Evidence map›Paper›PMID 40053222›Full record

ArticleAnnals of biomedical engineering2025

The Histological and Mechanical Behavior of Skin During Puncture for Different Impactor Sizes and Loading Rates.

Joseph LeSueur, Jared Koser, William Dzwierzynski, Brian D Stemper, Carolyn E Hampton, Michael Kleinberger, Frank A Pintar

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Article in Annals of biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Joseph LeSueurJoint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0000-0001-8032-4053
Jared KoserNeuroscience Research Labs, Zablocki Veterans Affairs Medical Center, Milwaukee, USA.ORCID http://orcid.org/0000-0002-2238-3028
William DzwierzynskiDivision of Plastic Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0009-0002-5468-2003
Brian D StemperJoint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0000-0002-4986-8527
Carolyn E HamptonU.S. DEVCOM Army Research Laboratory, Aberdeen Proving Ground, USA.ORCID http://orcid.org/0000-0002-7246-2488
Michael KleinbergerU.S. DEVCOM Army Research Laboratory, Aberdeen Proving Ground, USA.ORCID http://orcid.org/0000-0003-4801-4383
Frank A PintarJoint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, USA. fpintar@mcw.edu.ORCID http://orcid.org/0000-0002-8105-9826

Funding

U.S. Army Combat Capabilities Development Command Soldier Center W911NF-21-2-0004
6 · The paper itself

Abstract

purposeThe hierarchical structure of skin dictates its protective function against mechanical loading, which has been extensively studied through numerous experiments. Viscoelasticity and anisotropy have been defined for skin in tensile loading, but most puncture studies utilized skin simulants, which lacked natural tension and varying skin thicknesses. The purpose of this study was to define the mechanical behavior and failure thresholds of skin during puncture with various blunt impactor sizes and loading rates.

methodsAfter determining natural tension of porcine skin, 232 isolated skin samples were loaded in puncture. Pre-conditioning, sub-failure, and failure trials were conducted with an electrohydraulic piston actuator loading pre-strained skin samples with a 3-, 5-, or 8-mm spherical impactor at rates of 5 to 1000 mm/s. Generalized linear mixed models were used to determine significant factors and predict probability of puncture.

resultsIncreased skin thickness significantly increased RIII stiffness (p = 0.002), failure force (p < 0.001), and strain energy at failure (p = 0.002) and significantly decreased displacement at failure (p = 0.002). Significantly greater force, displacement, strain energy, and stiffness (p < 0.05) at failure were observed with the 8-mm impactor. Loading at 1000 mm/s resulted in significantly greater force (p = 0.026) and stiffness (p < 0.001) at failure compared to 5 mm/s and significantly decreased displacement at failure (p < 0.001). 3D-DIC strain maps displayed anisotropic behavior, and larger elliptical wounds resulted from puncture with an 8 mm impactor (p < 0.001). Quantitative histological analyses revealed collagen re-alignment near the impactor from pre-conditioning and minimal structural damage during sub-failure trials. Initial structural failure occurred in the reticular dermis followed by the papillary dermis and epidermis.

conclusionThe presented failure metrics, with support from histological findings, may be utilized in development of protective clothing, improvement of computational models, and advancement in forensic sciences.

Indexed as

Models, BiologicalSkinSkin Physiological PhenomenaAnimalsPuncturesStress, MechanicalSwineDigital image correlationFailure mechanismForce thresholdsNatural tensionSkin thickness

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.