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在相当于从 1.6 米高处坠落的速度下,对切除的人类幼年颅骨损伤顺序的初步观察。

Preliminary observations of the sequence of damage in excised human juvenile cranial bone at speeds equivalent to falls from 1.6 m.

机构信息

Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand.

Department of Anatomy, University of Otago, Dunedin, New Zealand.

出版信息

Int J Legal Med. 2021 Mar;135(2):527-538. doi: 10.1007/s00414-020-02409-7. Epub 2020 Aug 31.

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. This study improves on this by providing preliminary experimental data for a loading rate of 5.65 ± 0.14 ms, 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 for age 3 weeks, agreeing with previously published static tests, increasing with age up to 9 mJ/mm 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.

摘要

在法医界,对于儿童头部受伤是由虐待性头部创伤引起,而不是意外原因造成的迹象存在很多争议,尤其是当看护人给出的解释是从低高度坠落时。为了更好地理解这个问题,已经并且还在开发儿科头部的有限元模型。这些模型需要适合儿科头部组织在动态加载条件下行为的材料模型。目前,颅骨数据存在的最高加载速率为 2.81 ms。本研究通过提供 5.65±0.14 ms 的加载速率的初步实验数据进行了改进,相当于 1.6 米的坠落。从七个供体(年龄范围为 3 周至 18 岁)中获取了 11 个儿科颅骨标本(额骨、枕骨、顶骨和颞骨),在三点弯曲测试中使用半径为 2 毫米的冲击器进行了测试。结果发现,除了 3 周大的标本外,所有标本都发生了几乎没有弯曲的快速脆性断裂,而 3 周大的标本则是先发生弯曲,然后再发生脆性断裂。最大冲击力随年龄(或厚度)的增加而增加,在枕骨中更高。失效吸收的能量也呈现出类似的趋势,3 周龄的能量为 0.11 和 0.35 mJ/mm,与之前发表的静态测试结果一致,直到 18 岁的枕骨达到 9 mJ/mm 才增加。这里提供的初步数据可以帮助分析人员改进儿科头部有限元模型,从而可以从生物力学和法医角度更好地预测头部受伤的性质。

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