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Verletzungen des Abdomens

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Trauma-Biomechanik

Zusammenfassung

Verletzungen der menschlichen Bauchhöhle treten im Allgemeinen als stumpfes Trauma oder Penetration auf, wobei ersteres als Folge von Straßenverkehrsunfällen häufiger vorkommt. Oft werden solche Verletzungen nicht sofort erkannt bzw. lassen sich äußerlich nicht erkennen. Die Untersuchung des biomechanischen Verhaltens des Abdomens hat sich als besonders schwierig herausgestellt und auch die erhaltenen Ergebnisse sind nicht leicht zu interpretieren. Daher mangelt es immer noch an ausreichendem Wissen über Verletzungsmechanismen und geeignete Verletzungskriterien. Dieser Mangel an Know-how zeigt sich beispielsweise auch bei den verschiedenen Crashtest-Dummys, die nur eine rudimentäre Nachbildung des Abdomens aufweisen.

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Literatur

  1. AIS (2015) The abbreviated injury scale dictionary 2015 revision. Association for the advancement of automotive medicine, Chicago

    Google Scholar 

  2. Arbogast K, Chen I, Nance N, Durbin D (2004) Predictors of pediatric abdominal injury risk. Stapp Car Crash J 48:479–494

    Google Scholar 

  3. Arbogast K, Kent R, Menon R, Ghati Y, Durbin D, Rouhana S (2007) Mechanisms of abdominal organ injury in seat belt-restrained children. J Trauma 62(6):1473–1480

    Article  Google Scholar 

  4. Caudill P, Nyland J, Smith C, Yerasimides J, Lach J (2008) Sports hernias: a systematic literature review. Br J Sports Med 42(12):954–964

    Article  Google Scholar 

  5. Cavanaugh JM, Nyquist G, Goldberg S, King A (1986) Lower abdominal tolerance and response. In: Proceedings of the 30th stapp car crash conference, SAE 861878, S 41–63

    Google Scholar 

  6. Eppinger R, Morgan R, Marcus J (1982) Side impact data analysis. In: Proceedings of the 9th international ESV conference, S 244–250

    Google Scholar 

  7. Eppinger R, Marcus J, Morgan R (1984) Development of dummy and injury index for NHTSA’s thoracic side impact protection research program. SAE 840885

    Google Scholar 

  8. Foster C, Hardy W, Yang K, King A, Hashimoto S (2006) High-speed seatbelt pretensioner loading of the abdomen. Stapp Car Crash J 50:583–600

    Google Scholar 

  9. Gannon E, Howard T (2010) Splenic injuries in athletes: a review. Curr Sports Med Rep 9(2):111–114

    Article  Google Scholar 

  10. Hardy W, Schneider L, Rouhana S (2001) Abdominal impact response to rigid-bar, seatbelt, and airbag loading. Stapp Car Crash J 45:1–32

    Google Scholar 

  11. Hardy W, Howes M, Kemper A, Rouhana S (2015) Impact and injury response of the abdomen. In: Yoganandan N, Nahum AM, Melvin JW (Hrsg) Accidental injury – biomechanics and prevention. Springer, New York

    Google Scholar 

  12. Harmon K (2007) Evaluation of groin pain in athletes. Curr Sports Med Rep 6(6):354–361

    Google Scholar 

  13. Harms P, Renouf M, Thomas P, Bradford M (1987) Injuries to restrained car occupants; what are the outstanding problems? In: Proceedings of the 11th ESV conference, SAE 876029, S 183–201

    Google Scholar 

  14. Helfenstein-Didier C, Rongieras F, Gennisson J, Tanter M, Beillas P (2016) A new method to assess the deformations of internal organs of the abdomen during impact. Traf Inj Prev 17(8):821–826

    Article  Google Scholar 

  15. Kallieris D, Mattern R (1984) Belastbarkeitsgrenzen und Verletzungsmechanik der angegurteten Fahrzeuginsassen bei Seitenaufprall. Forschungsvereinigung Automobiltechnik, Schriftenreihe Nr 36

    Google Scholar 

  16. King A (2001) Fundamentals of impact biomechanics: part 2-biomechanics of the abdomen, pelvis, and lower extremities. Ann Rev Biomed Eng 3:27–55

    Article  Google Scholar 

  17. Klinich K, Flannagan C, Rupp J, Sochor M, Schneider L, Pearlman M (2008) Fetal outcome in motor-vehicle crashes: effects of crash characteristics and maternal restraint. Am J Obstet Gynecol 198(4):450.e1–450.e9

    Article  Google Scholar 

  18. Kordzadeh A, Melvhionda V, Rhodes K, Fletcher E, Panayiotopolous Y (2016) Blunt abdominal trauma and mesenteric avulsion: a systematic review. Eur J Trauma Emerg Surg 42:311–315

    Article  Google Scholar 

  19. Lane JC (1994) The seat belt syndrome in children. Accid Anal Prev 26(6):813–820

    Article  Google Scholar 

  20. Langwieder K, Hummel T, Felsch B, Klanner W (1990) Injury risks of children in cars – epidemiology and effect of child restraint systems. SAE 905119

    Google Scholar 

  21. Macintyre J, Johnson C, Schroeder EL (2006) Groin pain in athletes. Curr Sports Med Rep 5(6):293–299

    Article  Google Scholar 

  22. Manoogian S, Duma S, Moorcroft D (2007) Pregnant occupant injury risk using computer simulations with NCAP vehicle crash test data. In: Proceedings of the 20th ESV conference, paper no. 07-0168

    Google Scholar 

  23. Mertz H, Weber D (1982) Interpretations of impact responses of a 3-year-old child dummy relative to child injury potential. In: 9th ESV conference, SAE 826048, S 368–376

    Google Scholar 

  24. Miller MA (1989) The biomechanical response to the lower abdomen to belt restraint loading. J Trauma 29(11):1571–1584

    Article  Google Scholar 

  25. Nusholtz G, Kaiker P, Lehman R (1988) Steering system abdominal impact trauma. University of Michigan Transportation Research Report no. 88-19

    Google Scholar 

  26. Orchard J (2015) Men at higher risk of groin injuries in elite team sports: a systematic review. Br J Sports Med 49:798–802

    Article  Google Scholar 

  27. Parenteau C, Viano D (2018) Driver injury in near- and far-side impacts: update on the effect of front passenger belt use. Traf Inj Prev 19(3):264–269

    Article  Google Scholar 

  28. Rouhana S (1987) Abdominal injury prediction in lateral impact: an analysis of the biofidelity of the Euro-SID abdomen. In: Proceedings of the 31st stapp car crash conference, SAE 872203, S 95–104

    Google Scholar 

  29. Rouhana S (2002) Biomechanics of abdominal trauma. In: Nahum M (Hrsg) Accidental injury – biomechanics and prevention. Springer, New York

    Google Scholar 

  30. Rouhana SW, Lau IV, Ridella SA (1984) Influence of velocity and forced compression on the severity of abdominal injury in blunt, nonpenetrating lateral impact. GMR research publication no. 4763

    Google Scholar 

  31. Rouhana S, Ridella S, Viano D (1986) The effect of limiting impact force on abdominal injury: a preliminary study. In: Proceedings of the 30th stapp car crash conference, SAE 861879, S 65–79

    Google Scholar 

  32. Rouhana S, El-Jawahri R, Laituri T (2010) Biomechanical considerations for abdominal loading by seat belt pretensioners. Stapp Car Crash J 54:381–406

    Google Scholar 

  33. Rutledge R, Thomason M, Oller D, Meredith W, Moylan J, Clancy T, Cunningham P, Baker C (1991) The spectrum of abdominal injuries associated with the use of seat belts. J Trauma 31(6):820–825

    Article  Google Scholar 

  34. Schmitt K-U, Snedeker J (2006) Kidney injury: an experimental investigation of blunt renal trauma. J Trauma 60:880–884

    Article  Google Scholar 

  35. Schmitt K-U, Varga Z, Snedeker J (2006) Comparing the biomechanical response of human and porcine kidneys to blunt trauma. J Trauma 60:885–887

    Article  Google Scholar 

  36. Sobotta J (1997) Atlas der Anatomie des Menschen, Bd 1&2. Urban und Schwarzenberg, München

    Google Scholar 

  37. Stalnaker R, Ulman M (1985) Abdominal trauma – review, response, and criteria. In: Proceedings of the 29th stapp car crash conference, SAE 851720, S 1–16

    Google Scholar 

  38. Stockman I, Bohman K, Jakobsson L (2017) Seat belt pre-pretensioner effect on child-sized dummies during run-off-road events. Traf Inj Prev 18(S1):S96–S102

    Article  Google Scholar 

  39. Talantikite Y, Brun-Cassan F, Lecoz J, Tarriere C (1993) Abdominal injury protection in side impact – injury mechanisms and protection criteria. In: Proceedings of the IRCOBI conference, S 131–144

    Google Scholar 

  40. Walfisch G, Fayon A, Tarriere C, Rosey J, Guillon F, Got C, Patel A, Stalnaker R (1980) Designing of a dummy’s abdomen for detecting injuries in side impact collisions. In: Proceedings of the IRCOBI conference, S 149–164

    Google Scholar 

  41. Yoganandan N, Pintar F, Kumareson S, Snces A, Haffner M (1996) Response of human lower thorax to impact. In: Proceedings of the association for the advancement of automotive medicine

    Google Scholar 

  42. Yoganandan N, Pintar F, Gennarelli T, Maltese M (2000) Patterns of abdominal injuries in frontal and side impacts. Proc Assoc Adv Automot Med 44:17–36

    Google Scholar 

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Correspondence to Kai-Uwe Schmitt .

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Schmitt, KU., Niederer, P.F., Cronin, D.S., Morrison III, B., Muser, M.H., Walz, F. (2020). Verletzungen des Abdomens. In: Trauma-Biomechanik. Springer Vieweg, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60936-1_7

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  • DOI: https://doi.org/10.1007/978-3-662-60936-1_7

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