TY - JOUR PY - 1998// TI - Abusive head trauma? a biomechanics-based approach JO - Child maltreatment A1 - Hymel, Kent P. A1 - Bandak, Faris A. A1 - Partington, Michael D. A1 - Winston, Ken R. SP - 116 EP - 128 VL - 3 IS - 2 N2 - Medical professionals frequently evaluate infants and children with head trauma. If the child's cranial injuries are not explained by the history, child abuse must be considered. A significant body of research regarding cranial injury mechanisms is available. This article presents a synthesis of a subset of the biomechanics literature relevant to head injury. The potential application of this knowledge base is explored through five questions: (a) What physical laws govern the response of the head-brain complex to the application of a mechanical force? (b) What are the causal mechanisms of head injury? (c) What properties of living tissues affect responses to the application of a mechanical force? (d) How can specific cranial injuries be linked to their biomechanical origins? and (e) Can the biomechanical history explain the cranial injuries? The authors propose a biomechanics-based paradigm for analysis of pediatric head trauma and seek a qualitative rather than a quantitative understanding.
Language: en
LA - en SN - 1077-5595 UR - http://dx.doi.org/10.1177/1077559598003002006 ID - ref1 ER -