Foot fractures and associated injuries in motorvehicle crashes: do restraints offer protection?

Lagares‐Garcia, Jorge A.; Kurek, Stanley; Ankney, Raymond N.; Miller, Sheldon; Hughes, K. M.

doi:10.1046/j.1460-9584.1997.00065.x

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Although the use of restraint systems such as safety belts and the deployment of air bags are known to substantially reduce the severity of injury and hence mortality, the benefit to the foot and ankle is questionable. Lagares-Garcia et al concluded that the application of a safety belt did not reduce the incidence of fracture to the foot 23. A recent cohort study demonstrated a considerable reduction in the risk of knee-thigh-hip fractures due to the deployment of knee air bags, at the expense of an increased risk of lower leg, foot and ankle fractures.…”

Section: Discussionmentioning

confidence: 99%

The biomechanics of lower limb injuries in frontal-impact road traffic collisions

Ammori¹,

Abu‐Zidan²

2018

Afr H. Sci.

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AimWe aimed to review the biomechanics of lower limb injuries caused by frontal-impact road traffic collisions.MethodsIn this narrative review, we identified articles through pubmed, Scopus and Science Direct search engines for the period of 1990–2014. Search terms included: “biomechanics”, “lower limb injury”, “hip injury”, “knee injury”, “foot and ankle injury” and “frontal impact collision”. We studied factors affecting the anatomical site, frequency and severity of the injuries.ResultsThe most common reported mechanisms of injury were: the impaction of the knee with the dashboard resulting in acetabular fracture or posterior hip dislocation; and toepan intrusion in combination with forceful application of the brake resulting in foot and ankle fractures. The probability of an occupant sustaining significant injury to the hip is increased in taller males, and being out of position during the collision. The probability of an occupant sustaining a fracture to the foot and ankle is increased in shorter female occupants with a large overlap impact or a near oblique collision.ConclusionUnderstanding the biomechanics of frontal-impact road traffic collisions is useful in alerting clinicians to the potential lower limb injuries sustained in these collisions.

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Section: Discussionmentioning

confidence: 99%