Observations on prediction of fracture site in head injury.
Observations on prediction of fracture site in head injury.
复制标题
颅脑损伤骨折部位预测的观察。
作者:
E. S. Gurdjian;J. E. Webster;H. R. Lissner
In previous papers, studies of deformations of the skull following impact were reported (1, 2, 3). Results were obtained by applying a strain-sensitive lacquer (stresscoat) to the external and internal surfaces of the skull. Cracks appear in the lacquer when adequate tensile stresses occur in the underlying bone. Such cracks on the outer coating of lacquer result from outbending; those appearing on the inside of the skull are due to inbending. Previously reported also was (4) an experimental study which showed that, for the determination of deformation patterns, reliable results are obtained with the use of freshly dried human skulls. Following impact there is always an area of inbending immediately beneath and around the point of the blow. If the energy is adequate and if the velocity is sufficiently high, this area of inbending may fail, resulting in a depressed fracture. If the inbending is not severe enough to cause a fracture at the boundary of the inbended area, the skull rebounds. The inbending abo...