Injuries of the pelvic ring in road traffic accidents: a medical and technical analysis

Injury. 2001 Mar;32(2):123-8. doi: 10.1016/s0020-1383(00)00171-6.

Abstract

Between 1985 and 1995, 9380 traffic accidents occurring in the area of Hannover, Germany, were analysed; 12428 individuals had been injured and 387 (3.1%) had sustained a pelvic-ring injury (AIS(PELVIS)>2). In 131 cases (34%), the injuries were further classified (Pennal and Tile) and a technical reconstruction made of the accident: 52% were type A, 27% type B and 21% type C injuries; 46% were in cars, 12% on motorised two-wheelers, 10% on bicycles and 1% in utility vehicles; 31% were pedestrians. Pelvic-ring injuries occurred in restrained vehicle occupants in accidents with a (delta)V of more than 30 km/h, whereas they occurred in a considerable proportion of unrestrained vehicle occupants, pedestrians and bicyclists at lower (delta)V or collision speed. The percentage of B- and C-type injuries increased in crashes with higher (delta)v or collision speed. In addition to further improvements of the passive safety, lower collision speeds or (delta)V would reduce or prevent pelvic-ring injuries. Due to the small number of occupants protected by airbags in this study, their protective effect for the pelvis could not be assessed. The reconstruction of pelvic-ring injury mechanism in traffic accidents is possible when technical and medical factors are considered.

MeSH terms

  • Accidents, Traffic* / statistics & numerical data
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Algorithms
  • Automobile Driving
  • Child
  • Female
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Pelvic Bones / injuries*
  • Retrospective Studies
  • Seat Belts / statistics & numerical data
  • Stress, Mechanical