Real-world accident videos represent a promising data source to investigate pedestrian pre-collision behaviour, significantly affecting in-crash kinematics. However, this data source presents challenges in quantifying behaviours and providing pose descriptions revealing joint locations and angles. This study investigated this issue and introduces a method for quantitative evaluation by extracting 3D poses from real- world accidents. The method combines common computer vision approaches and optimisation techniques to align a 3D human model to 2D pose information, extracted from the videos. The capabilities of the method were assessed by applying it to a dataset, holding measured ground truth data. To further demonstrate the method’s capabilities on real-world accident videos, a dataset was created from publicly available sources. Three videos were selected from the dataset, showing typical pedestrian pre-collision reactions, such as raising arms or leaning back, before the introduced method was applied to reconstruct the 3D joint positions and angles for multiple video frames prior to impact. The results emphasise that accident videos can be used to obtain quantitative pedestrian postures and moving patterns, required to derive realistic boundary conditions for pedestrian simulations.