During car side impacts, the shoulder, especially the clavicle, is often injured. Determining the load transferred through the clavicle in situ during a shoulder lateral impact would allow a better understanding of shoulder injury mechanisms and of the role of the clavicle as a load path in this impact mode. The goal of this study was to develop a minimally invasive methodology to estimate the load transmitted into the clavicle during shoulder lateral impacts by measuring in situ strains.
Ten clavicles were harvested from six post-mortem human subjects (PMHS) and tested ex situ in compression with a device designed to mimic the anatomical boundary conditions in the shoulder. The compression was performed by imposing lateral and oblique displacement (up to ±25° off-axis) to the lateral extremity of the bone. The resulting forces and moments were measured as well as the strains by means of unidirectional strain gages pasted at different locations on the bone.
A linear relationship was observed between force and strain, regardless of the direction of the imposed displacement, and the angle of the imposed displacement was found to have almost no effect on the direction of the resulting force vector or on the slope of force-strain linear relationship. Based on these results, an empirical methodology is proposed to estimate the load transferred to the clavicle using in situ strain measurements.