42
Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1 , Jason Stammen 2 , Alena Hagedorn 3 , Rakshit Ramachandra 1 , Colton Thomas 3 , Amanda Agnew 1 , Hyun Jung Kwon 3 , Kevin Moorhouse 2 , John H. Bolte IV 1 1 Injury Biomechanics Research Center, The Ohio State University 2 National Highway Traffic Safety Administration, Vehicle Research and Test Center 3 Transportation Research Center, Inc.

Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

  • Upload
    others

  • View
    4

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating ConfigurationsYun-Seok Kang1, Jason Stammen2, Alena Hagedorn3, Rakshit Ramachandra1, Colton Thomas3, Amanda Agnew1, Hyun Jung Kwon3, Kevin Moorhouse2, John H. Bolte IV11Injury Biomechanics Research Center, The Ohio State University2National Highway Traffic Safety Administration, Vehicle Research and Test Center3Transportation Research Center, Inc.

Page 2: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 2

Motivation

• Future vehicle interior cabin designs may incorporate non-standard seating configurations for vehicles with Automated Driving Systems (ADS)

• One potential configuration is a reclined seat that is either rear-facing in a frontal collision or forward-facing in a rear collision

• Studies using computational models and ATDs [Kitagawa et al., 2017; Jin et al., 2018; Zeller and Manneck, 2019]

Kitagawa et al., 2017 Zeller and Manneck, 2019

Page 3: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 3

Objective• To investigate biomechanical responses and injuries from Post Mortem

Human Subjects (PMHS) in two recline angle scenarios in a rear-facing seating configuration at high speed impacts

Page 4: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 4

Methods

Page 5: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 5

Sled Buck Design

• Adjustable head restraint (HR)

• Rigidized seat back (SB), seat anchor (SA), and HR supporting frame

• Load cell at HR (1), SB (6), and seat anchors (4)

• 2017 Honda Odyssey with integrated seat belt

Page 6: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 6

Sled Buck Design

• Adjustable head restraint (HR)

• Rigidized seat back (SB), seat anchor (SA), and HR supporting frame

• Load cell at HR (1), SB (6), and SA (4)

• 2017 Honda Odyssey with integrated seat belt

Page 7: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 7

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 8: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 8

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 9: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 9

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 10: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 10

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 11: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 11

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 12: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 12

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 13: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 13

PMHS Information

Age Height (cm)

Weight (kg)

Seated Height (cm)

Head Mass (kg)

Chest Depth (cm)

PMHS01 57 167.0 62.6 91.7 3.8 20.6

PMHS02 64 171.0 62.6 92.4 3.6 17.6

PMHS03 54 177.8 93.9 97.0 5.0 20.6

PMHS04 59 177.8 96.2 96.5 4.4 23.2

PMHS05 62 177.8 77.1 95.7 3.5 21.2

PMHS06 61 176.5 72.6 96.2 3.9 20.2

Mean(SD)

60(4)

174.7(4.6)

77.5(14.7)

94.9(2.3)

4.0(0.6)

20.6(1.8)

50th Male 45 175 78.2 90.7 4.5 22.9

Page 14: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 14

Text Matrix

Sled pulse(km/h)

Seat back recline(deg)

PMHS01 56 45

PMHS02 56 25

PMHS03 56 25

PMHS04 56 45

PMHS05 56 45

PMHS06 56 25

Page 15: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 15

PMHS Instrumentation6aω

Kang et al., 2011 & 2015; Yoganandan et al., 2006

Page 16: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 16

PMHS Instrumentation6aω

Strain GaugesChestband

Mid-sternum

Page 17: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 17

PMHS Instrumentation6aω

Strain GaugesChestband

Anterior: rib 3-9Posterior: rib 3-10

L scapular

Page 18: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 18

PMHS Instrumentation

• 18

6aω

Strain GaugesChestband

3aω C2

C4

C6

T4

T8

Page 19: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 19

PMHS Instrumentation

• 19

6aω

Strain GaugesChestband

3aω C2

C4

C6

T4

T8

Page 20: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 20

Sled Input

37.6 g 56.6 kph

Sled Acceleration Sled Velocity

CV<1.1%CV<1.3%

Page 21: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 21

Results(Preliminary Results)

Page 22: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 22

High Speed Video - 45 deg (n=3)PM

HS01

PMHS

04

PMHS

05

Page 23: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 23

High Speed Video - 25 deg (n=3)PM

HS02

PMHS

03

PMHS

06

Page 24: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 24

InjuriesSAE GI 2019 meeting TRC / RCCADS* meeting

*Transportation Research Center Inc. / Research Consortium for Crashworthiness in Automated Driving Systems

PMHS01 PMHS02

4 5

45deg 25deg

laxityFracture

Page 25: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 25

Injuries – 45deg (n=3)laxityFracture

PMHS01 PMHS04

Joint damage

PMHS05

4 15 11

Page 26: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 26

Injuries – 25deg (n=3)laxityFracture

PMHS02 PMHS03 PMHS06

5 3 8

No clavicle injuryNo sternum injuryNo scapula injuryNo pelvis injuryNo lower extremity injuryLess rib fracturesOne vertebral body fracture at T11 but @osteophyte

Page 27: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 27

Head Restraint Force x

<56kph/45deg> <56kph/25deg>

x

Page 28: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 28

Seat Back Load Cell

LeftRight

Top

Middle

Bottom

Front View

Page 29: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 29

Seat Back Force x Left topRight top

Left middleRight middle

Left bottomRight bottom

56kph/45deg (n=3)

x

Page 30: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 30

Seat Back Force x

56kph/45deg (n=3)

PMHS01 PMHS04

PMHS05

Page 31: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 31

Seat Back Force x

56kph/25deg (n=3)Left topRight top

Left middleRight middle

Left bottomRight bottom

x

Page 32: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 32

Seat Back Force x

56kph/25deg (n=3)

PMHS02 PMHS03

PMHS06

Page 33: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 33

Posterior Chest DeflectionPMHS1

45de

g

PMHS4 PMHS5

25de

g

PMHS2 PMHS3 PMHS6

14.2% 32.6% 29.5%

23.6% 25.8% 28.9%

49.2ms 43.6ms 44.0ms

43.5ms 55.6ms 42.8ms

4 15 11

5 3 8

Sternum

Spine

Page 34: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 34

Anterior Chest DeflectionPMHS1

45de

g

PMHS4 PMHS5

25de

g

PMHS2 PMHS3 PMHS6

15.3% 24.3% 19.6%

32.2% 45.2% 25.5%

44.7ms 43.8ms 43.0ms

45.8ms 45.7ms 45.6ms

4 15 11

5 3 8

Sternum

Spine

Page 35: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 35

Kinematics – Head45

deg

25de

g

Ax Az

Ax Az Roty

Roty

Page 36: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 36

Kinematics – Pelvis45

deg

25de

g

Ax Az Roty

Ax Az Roty

Page 37: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 37

Summary

• Rear-facing sled tests using 6 PMHS were conducted at 56km/h• Head and pelvis kinematics• Head restraint and seat back reaction forces• Injuries

• Minor c-spine injuries and transverse process fractures• Rib fractures from all 6 PMHS

• # of ribs fractured: 3 – 15

• Clavicle, scapula, and pelvis fractures only in the 45 deg reclined condition• Humerus and ulna fractures

• Flailing of the arms

• More injuries in the 45 deg reclined condition

Page 38: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 38

Thank you for your attention!!!

Speaker Information • Yun-Seok Kang, PhD• Injury Biomechanics Research Center, The Ohio State University• 333 West 10th Ave, Columbus, Ohio, 43210• 614-366-7584• [email protected]

Page 39: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating ConfigurationsYun-Seok Kang1, Jason Stammen2, Alena Hagedorn3, Rakshit Ramachandra1, Colton Thomas3, Amanda Agnew1, Hyun Jung Kwon3, Kevin Moorhouse2, John H. Bolte IV11Injury Biomechanics Research Center, The Ohio State University2National Highway Traffic Safety Administration, Vehicle Research and Test Center3Transportation Research Center, Inc.

Page 40: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 40

PMHS Positioning

• 40

UMTRI Target1 PMHS

Head Angle 22.3 ± 2º 22.0º

Pelvic Angle 21.1 ± 5º 25.0º

Thigh Angle 11.1 ± 2º 10.0º

Leg Angle 45.9 ± 2º 46.0º

Hip-to-Eye Angle 31.6± 5º 26.0º

Back set 0 mm 0 mm

Top set --- 46 mm

Hip X +55 ± 10 mm +60.4 mm

Hip Z -375 ± 10 mm -366 mm

1Reed MP, Ebert SM, Jones ML. Posture and belt fit in reclined passenger seats. Traffic injury prevention. 2019 Jun 12;20(sup1):S38-42.

Page 41: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 41

Injuries – 56kph/45deg

fx: fracture, A: anterior, L: lateral, P: posterior,TP: transverse process, M: multi-fragmentary, jt: joint

Body Region PMHS01 PMHS04 PMHS05

SpineC3/C4, C4/C5 laxity C3/C4, C4/C5 laxity C4/C5, C5/C6, C6/C7 laxity

Right T4 TP fx Right T11 TP fxLeft T4/T5/T6 TP fxs

Scapula Left fx Left fx No Injury

RibsR3A R1A, R2A, R4L, R5M, R6A, R7A R2A, R3A, R5P, R6P, R9P

L3A, L6A, L7A L1A, L2M, L3M, L4M, L5A, L6A R4PL7A, L10L L2A, L3A, L4L, L5L, L6L

Sternal Area

Manubriosternal jtNo Injury Right sternoclavicular jt Left Clavicle fx

PelvisRight posterior ilium fx

No Injury Left posterior ilium fxLeft acetabulum fx (extended to ilium, ischium, and pubis)

ExtremitiesLeft fibula fx

No Injury Left humerus, ulna fx Right humerus fxRight humerus fx

Page 42: Biomechanical Responses and Injuries of PMHS in Rear ... · Biomechanical Responses and Injuries of PMHS in Rear Facing Alternative Seating Configurations Yun-Seok Kang 1, Jason Stammen

SAE International®Government/Industry Meeting 42

Injuries – 56kph/25deg

fx: fracture, A: anterior, L: lateral, P: posterior,TP: transverse process, M: multi-fragmentary, jt: joint

Body Region PMHS02 PMHS03 PMHS06

SpineC4/C5 laxity

C4/C5 laxity T11 VB fx C3/C4, C4/C5 laxityRight L1 TP fx

Scapula No Injury No Injury No Injury

RibsR4L, R5L

L5P, L6P, L7P, L8P, L9P L7A, L9P, L10P L2A, L3A, L4L, L7AL8A&P, L9A&P

Sternal Area No Injury No Injury No Injury

Pelvis No Injury No Injury No Injury

Extremities No Injury No Injury No Injury