Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m
There is much debate within the forensic community around the indications that suggest a head injury sustained by a child resulted from abusive head trauma, rather than from accidental causes, especially when a fall from low height is the explanation given by a caregiver. To better understand this p...
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Veröffentlicht in: | International journal of legal medicine 2021-03, Vol.135 (2), p.527-538 |
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description | There is much debate within the forensic community around the indications that suggest a head injury sustained by a child resulted from abusive head trauma, rather than from accidental causes, especially when a fall from low height is the explanation given by a caregiver. To better understand this problem, finite element models of the paediatric head have been and continue to be developed. These models require material models that fit the behaviour of paediatric head tissues under dynamic loading conditions. Currently, the highest loading rate for which skull data exists is 2.81 ms
−1
. This study improves on this by providing preliminary experimental data for a loading rate of 5.65 ± 0.14 ms
−1
, equivalent to a fall of 1.6 m. Eleven specimens of paediatric cranial bone (frontal, occipital, parietal and temporal) from seven donors (age range 3 weeks to 18 years) were tested in three-point bending with an impactor of radius 2 mm. It was found that prompt brittle fracture with virtually no bending occurs in all specimens but those aged 3 weeks old, where bending preceded brittle fracture. The maximum impact force increased with age (or thickness) and was higher in occipital bone. Energy absorbed to failure followed a similar trend, with values 0.11 and 0.35 mJ/mm
3
for age 3 weeks, agreeing with previously published static tests, increasing with age up to 9 mJ/mm
3
for 18-year-old occipital bone. The preliminary data provided here can help analysts improve paediatric head finite element models that can be used to provide better predictions of the nature of head injuries from both a biomechanical and forensic point of view. |
doi_str_mv | 10.1007/s00414-020-02409-7 |
format | Article |
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−1
. This study improves on this by providing preliminary experimental data for a loading rate of 5.65 ± 0.14 ms
−1
, equivalent to a fall of 1.6 m. Eleven specimens of paediatric cranial bone (frontal, occipital, parietal and temporal) from seven donors (age range 3 weeks to 18 years) were tested in three-point bending with an impactor of radius 2 mm. It was found that prompt brittle fracture with virtually no bending occurs in all specimens but those aged 3 weeks old, where bending preceded brittle fracture. The maximum impact force increased with age (or thickness) and was higher in occipital bone. Energy absorbed to failure followed a similar trend, with values 0.11 and 0.35 mJ/mm
3
for age 3 weeks, agreeing with previously published static tests, increasing with age up to 9 mJ/mm
3
for 18-year-old occipital bone. The preliminary data provided here can help analysts improve paediatric head finite element models that can be used to provide better predictions of the nature of head injuries from both a biomechanical and forensic point of view.</description><identifier>ISSN: 0937-9827</identifier><identifier>EISSN: 1437-1596</identifier><identifier>DOI: 10.1007/s00414-020-02409-7</identifier><identifier>PMID: 32865692</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Biomechanics ; Brain damage ; Brittle fracture ; Dynamic loads ; Equivalence ; Finite element method ; Forensic Medicine ; Fractures ; Head ; Head injuries ; Impact loads ; Loading rate ; Mathematical models ; Medical Law ; Medicine ; Medicine & Public Health ; Original Article ; Pediatrics ; Static tests</subject><ispartof>International journal of legal medicine, 2021-03, Vol.135 (2), p.527-538</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-3a7656525ccb84da4906171593736e817470865a4ca1033430c118a86cfd28d03</citedby><cites>FETCH-LOGICAL-c419t-3a7656525ccb84da4906171593736e817470865a4ca1033430c118a86cfd28d03</cites><orcidid>0000-0002-9374-7570</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00414-020-02409-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00414-020-02409-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32865692$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brooks, Tom</creatorcontrib><creatorcontrib>Zwirner, Johann</creatorcontrib><creatorcontrib>Hammer, Niels</creatorcontrib><creatorcontrib>Ondruschka, Benjamin</creatorcontrib><creatorcontrib>Jermy, Mark</creatorcontrib><title>Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m</title><title>International journal of legal medicine</title><addtitle>Int J Legal Med</addtitle><addtitle>Int J Legal Med</addtitle><description>There is much debate within the forensic community around the indications that suggest a head injury sustained by a child resulted from abusive head trauma, rather than from accidental causes, especially when a fall from low height is the explanation given by a caregiver. To better understand this problem, finite element models of the paediatric head have been and continue to be developed. These models require material models that fit the behaviour of paediatric head tissues under dynamic loading conditions. Currently, the highest loading rate for which skull data exists is 2.81 ms
−1
. This study improves on this by providing preliminary experimental data for a loading rate of 5.65 ± 0.14 ms
−1
, equivalent to a fall of 1.6 m. Eleven specimens of paediatric cranial bone (frontal, occipital, parietal and temporal) from seven donors (age range 3 weeks to 18 years) were tested in three-point bending with an impactor of radius 2 mm. It was found that prompt brittle fracture with virtually no bending occurs in all specimens but those aged 3 weeks old, where bending preceded brittle fracture. The maximum impact force increased with age (or thickness) and was higher in occipital bone. Energy absorbed to failure followed a similar trend, with values 0.11 and 0.35 mJ/mm
3
for age 3 weeks, agreeing with previously published static tests, increasing with age up to 9 mJ/mm
3
for 18-year-old occipital bone. The preliminary data provided here can help analysts improve paediatric head finite element models that can be used to provide better predictions of the nature of head injuries from both a biomechanical and forensic point of view.</description><subject>Age</subject><subject>Biomechanics</subject><subject>Brain damage</subject><subject>Brittle fracture</subject><subject>Dynamic loads</subject><subject>Equivalence</subject><subject>Finite element method</subject><subject>Forensic Medicine</subject><subject>Fractures</subject><subject>Head</subject><subject>Head injuries</subject><subject>Impact loads</subject><subject>Loading rate</subject><subject>Mathematical models</subject><subject>Medical Law</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Static tests</subject><issn>0937-9827</issn><issn>1437-1596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kTtvFDEUhS0EIpvAH6BAV6JJM8Eee_wooygvKRIUUFtez53Eqxl7Y8-skja_HCcbQKKgsPz67vE9PoR8YvSEUaq-FkoFEw1taR2Cmka9ISsmuGpYZ-RbsqKmro1u1QE5LGVDKVNSde_JAW-17KRpV-Tpe8YxTCG6_AhpXTDv3BxSLJAGmO8QCt4vGD0-73s3uVuEEAEffCjYw90yuQibZYcxjAg-uxjcCOsUEdwMZYvYF6gSYedGjDPMCQY3jgWGnCZgJxKmD-RdPSr48XU-Ij8vzn-cXTU33y6vz05vGi-YmRvuVO25azvv11r0ThgqmapOueISNVNC0erKCe8Y5Vxw6hnTTks_9K3uKT8ix3vdbU7VU5ntFIrHcXQR01JsK7g2hrNOVvTLP-gmLTnW7iqlFZNMcl6pdk_5nErJONhtDlP9SMuofU7I7hOyNSH7kpBVtejzq_SynrD_U_I7kgrwPVDqVbzF_Pft_8j-AhBLmqw</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Brooks, Tom</creator><creator>Zwirner, Johann</creator><creator>Hammer, Niels</creator><creator>Ondruschka, Benjamin</creator><creator>Jermy, Mark</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AM</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K7.</scope><scope>K9.</scope><scope>L6V</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9374-7570</orcidid></search><sort><creationdate>20210301</creationdate><title>Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m</title><author>Brooks, Tom ; Zwirner, Johann ; Hammer, Niels ; Ondruschka, Benjamin ; Jermy, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-3a7656525ccb84da4906171593736e817470865a4ca1033430c118a86cfd28d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Biomechanics</topic><topic>Brain damage</topic><topic>Brittle fracture</topic><topic>Dynamic loads</topic><topic>Equivalence</topic><topic>Finite element method</topic><topic>Forensic Medicine</topic><topic>Fractures</topic><topic>Head</topic><topic>Head injuries</topic><topic>Impact loads</topic><topic>Loading rate</topic><topic>Mathematical models</topic><topic>Medical Law</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Static tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brooks, Tom</creatorcontrib><creatorcontrib>Zwirner, Johann</creatorcontrib><creatorcontrib>Hammer, Niels</creatorcontrib><creatorcontrib>Ondruschka, Benjamin</creatorcontrib><creatorcontrib>Jermy, Mark</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Criminal Justice</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of legal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brooks, Tom</au><au>Zwirner, Johann</au><au>Hammer, Niels</au><au>Ondruschka, Benjamin</au><au>Jermy, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m</atitle><jtitle>International journal of legal medicine</jtitle><stitle>Int J Legal Med</stitle><addtitle>Int J Legal Med</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>135</volume><issue>2</issue><spage>527</spage><epage>538</epage><pages>527-538</pages><issn>0937-9827</issn><eissn>1437-1596</eissn><abstract>There is much debate within the forensic community around the indications that suggest a head injury sustained by a child resulted from abusive head trauma, rather than from accidental causes, especially when a fall from low height is the explanation given by a caregiver. To better understand this problem, finite element models of the paediatric head have been and continue to be developed. These models require material models that fit the behaviour of paediatric head tissues under dynamic loading conditions. Currently, the highest loading rate for which skull data exists is 2.81 ms
−1
. This study improves on this by providing preliminary experimental data for a loading rate of 5.65 ± 0.14 ms
−1
, equivalent to a fall of 1.6 m. Eleven specimens of paediatric cranial bone (frontal, occipital, parietal and temporal) from seven donors (age range 3 weeks to 18 years) were tested in three-point bending with an impactor of radius 2 mm. It was found that prompt brittle fracture with virtually no bending occurs in all specimens but those aged 3 weeks old, where bending preceded brittle fracture. The maximum impact force increased with age (or thickness) and was higher in occipital bone. Energy absorbed to failure followed a similar trend, with values 0.11 and 0.35 mJ/mm
3
for age 3 weeks, agreeing with previously published static tests, increasing with age up to 9 mJ/mm
3
for 18-year-old occipital bone. The preliminary data provided here can help analysts improve paediatric head finite element models that can be used to provide better predictions of the nature of head injuries from both a biomechanical and forensic point of view.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32865692</pmid><doi>10.1007/s00414-020-02409-7</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-9374-7570</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age Biomechanics Brain damage Brittle fracture Dynamic loads Equivalence Finite element method Forensic Medicine Fractures Head Head injuries Impact loads Loading rate Mathematical models Medical Law Medicine Medicine & Public Health Original Article Pediatrics Static tests |
title | Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m |
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