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Relation Between Sacroilium and Other Pelvic Fractures Based on Real-World Automotive Accidents
Technical Paper
2018-22-0010
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English
Abstract
The study firstly aimed at looking whether sacroilium (SI) fractures could be sustained as unique pelvic injuries in side impact real world automotive accidents. Secondarily, the sacroilium fractures observed in conjunction with other pelvic fractures were analyzed to investigate the existence of injury association patterns.
Two real world accident databases were searched for SI fractures. The occupants selected were front car passengers older than 16, involved in side, oblique or frontal impact, with AIS2+ pelvic injuries. In frontal impact, only the belted occupants were selected. The cases were sorted by the principal direction of force (dof) and the type of pelvic injury, namely SI, pubic rami, iliac wing, acetabulum, pubic symphysis, and sacrum injuries. The relation between SI and pubic rami injuries were investigated first.
The first database is an accident database composed of cases collected in France by car manufacturers over a period of approximately 40 years. In total it contains approximately 28 000 occupants involved in all types of accident configurations. The occupant injuries, as well as the vehicle deformations, are described in detail. The second database gathered accident cases from 7 zones monitored in Great Britain over a period ranging from 1998 to 2005. All the cases collected include at least one towed away vehicle with at least one injured occupant. In total the database contains approximately 15 000 occupants. The occupant injuries are described in details and autopsy reports were screened when available.
Results - In the French database, 39 occupants sustained SI fractures. Out of 39 SI fractures, 32 were associated with pubic rami fractures and 5 additional were associated with other pelvis ring fractures. In the UK database, 46 occupants sustained SI fractures. Out of 46 SI fractures, 34 were associated with pubic rami fractures and 8 additional were associated with other pelvis ring fractures. In side impact (dof 2, 3, 4, 8, 9 or 10 o'clock), in the cases where the side is known for both the SI fractures and pelvic ring injuries, both injuries were on the same side in 70% of the cases.
Overall, out of 85 SI fractures cases, only one was clearly identified as occurring with no other pelvic injury and 3 with pelvic injuries other than pelvic ring injury.
Conclusions - Overall, from the real world automotive accidents selected at any dof, SI fractures were observed to be associated with other pelvic ring fractures in 96% of the cases. On the reverse, in side impact (dof 2, 3, 4, 8, 9 or 10 o'clock in the LAB database), 89% of the pubic rami fractures occurred without any SI fractures. From a mechanical standing point, it suggests that the SI fractures is a structure more resistant than the rest of the pelvic ring. Overall, 70% of SI fractures were observed in various types of side impacts and 30% in frontal impacts.
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Authors
- Philippe Petit - LAB PSA Peugeot Citroën Renault (Nanterre - France)
- Xavier Trosseille - LAB PSA Peugeot Citroën Renault (Nanterre - France)
- Sophie Cuny - CEESAR (Nanterre - France)
- Matthieu Lebarbé - CEESAR (Nanterre - France)
- Pascal Baudrit - CEESAR (Nanterre - France)
- Sabine Compigne - Toyota Motor Europe NV/SA (Belgium)
- Mitsutoshi Masuda - Toyota Motor Corporation (Japan)
Citation
Petit, P., Trosseille, X., Cuny, S., Lebarbé, M. et al., "Relation Between Sacroilium and Other Pelvic Fractures Based on Real-World Automotive Accidents," SAE Technical Paper 2018-22-0010, 2018, https://doi.org/10.4271/2018-22-0010.Data Sets - Support Documents
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References
- AIS 1990
- AIS 1998
- AIS 2005
- Banglmaier R. F. , Rouhana S. W. , Beillas P. , Yang K. H. Lower ExtremityInjuries in Lateral impact: a Retrospective Study AAAM Annual Conference Proceedings 2003
- Bouquet , R. , Ramet , M. , Bermond , F. , Vyes , C. Pelvic Human Response to Lateral Impact 16th International Technical Conference on the Enhanced Safety of Vehicles, Paper No. 98-S7-W-16 National Highway Traffic Administration Windsor 1998
- Cavanaugh , J. , Walilko , T. , Malhotra , A. , Zhu , Y , King , A. Biomechanical Response and Injury Tolerance of the Pelvis in Twelve Sled Side Impacts Proc. of the Thirty-Fourth Stapp Car Crash Conference Society of Automotive Engineers Warrendale, PA 1990
- Cesari , D. , Ramet , M Pelvic Tolerance and Protection Criteria in Side Impact SAE Paper No. 821159 1982
- Cohen , S. Sacroiliac Joint Pain: A comprehensive Review of Anatomy, Diagnosis, and Treatment Anesthesio & Analgesia 1440 1453 2005
- Cooper , J. Pelvic ring injuries Trauma 8 95 110 2006
- Faverjon G. 2834 2839 1985
- Gansslen , A. , Pohlemann , Paul , Lobenhoffer , & Tscherne Epidemiology of pelvic ring injuries Injury 1996 27 1
- Gertzbein SD , Chenoweth DR Occult injuries of the pelvic ring Clinical Orthopaedics and Related Research 1977 128 202 207
- Haffner , M. Synthesis of Pelvic Fracture Criteria for Lateral Impact Loading Eleventh ESV Conference, Paper No. 856022, National Highway Traffic Safety Administration 1985
- Isler B , Ganz R. Classification of pelvic ring injuries Injury 1996 27 1 SA3 SA12
- Lebarbé M. , Baudrit P. , Potier P. , Petit P. , Trosseille X. , Compigne S. , Masuda M. , Fujii T. , Douard R. Investigation of pelvic injuries on eighteen post mortem human subjects submitted to oblique lateral impacts Stapp Car Crash Conference Washington D.C., United States November 7-9 (2016)
- Leport Tiphaine , Baudrit Pascal , Trosseille Xavier , Petit Philippe , Palisson Anna , Vallancien Guy Assessment of the Pubic Force as a Pelvic Injury Criterion in Side Impact Stapp Car Crash Conference San Diego California, United States October 29-31 (2007)
- Petit P. , Trosseille X. , Lebarbé M. , Baudrit P. , Potier P. , Compigne S. , Masuda M. , Yamaoka A. , Yasuki T. , Douard R. A comparison of sacroiliac and pubic rami fracture occurrences in oblique side impact tests on nine post mortem human subjects Stapp Car Crash Conference New Orleans LA, United States November 9-11 (2015)
- Petit , P. , Trosseille , X. , Lebarbé , M. , Baudrit , P. et al. Update of the WorldSID 50th Male Pelvic Injury Criterion and Risk Curve SAE Technical Paper 2018-01-0539 2018 10.4271/2018-01-0539
- Petitjean A. , Trosseille X. , Praxl N. , Hynd D. , Irwin A. Injury Risk Curves for the WorldSID 50th Male Dummy Stapp Car Crash Conference Savannah Georgia, United States October 29-31 2012
- Petrisor , B. A. , & Bhandari , M. Injuries to the pelvic ring: Incidence, classification, associated injuries and mortality rates Orthopaedics 19 327 333 2005
- Pfeifer , R. , & Pape , H. Missed injures in trauma patients: A literature review Patient Safety in Surgery 2 20 2008
- Richter , Otte , Gänsslen , Bartram , & Pohlemann Injuries of the pelvic ring in road traffic accidents: a medical and technical analysis Injury 2001 32 2 123 128
- Scheyerer , M. , Osterhoff , G. , Wehrle , S. , Wanner , G. , Simmen , H. , & Werner , C. M. Detection of posterior pelvic injuries in fractures of pubic rami Injuryn International Journal of Care Injured 43 1326 1329 2012
- Schiff , M.A. , A.F. Tencer , and C.D. Mack Risk factors for pelvic fractures in lateral impact motor vehicle crashes Accid Anal Prev 2008 40 1 387 391
- Stambaugh , L. , & Blackmore , C. Pelvic ring disruotions in emergency radiology European Journal of Radiology 48 71 87 2003
- Stein , D.M. , et al. Risk factors associated with pelvic fractures sustained in motor vehicle collisions involving newer vehicles J Trauma 2006 61 1 21 30
- Tencer , A.F. , Kaufman , R. , Mack , C. , Mock C. Factors affecting pelvic and thoracic forces in nearside impact crashes: a study of US-NCAP, NASS, and CIREN data J Accident Analysis & Prevention 37 2005 287 293
- Vleeming , A. , Schuenke , M. D. , Masi , A. T. , Carreiro , J. E. , Danneels , L. , & Willard , F. H. 2012 The sacroiliac joint: an overview of its anatomy, function and potential clinical implications Journal of Anatomy 221 537 567
- Zhu , J. Y. , Cavanaugh J. M. , and King A. I. Pelvic Biomechanical Response and Padding Benefits in Side Impact Based on a Cadaveric Test Series SAE Paper No. 933128, 37th Stapp Car Crash Conference 1993