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Head Injuries

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Trauma Biomechanics

Abstract

Head injury sustained in accidents remains a leading cause of death and disability, even though considerable advancement has been made with respect to injury prevention. Successful prevention relies on a sound understanding of injury mechanisms and knowledge of the biomechanical responses, as investigated in various experimental studies. More recently, research addressing the consequences of rotational head loading has received significant attention. This holds particularly true for sports, where concussion is a major topic, but also for applications such as helmets and corresponding test standards in other fields where the rotational component is subject to scientific debate. Furthermore, the increased use of human body models (HBMs) continues to offer new insights. Accordingly, previous research has been critically questioned, new experiments have been conducted and new injury criteria have been proposed.

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References

  • Advani S, Ommaya A, Yang W (1982) Head injury mechanisms. In: Human body dynamics, Ghista (ed), Oxford University Press, Oxford

    Google Scholar 

  • Advani S, Powell W, Huston J, Ojala S (1975) Human head impact response experimental data and analytical simulations. Proceedings of the international conference on biomechanics of serious Trauma, pp 153–162

    Google Scholar 

  • AGU (2003) AGU Zurich. http://www.agu.ch. Accessed 17 Oct 2018

  • AIS (2015) The abbreviated injury scale dictionary 2015 revision. Association for the Advancement of Automotive Medicine, Chicago IL, USA

    Google Scholar 

  • Allsop D, Perl T, Warner C (1991) Force/deflection and fracture characteristics of the temporoparietal region of the human head. In: Proceedings of the 35th stapp car crash conference, SAE 912907, pp 139–155

    Google Scholar 

  • Allsop D, Warner C, Wille M, Schneider D, Nahum A (1988) Facial impact response—a comparison of the Hybrid III dummy and human cadaver. In: Proceedings of the 32nd stapp car crash conference, SAE 881719

    Google Scholar 

  • Atha J, Yeadon M, Sandover J, Parsons K (1985) The damaging punch. Br Med J (Clin Res Ed) 291(6511):1756–1757

    Google Scholar 

  • Autoliv (2003) Autoliv. http://www.autoliv.com. Accessed 13 March 2010

  • Beier G, Schuller E, Schuck M, Ewing C, Becker E, Thomas D (1980) Center of gravity and moments of inertia of human head. In: Proceedings of the 5th international conference on the biokinetics of impacts, pp 218–228

    Google Scholar 

  • Chang V, Guerriero E, Colantonio A (2015) Epidemiology of work-related traumatic brain injury: a systematic review. Am J Industrial Med 58:353–377

    Google Scholar 

  • Davidsson J, Angeria M, Risling M (2009) Injury threshold for sagittal plane rotational induced diffuse axonal injuries. Proceedings of the IRCOBI conference, pp 43–55

    Google Scholar 

  • Duma S, Manoogian S, Bussone W, Brolinson G, Goforth M, Donnenwerth J, Greenwald R, Chu J, Crisco J (2005) Analysis of real-time head accelerations in collegiate football players. Clin J Sport Med 15(1):3–8

    Google Scholar 

  • Feddermann-Demont N, Echemendia R, Schneider K, Solomon G, Hayden K, Turner M, Dvorak J, Straumann D, Tarnutzer A (2017) What domains of clinical function should be assessed after sport-related concussion? a systematic review. Br J Sports Med 51:903–918

    Google Scholar 

  • Fernandes F, Alves de Sousa R (2015) Head injury predictors in sports trauma—a state-of-the-art review. J Eng in Med 229(8):592–608

    Google Scholar 

  • Gadd C (1961) Criteria for injury potential. Impact acceleration stress symposium, National Academy of Sciences, Washington, National Research Council Publication No. 977, pp 141–44

    Google Scholar 

  • Gennarelli T (2015) The centripetal theory of concussion (CTC) revisited after 40 years and a proposed new symptomcentric concept of the concussions. In: Proceedings of the IRCOBI conference, paper no. IRC-15-02, pp IX–XIII

    Google Scholar 

  • Gennarelli T, Thibault L, Ommaya A (1972) Pathophysiologic responses to rotational and translational accelerations of the head. In: Proceedings of the 16th stapp car crash conference, SAE 720970, pp 269–308

    Google Scholar 

  • Got C, Patel A, Fayon A, Tarriere C, Walfisch G (1978) Results of experimental head impacts on cadavers: the various data obtained and their relation to some measured physical parameters. In: Proceedings of the 22nd stapp car crash conference, SAE 780887, pp 57–99

    Google Scholar 

  • Goldsmith W, Monson L (2005) The State of Head Injury Biomechanics: Past, Present, and Future Part 2: physical Experimentation. Crit Reviews Biomed Eng 33(2):105–207

    Google Scholar 

  • Gurdjian E, Robert V, Thomas L (1966) Tolerance curves of acceleration and intercranial pressure and protective index in experimental head injury. J Trauma 6(5):600–604

    Google Scholar 

  • Gurdjian E, Lissner H, Latimer R, Haddad B, Webster J (1953) Quantitative determination of acceleration and intercranial pressure in experimental head injury. Neurology 3:417–423

    Google Scholar 

  • Guskiewicz K, Mihalik J (2011) Biomechanics of sports concussion: quest for the elusive injury threshold. Exercise and Sport Sci Review 39(1):4–11

    Google Scholar 

  • Guskiewicz K, Mihalik J, Shankar V, Marshall S, Crowell D, Oliario S, Ciocca M, Hooker D (2007) Measurement of head impacts in collegiate football players: relationship between head impact biomechanics and acute clinical outcome after concussion. Neurosurg 61(6):1244–1253

    Google Scholar 

  • Hertz (1993) A note on the head injury criterion (HIC) as a predictor of the risk of skull fracture. In: 37th annual proceedings of the AAAM

    Google Scholar 

  • Hirsch A, Ommaya A, Mahone R (1968) Tolerance of subhuman primate brain to cerebral concussion. Report 2876, Washington: Department of the Navy, USA

    Google Scholar 

  • Hodgson V, Thomas L (1971) Breaking strength of the human skull versus impact surface curvature. Wayne State University School of Medicine, Department of Neurosurgery, Report

    Google Scholar 

  • Hume A, Mills N, Gilchrist A (1995) Industrial head injuries and the performance of helmets. In: Proceedings of the IRCOBI conference, pp 217–31

    Google Scholar 

  • Kimpara H, Iwamoto M (2012) Mild traumatic brain injury predictors based on angular accelerations during impacts. Ann Biomed Eng 40(1):114–126

    Google Scholar 

  • King A, Yang K, Zhang L, Hardy W, Viano D (2003) Is head injury caused by linear or angular acceleration? In: Proceedings of the IRCOBI conference, pp 1–12

    Google Scholar 

  • Kleinberger M, Sun E, Eppinger R, Kuppa S, Saul R (1998) Development of improved injury criteria for the assessment of advanced automotive restraint systems. NHTSA report, Sept 1998

    Google Scholar 

  • Kobeissy F, Dixon C, Hayes R, Modello S (eds) (2016) Injury Models of the Central Nervous System. Humana Press New York, USA, ISSN 1940-6029

    Google Scholar 

  • Krabbel G (1997) Ein rechnerisches Schädel-Hirn-Modell zur Untersuchung dynamischer Belastungen des Kopfes. Dissertation, TU Berlin

    Google Scholar 

  • Kramer F (1998/2006) Passive Sicherheit von Kraftfahrzeugen. Germany: Vieweg Verlag, Braunschweig (2006, 2nd edn)

    Google Scholar 

  • Lissner H, Lebow M, Evans F (1960) Experimental studies on the relation between acceleration and intracranial pressure changes in man. Surg Gynecol Obstet 111:320–338

    Google Scholar 

  • Löwenhielm P (1975) Mathematical simulation of gliding contusions. J Biomech 8:351–356

    Google Scholar 

  • Manley G, Gardner A, Schneider K, Guskiewicz K, Bailes J, Cantu R, Castellani R, Turner M, Jordan B, Randolph C, Dvorak J, Hayden K, Tator C, McCroy P, Iverson G (2017) A systematic review of potential long-term effects of sports-related concussion. Br J Sports Med 51:969–977

    Google Scholar 

  • Margulies S, Thibault L (1992) A proposed tolerance criterion for diffuse axonal injury in man. J Biomech 25(8):917–923

    Google Scholar 

  • McCrory P, Feddermann-Demont N, Dvorak J, Cassidy J, McIntosh A, Vos P, Echemendia R, Meeuwisse W, Tarnutzer A (2017) What is the definition of sports-related concussion: a systematic review. Br J Sports Med 51:877–887

    Google Scholar 

  • Melvin J, Lighthall J (2002) Brain injury biomechanics. In: Nahum Melvin (ed) Accidental injury—biomechanics and prevention. Springer, New York

    Google Scholar 

  • Melvin J, Yoganandan N (2015) Biomechanics of brain injury: a historical perspective. In: Yoganandan N, Melvin JW (eds) Accidental injury—biomechanics and prevention. Springer, New York

    Google Scholar 

  • Mihalik J, Bell D, Marshall S, Guskiewicz K (2007) Measurement of head impacts in collegiate football players: an investigation of positional and event-type differences. Neurosurg 61(6):1229–1235

    Google Scholar 

  • Nahum A, Gatts J, Gadd C, Danforth J (1968) Impact tolerance of the skull and face. In: Proceedings of the 2nd stapp car crash conference, SAE 680785

    Google Scholar 

  • Naunheim R, Standeven J, Richter C, Lewis L (2000) Comparison of impact data in hockey, football, and soccer. J Trauma 48(5):938–941

    Google Scholar 

  • Newman J (2002) Biomechanics of head trauma: head protection. In: Nahum Melvin (ed) Accidental injury—biomechanics and prevention. Springer, New York

    Google Scholar 

  • Newman J, Shewchenko N, Welbourne E (2000) A new biomechanical head injury assessment function: the maximum power index. In: Proceedings of the 44th stapp car crash conference

    Google Scholar 

  • Newman J (1986) A generalized acceleration model for brain injury threshold (GAMBIT). In: Proceedings of the IRCOBI conference, pp 121–31

    Google Scholar 

  • Ommaya A, Goldsmith W, Thibault L (2002) Biomechanics and neuropathology of adult and paediatric head injury. Br J Neurosurg 16(3):220–242

    Google Scholar 

  • Ommaya A (1984) Biomechanics of head injury. In: Nahum Melvin (ed) Biomechanics of Trauma. Appleton-Century-Crofts, Norwalk

    Google Scholar 

  • Ommaya A, Gennarelli T (1974) Cerebral concussion and traumatic unconsciousness: correlation of experimental and clinical observations on blunt head injuries. Brain 97:633–634

    Google Scholar 

  • Ommaya A, Yarnell P, Hirsch A, Harris Z (1967) Scaling of experimental data on cerebral concussion on sub-human primates to concussion threshold for men. In: Proceedings of the 11th stapp car crash conference, SAE 670906, pp 47–52

    Google Scholar 

  • Ono I, Kikuchi A, Nakamura M, Kobayashi H, Nakamura N (1980) Human head tolerance to sagittal impact reliable estimation deduced from experimental head injury using subhuman primates and human cadaver skulls. In: Proceedings of the 24th stapp car crash conference, SAE 801303

    Google Scholar 

  • Padgaonka A, Krieger K, King A (1975) Measurement of angular acceleration of a rigid body using linear accelerometers. J Appl Mech 42:552–556

    Google Scholar 

  • Patton D, McIntosh A, Kleiven S, Fréchède B (2012) Injury data from unhelmeted football head impacts evaluated against critical strain tolerance curves. J Sports Eng Tech 226(3/4):177–184

    Google Scholar 

  • Pellman E, Powell J, Viano D, Casson I, Tucker A, Feuer H, Lovell M, Waeckerle J, Robertson D (2003) Concussion in professional football: epidemiological features of game injuries and review of the literature–part 3. Neurosurg 54(1):81–94

    Google Scholar 

  • Prange M, Luck J, Dibb A, Van Ee C, Nightingale R, Myers B (2004) Mechanical properties and anthropometry of the human infant head. Stapp Car Crash J 48:279–299

    Google Scholar 

  • Rowson S, Duma S, Stemper B (2018) Correlation of concussion symptom profile with head impact biomechanics: a case for individual-specific injury tolerance. J Neurotrauma 35(4):681–690

    Google Scholar 

  • Rowson S, Duma S, Beckwith J, Chu J, Greenwald R, Crisco J, Brolinson G, Duhaime A, McAllister T, Maerlender A (2012) Rotational head kinematics in football impacts: an injury risk function for concussion. Ann Biomed Eng 40(1):1–13

    Google Scholar 

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

    Google Scholar 

  • Schneider D, Nahum A (1972) Impact studies of facial bones and skull. In: Proceedings 16th stapp car crash conference, SAE 720965, pp 186–203

    Google Scholar 

  • Smith T, Bishop P, Wells R (1988) Three dimensional analysis of linear and angular accelerations of the head experienced in boxing. In: Proceedings of the IRCOBI conference, pp 271–85

    Google Scholar 

  • Smith M, Dyson R, Hale T, Janaway L (2000) Development of a boxing dynamometer and its punch force discrimination efficacy. J Sports Sci 18(6):445–450

    Google Scholar 

  • Smith D, Meany D (2002) Roller coasters, g forces, and brain trauma: on the wrong track? J Neurotrauma 19(10):1117–1120

    Google Scholar 

  • Stemper B, Shah A, Budde M, Chiariello R, Wilkins N, Olsen C, Mehta P, Kurpad S, McCrea M, Pintar F (2015) Characterization of differing time-course of cognitive deficits and emotional changes following rotational traumatic brain injury in the rat. In: Proceedings of the IRCOBI conference, paper no. IRC-15-31, pp 198–207

    Google Scholar 

  • Stigson H, Rizzi M, Ydenius A, Engström E, Kullgren A (2017) Consumer testing of bicycle helmets. In: Proceedings of the IRCOBI conference, paper no. IRC-17-30, pp 173–81

    Google Scholar 

  • Takhounts E, Craig M, Moorhouse K, McFadden J, Hasijy V (2013) Development of Brain Injury Criteria (Br IC). Stapp Car Crash J 57:243–266

    Google Scholar 

  • Takhounts E, Ridella S, Hasija V, Tannous R, Campbell J, Malone D, Danelson K, Stitzel J, Sowson S, Duma S (2008) Investigation of traumatic brain injuries using the next generation of simulated injury monitor (SIMon) finite element head model. Stapp Car Crash J 52:1–31

    Google Scholar 

  • Takhounts E, Eppinger R, Campbell J, Tannous R (2003) On the development of the SIMon finite element head model. Stapp Car Crash J 47:107–133

    Google Scholar 

  • Tarriere C (1987) Relationship between experimental measuring techniques and real world accidents. Head injury symposium, New Orleans, AAAM report

    Google Scholar 

  • Versace J (1971) A review of the severity index. In: Proceedings of the 15th stapp car crash conference, SAE 710881

    Google Scholar 

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

    Google Scholar 

  • Viano D (2001) Crashworthiness and Biomechanics, Euromotor Course, 11–13 June 2001. Göteborg, Sweden

    Google Scholar 

  • Viano D, Casson I, Pellman E, Bir C, Zhang L, Sherman D, Boitano M (2005) Concussion in professional football: comparison with boxing head impacts. Neurosurgery 57(6):1154–1172

    Google Scholar 

  • Viano D, Casson I, Pellman E (2007) Concussion in professional football: biomechanics of the struck player. Neurosurgery 61(2):313–328

    Google Scholar 

  • Volvo (2013) Volvo Car Group, Sweden. https://www.media.volvocars.com. Accessed 13 Oct 2013

  • Walilko T, Viano D, Bir C (2005) Biomechanics of the head for Olympic boxer punches to the face. Br J Sports Med 39:710–719

    Google Scholar 

  • Willinger R, Baumgartner D (2001) Numerical and physical modelling of the human head under impact—toward new injury criterion. Int J Vehicle Des 32(1–2):94–115

    Google Scholar 

  • Yang K (2007) Recent advances and new questions in human modeling: from injury biomechanics point of view. In: Proceedings of the human modeling and simulation in automotive safety symposium, Aschaffenburg, Germany

    Google Scholar 

  • Zhang L, Yang K, King A (2004) A proposed injury threshold for mild traumatic brain injury. J Biomech Eng 126:226–236

    Google Scholar 

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Schmitt, KU., Niederer, P.F., Cronin, D.S., Morrison III, B., Muser, M.H., Walz, F. (2019). Head Injuries. In: Trauma Biomechanics. Springer, Cham. https://doi.org/10.1007/978-3-030-11659-0_4

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  • DOI: https://doi.org/10.1007/978-3-030-11659-0_4

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