, von Rheinbaben H, Zwipp H (1992) Biomechanics of injuries to the foot and ankle joint of car drivers and improvements for an optimal car floor development. In: Stapp Car Crash Conference proceedings. Seattle, WA

    Google Scholar 

  109. Crandall JR, Martin PG, Kuhlmann T, Klopp GS, Sieveka EM, Pilkey WD et al (1995) The influence of footwell intrusion on lower extremity response and injury in frontal crashes. Annual proceedings of the Association for Advancement of Automotive Medicine. Chicago, IL, pp 269–286

    Google Scholar 

  110. Krueger HJ, Heuser G, Kraemer B, Schmitz A (1995) Proceedings of the fourteenth international technical conference on enhanced safety of vehicles. Munich, pp 528–534

    Google Scholar 

  111. Funk, JR, Tourret, L, Crandall, JR. (2000) Estimation of Fibula Load-Sharing During Dynamic Axial Loading of the Lower Extremity. Proceedings of the 24th Annual Meeting of the American Society of Biomechanics, Chicago, IL

    Google Scholar 

  112. Rudd RW, Crandall JR, Hjerpe E, Haland Y (2001) Evaluation of lower limb injury mitigation from inflatable carpet in sled tests with intrusion using the THOR Lx. In: Proceedings of the 17th international technical conference on the enhanced safety of vehicles. Amsterdam, The Netherlands, pp 4–7

    Google Scholar 

  113. Crandall JR, Kuppa SM, Hall GW, Pilkey WD, Hurwitz SR (1998) Injury mechanisms and criteria for the human foot and ankle under axial impacts to the foot. Int J Crashworthiness 3(2):147–162

    Article  Google Scholar 

  114. Schreiber P, Crandall JR, Dekel E, Hall GW, Pilkey WD (1995) The effects of lower extremity boundary conditions on ankle response during joint rotation tests. In: Proceedings of the 23rd international workshop on human subjects for biomechanical research. National Highway Traffic and Safety Administration, US DOT

    Google Scholar 

  115. Funk, JR, Crandall, JR. (2004) Calculation of Long Bone Loading Using Strain Gauges. Proceedings of the 32nd International Workshop on Human Subjects for Biomechanical Research, National Highway Traffic Safety Administration, U.S. D.O.T., Nashville, TN

    Google Scholar 

  116. Ivarsson JB, Genovese D, Crandall JR, Bolton JR, Untaroiu CD, Bose D (2009) The tolerance of the femoral shaft in combined axial compression and bending loading. Stapp Car Crash J. Savannah, GA 53:251

    Google Scholar 

  117. Wang JJ, Bird R, Swinton B, Krstic A (2001) Protection of lower limbs against floor impact in army vehicles experiencing landmine explosion. J Battlefield Technol 4(3):8–12

    Google Scholar 

  118. Ramasamy A, Hill AM, Hepper AE, Bull AM, Clasper JC (2009) Blast mines: a background for clinicians on physics. Injury mechanisms and vehicle protection. J R Army Med Corps 155: 258–264

    Article  CAS  PubMed  Google Scholar 

  119. Bir C, Barbir A, Dosquett F, Wilhelm M, van der Horst M, Wolfe G (2008) Validation of lower limb surrogates as injury assessment tools in floor impacts due to anti-vehicular land mines. Mil Med 173(12): 1180–1184

    PubMed  Google Scholar 

  120. Pandelani T, Reinecke D, Phillippens M, Dosquet F, Beetge F (2010) The practical evaluation of the MIl-Lx lower leg when subjected to simulated vehicle under belly blast load conditions. Personal Armour Systems Symposium, Quebec City, Quebec, Canada

    Google Scholar 

  121. Quenneville CE, Dunning CE (2012) Evaluation of the biofidelity of the HIII and MIL-Lx lower leg surrogates under axial impact loading. Traffic Inj Prev. 2012;13(1):81–85. doi: 10.1080/15389588.2011.623251

    Google Scholar 

  122. Roberts, D, Donnelly, B, Severin, C, Medige, J (1993) Injury mechanisms and tolerance of the human ankle joint, Centers for Disease Control, Atlanta, GA

    Google Scholar 

  123. Alvarez JG (2011) Injuries of concern & medical research plan for Warrior Injury Assessment Manikin Project (WIAMan). U.S. Army Medical Research and Materiel Command

    Google Scholar 

  124. Tegtmeyer M (2011) The WIAMan development program: objectives and rationale. Army Research Laboratory, Aberdeen, MD

    Google Scholar 

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Authors and Affiliations

  1. Center for Applied Biomechanics, University of Virginia, Charlottesville, VA, USA

    Robert S. Salzar Ph.D., Ann M. Bailey BS & Jeff R. Crandall Ph.D.

  2. Bharti School of Engineering, Laurentian University, Sudbury, ON, Canada

    W. Brent Lievers Ph.D.

Authors
  1. Robert S. Salzar Ph.D.
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  2. W. Brent Lievers Ph.D.
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  3. Ann M. Bailey BS
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  4. Jeff R. Crandall Ph.D.
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Corresponding author

Correspondence to Robert S. Salzar Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

    Narayan Yoganandan

  2. School of Medicine, University of California at San Diego, San Diego, USA

    Alan M. Nahum

  3. Tandelta Inc., Ann Arbor, USA

    John W. Melvin

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Salzar, R.S., Lievers, W.B., Bailey, A.M., Crandall, J.R. (2015). Leg, Foot, and Ankle Injury Biomechanics. In: Yoganandan, N., Nahum, A., Melvin, J. (eds) Accidental Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1732-7_18

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  • DOI: https://doi.org/10.1007/978-1-4939-1732-7_18

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