Document Detail


A biomechanical analysis of the causes of traumatic brain injury in infants and children.
MedLine Citation:
PMID:  15166757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is significant disagreement among medical professionals regarding the mechanisms for infant brain injury. This disagreement is due in part to the failure by some to acknowledge and incorporate known biomechanical data and models into hypotheses regarding causes. A proper biomechanical understanding of the mechanisms of traumatic brain injury (TBI) challenges many published and testified assumptions regarding TBI in infants and children. This paper analyzes the biomechanical relationship between the causes of TBI in infants and children, and their physiological consequences. Loading characteristics, injury parameters and criteria, scaling, failure characteristics, differences between infants and adults, and impact due to falls are described and discussed in the context of the laws of mechanics. Recent studies are critiqued with reference to their contribution to an understanding of brain injury mechanisms. Finally, methods for improving our currently incomplete knowledge of infant head injuries, and their mechanisms, consequences and tolerances are proposed. There is an urgent need for close collaboration between physicians and biomechanicians to objectively and scientifically evaluate infant head injuries to further define their mechanical bases, and to assist in their diagnosis and treatment.
Authors:
Werner Goldsmith; John Plunkett
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  25     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-28     Completed Date:  2004-07-22     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-100     Citation Subset:  IM    
Affiliation:
Graduate School, Departments of Mechanical Engineering and Bioengineering, University of California, Berkeley, California, USA.
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MeSH Terms
Descriptor/Qualifier:
Acceleration
Biomechanics*
Brain Injuries / physiopathology*
Child
Child Abuse / diagnosis
Forensic Medicine / methods*
Humans
Infant
Models, Biological*
Skull / physiopathology
Stress, Mechanical

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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