EFFECT OF STEERING WHEEL HEIGHT AND INCLINATION ANGLE ON BLUNT CARDIAC INJURY DURING THE THORAX-TO-STEERING WHEEL IMPACT

摘要

Blunt cardiac injury (BCI) in the traffic accidents usually causes serious consequences like heart failure or even death, and the impact of steering wheel to the thorax is one of the main causes of blunt heart injury. Therefore, more realistic heart models are needed to predict the biomechanical response and related injury of the heart during a thorax-to-steering wheel impact. This study developed three-dimensional finite element (FE) models of lungs, aorta and heart, and validated the models through published cadaver tests by comparing the contact force and intracardiac pressures in four heart chambers. Then, various simulations of thorax-to-steering wheel impact were carried out at different impact heights (lower, middle and higher) and different inclination angles of steering wheel (15 degrees, 30 degrees, 45 degrees and 60 degrees) to investigate the effects of impact height and inclination angle on heart injury. The result showed that (1) the biomechanical response of the heart model was agree with the test data; (2) the contact force, myocardial stress and intracardiac pressure were decreased when the inclination angle was increased; (3) when the impact height was middle and the inclination angle of steering wheel was 15 degrees, the myocardial stress and intracardiac pressure were both maximum which indicated that the blunt heart injury was more likely to occur in this condition.