Fr. Schmidlin et al., FORCE TRANSMISSION AND STRESS-DISTRIBUTION IN A COMPUTER-SIMULATED MODEL OF THE KIDNEY - AN ANALYSIS OF THE INJURY MECHANISMS IN RENAL TRAUMA, The journal of trauma, injury, infection, and critical care, 40(5), 1996, pp. 791-796
Injury mechanisms in renal trauma were investigated by analyzing the s
tress distributions within a two-dimensional computer-simulated model
of the kidney, In biomechanics, damage to biological tissue is primari
ly caused by stresses resulting in tissue deformation beyond recovery
limits. Segmental surface force was applied to the model and the resul
ting stress distributions were analyzed. Maximum stress concentrations
were found at the periphery of the kidney model. Stresses were caused
by the combined effect of the applied force and the reaction generate
d by the liquid-filled inner compartment as a function of its hydrosta
tic pressure, Maximum stress concentrations corresponded to typical in
jury sites observed clinically, Our findings suggest that a similar me
chanism may play a crucial role in renal trauma. Renal injuries as wel
l as the higher trauma susceptibility of hydronephrotic kidneys and re
nal cysts could thus be explained. The role of computer models in inju
ry biomechanics research is discussed.