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[事故分析与生物力学:技术报告对脊柱损伤医学评估的相关性]

[Accident analysis and biomechanics: relevance of technical reports for the medical assessment of spinal injuries].

作者信息

Weber M

机构信息

Institut für Unfallanalysen, Oberaltenallee 16, 220813, Hamburg, Deutschland.

出版信息

Orthopade. 2010 Mar;39(3):264-75. doi: 10.1007/s00132-009-1544-1.

DOI:10.1007/s00132-009-1544-1
PMID:20182701
Abstract

The number of claims linked to whiplash injuries is steadily increasing in most European countries. After minor accidents the question often arises as to whether the occupant could really have been injured. The technical expert may calculate the biomechanical stress imposed on the occupants by the impact from the evidence gathered after the accident. Based on this data the medical expert is able to judge whether this stress was sufficient to produce the injury claimed. The threshold of biomechanical loading necessary for spinal injuries will be deduced from a technical perspective. With the help of examples, the steps required to preserve evidence will be explained.

摘要

在大多数欧洲国家,与挥鞭样损伤相关的索赔数量正在稳步上升。在轻微事故之后,经常会出现乘客是否真的受伤的问题。技术专家可以根据事故后收集的证据计算撞击对乘客施加的生物力学应力。基于这些数据,医学专家能够判断这种应力是否足以造成所声称的损伤。将从技术角度推导脊柱损伤所需的生物力学负荷阈值。借助示例,将解释保存证据所需的步骤。

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引用本文的文献

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[Expert evidence in whiplash injury: interdisciplinary orthopaedic and biomechanical approach].[挥鞭伤的专家证据:跨学科的骨科与生物力学方法]
Unfallchirurg. 2014 Mar;117(3):263-73. doi: 10.1007/s00113-013-2544-5.

本文引用的文献

1
Cervical muscle response to posterolateral impacts--effect of head rotation.颈部肌肉对后外侧撞击的反应——头部旋转的影响
Clin Biomech (Bristol). 2004 Nov;19(9):899-905. doi: 10.1016/j.clinbiomech.2004.06.014.
2
Do "whiplash injuries" occur in low-speed rear impacts?“挥鞭伤”会发生在低速后碰撞事故中吗?
Eur Spine J. 1997;6(6):366-75. doi: 10.1007/BF01834062.