International Journal of Forensic Science & Pathology (IJFP)    IJFP-2332-287X-04-1002

Unusual Response of Human Tissue under the Low Impact Force


Stojiljkovic G1*, Papic Z2, Bogdanovic V2, Simeunovic M2, Saulic N2, Miljen M2

1 University of Novi Sad, Faculty of Medicine, Institute of Forensic Medicine, Hajduk Veljkova, Novi Sad, Serbia.
2 University of Novi Sad, Faculty of Technical Sciences, Department of Traffic Engineering, Trg Dositeja Obradovića, Novi Sad, Serbia.

*Corresponding Author

Goran Stojiljković, MD, PhD,
University of Novi Sad, Faculty of Medicine,
Institute of Forensic Medicine, Hajduk Veljkova 1, 21000 Novi Sad, Serbia.
Tel/Fax: +381 21 6624141
Email: goran.stojiljkovic@mf.uns.ac.rs

Received: September 14, 2016; Accepted: October 12, 2016; Published: October 14, 2016

Citation: Stojiljkovic G, Papić Z, Bogdanović V, Simeunović M, Saulić N (2016) Unusual Response of Human Tissue under the Low Impact Force. Int J Forensic Sci Pathol. 4(10), 285-288.  doi:dx.doi.org/10.19070/2332-287X-1600066

Copyright: Abdelaleem SA© 2016. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.



Abstract

Pedestrian injuries such as traumatic amputations, transections and decapitations are rare in traffic accidents, but are directly connected to high vehicle impact speeds.

This paper analyses a unique case of a traumatic limb amputation and a lateral decapitation from a pedestrian car collision. The driver left the scene of the accident, but at the place of impact the car’s registration plate was found. After identifying the driver and performing a vehicle inspection, it was determined that the damage on the car does not show that the impact speed was extremely high. The same conclusion was reached by the vehicle speed determination, according to accident investigation basic principles.



1.Keywords
2.Introduction
3.Materials and Methods
    3.1.Vehicle Information and Inspection
    3.2.Autopsy Findings
5.Discussion
6.References

Keywords

Decapitation; Dismemberment; Pedestrian; Impact Speed.


Introduction

Pedestrians belong to the most vulnerable category of participants in road traffic accidents [1, 2]. In this type of accident, one part of the energy coming from the vehicle during the crash phase is transferred to the human’s body or tissue, causing the traumatic event [3]. The other part of the energy is transferred into the vehicle and thereby causing deformations of the vehicle itself [4, 5]. Both the characteristics and the severity of pedestrian injuries and vehicle damage could be taken into account in order to get a rough vehicle impact speed estimation. By analysing some characteristic injuries from pedestrian car impacts, a relationship between the type of injuries and the impact speed was determined [6]. On the other hand, energy losses during impact, manifested as vehicle deformations, are in proportion to the vehicle impact speed. In most cases, pedestrian decapitations, trunk transections and limb amputations in vehicle crashes are a consequence of extremely high energy exchanges caused by the vehicle impact speed. According to Zivot and Di Maio [7], traumatic limb amputations or transections of the torso in car to pedestrian impacts, occur at impact speeds above 88.5 km/h. Dismemberment of the body, defined as a complete or incomplete severance of the trunk or neck, or a complete amputation of the leg, occurs at impact speeds above 98 km/h [6]. Pedestrian decapitations in road traffic accidents are exceptionally rare, but are directly related to high vehicle impact speeds [8].

This paper illustrates a unique accident where the pedestrian injuries indicate a high impact speed, but the damage to the vehicle does not indicate the same. According to the autopsy findings and the results of the accident investigation, this case report presents the possible explanation of the pedestrian’s injury and the results of the vehicle impact speed calculations, performed by a technical expert.


Materials and Methods

A 52-year old male pedestrian was struck by a car as he was walking on a poorly lit street during the night. A part of the pedestrian’s left lower leg was found 25 m from the point of impact and his head was found about 7 m away from the body. The place of impact was determined according to the concentration of dirt fragments that were found on the road, in front of all other traces. The position of the point of impact indicates that the pedestrian was hit before the driver of the vehicle slammed on the brakes. The vehicle left skid marks that were 21 m in length. In relation to the point of impact, the pedestrian’s body was thrown forward and toward the right side, approximately 31 m away. The driver fled the scene but near the pedestrian’s body the vehicle registration plate was discovered, so he and the vehicle were easily identified. A sketch of the accident is shown in Figure 1.



Figure 1. Sketch of the Accident.


Vehicle Information and Inspection

The investigation found that the vehicle which struck the pedestrian was a “Peugeot 206”. On the front end of the car, there was visible damage on the lower part of the hood and under the right headlight, whose glass cover was broken. The right fender was damaged nearby the right edge of the headlight. The windshield was completely smashed from the base to the top right side. The damage was also visible on the right side of the vehicle, below the right A-pillar. The right side view mirror and the registration plate fell off during the impact and were found near the place of impact. On the right side of front bumper cover there was no visible damage or marks from the impact. Brain tissue was found on the windows on the right side of the car. The brain tissue extended from the front right A-pillar, fading to the back right part of the vehicle (Figure 2&3).



Figure 2. Brain Tissue Marks on the Right Side of the Vehicle.


Figure 3. Front View of the Vehicle.


Autopsy Findings

The body of the 52-year old male pedestrian was 1.64 m in length. The left lower leg was dismembered 45 cm above the plane of the foot, and the left femur was broken. On the back of the right thigh, at 64 cm above the plane of the foot, there was a fracture of the femur found along with a massive hematoma of the soft tissue and split lacerations. The head was separated from the spinal column. The bones of the face and the skull were separated, and the lower jaw and facial bones were broken in multiple places. The majority of the brain tissue was missing. At the Adam's apple all neck organs were dissected. The bodies of the thoracic vertebrae of the neck from 7th to 3rd were disarticulated. Cervical extensions from 4th to 9th thoracic vertebrae were broken. Both blade bones and collarbones were broken in multiple places. All ribs on the right side were fractured at two lines (the front armpit and the line of the shoulder blade). All ribs on the left were fractured in conjunction with the spinal column and posterior axillary line. The liver tissue was torn, etc. The autopsy findings determined that the alcohol concentration in the pedestrian’s blood was 0.2014 %.


Discussion

According to the vehicle deformations and the pedestrian’s injuries, it was determined that the primary contact was made between the right side of the vehicle’s front bumper, below the front right headlight, and the back and partly outer surface of the pedestrian’s left lower leg which was firmly planted on the ground at the moment of contact. This impact resulted in a traumatic amputation of the left lower leg (Figure 4). In the second phase of impact, the pedestrian’s body rotated clockwise and fell over the right half of the windshield and upper part of the front right pillar. At this point injuries in the form of fractures of the shoulder blade bones, thoracic vertebrae, two-sided serial rib fractures, disarticulation of the cervical and thoracic spine and the separation of the skull from the body occurred (Figure 5). Some of the injuries could have incurred during the third phase of the impact, after contact with the ground or surrounding objects was made.



Figure 4. Part of the Left Lower Leg.


Figure 5. Pedestrian's Head.


The severity and characteristics of the pedestrian’s injuries in this case, indicate that the vehicle impact speed was high. In order to establish the relationship between the impact speed, injuries and distance thrown, Zivot and Di Maio [7] reviewed 85 fatal motor vehicle–pedestrian deaths. Five of the cases involved amputations of limbs, and two involved transections of the torso. In all seven cases, the vehicles impact speeds were minimum 88.5 km/h. Simular findings were reached by Teresinski [9] who concluded that limb amputations are indicators of impact speeds higher than 90 km/h. He also found that amputations could be produced even at velocities lower than 60 km/h, especially when the vehicle is not braking and lower limbs get trapped under the front bumper. Decapitations in road traffic accidents are extremely rare. Some of the cases of decapitation were described in motorcycle accidents [10-12] and car crashes [13, 14]. Decapitations in car-to-pedestrian impacts are mostly unheard of. On the vehicle exterior there are no sharp edges that could produce these kinds of injuries at lower impact speeds. A large part of the contact surface on the front side of the vehicle is a windshield, made from laminated safety glass, which could apsorb most of the impact energy. The only parts on the front side of the car which could cause injuries such as pedestrian decapitation are the roof and A-pillar edges.

Most equations that could be used for calculating speed in carto-pedestrian impact are based on the pedestrian throw distance. Some of those equations are empirical, as a results of experiments, and some of them are based on Newton’s laws of mechanics. By applying the formula derived by Barzeley and Lacy [15], which could be used if the vehicle is not braking at or prior to impact, the vehicle impact speed as a function of the pedestrian throw distance, for this case was 68 km/h. In Searle’s equation [16], the vehicle impact speed could be calculated by knowing the pedestrian throw distance and launch angle. Depending on the pedestrian launch angle value, it is possible to calculate the minimum and the maximum vehicle impact speed. As a friction coefficient value for wet or dry grass, he recommended 0.79. Using Searl’s equations, the vehicle impact speed for this case was in the range of 49-79 km/h. In Wood’s Single Segment Model (SSM) [17], for calculating of car-to-pedestrian impact speeds, besides knowing the distance the pedestrian was thrown from point of impact to point of rest, it is necessary to know the pedestrian’s and vehicle’s weight, and the height difference between the pedestrian’s centre of mass [18] and the upper contact point on the vehicle front. The vehicle impact speed for the analysed case using Wood's formula was 76.5 km/h. According to Appel’s [19] empirical formula which is also based on a pedestrian’s throw distance, the vehicle impact speed was 75.8 km/h. A similar conclusion is reached by analyzing the damages on the vehicle. The head contact near the upper frame of the windshield with the significant deformation of the body panels occurred at an impact speed arround 70 km/h [20].

Injuries and vehicle deformations are some of the indicators required for determining the speed of impact in collisions involving a car and a pedestrian. This case presents a traffic accident where the pedestrian’s injuries were unique and not typical because of the traumatic amputation of the left lower leg caused by the bumper impact and the lateral decapitation emerged as a consequence of the pedestrian’s head contact with the vehicle’s roof and pillar edges. The severity of the pedestrian’s injuries severity indicates that the vehicle impact speed was high and according to the former research it was not less than 88.5 km/h. By using five pedestrian throw models and the vehicle damage analysis for this case, it was concluded that the vehicle impact speed amounted to a maximum of 79 km/h. This indicates that the car-to-pedestrian impact speed shouldn’t be easily estimated according to the severity of the injuries. Instead it should be determined through collaboration between the accident reconstructionists and medical forensic experts.


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