Aim: The aim of the present study was to assess the pattern of skull fractures in cases of two wheelers without wearing helmet in fatal road traffic accidents. Material & Methods: The present record based retrospective study was conducted in the Department of FMT. 100 cases of road traffic accidents involving fatal head injuries which underwent autopsy over the period of 2 years were included in the study. Out of these cases patients involved in two wheeler accidents were further evaluated. Informed consent was obtained from the parent or legal guardian of each enrolled patient. Results: It was observed that out of total 100 cases of RTA with two wheelers 91% had not used helmet while only 9% were wearing helmet. It was observed that majority of the cases (36%) not using helmet were 20-29 years of age. Among helmet non users 93.40% cases were male. The most common associated injury was head injury and rib fracture. Abrasions and Lacerations were the most common injuries to face and head. Diffuse Extravasation of Blood from Scalp was observed most commonly followed by combined Extravasation from Frontal, Parietal and Temporal region among the non-helmet users. Among the helmet non users ACF with MCF and PCF was seen as most common base of skull fracture. The most common type of fracture in vault was linear fracture followed by Comminuted fracture. Parital bones, Frontal bones and temporal bone were the most commonly fractured bone. Conclusion: Head injury due to road traffic accidents often leads to fatal outcomes. Wearing helmets by two wheeler riders, strict implementation of traffic rules and prompt emergency services especially neurosurgery facilities can help in reducing the incidence of road traffic accident fatalities.

Aim: The aim of the present study was to assess the pattern of skull fractures in cases of two wheelers without wearing helmet in fatal road traffic accidents. Material & Methods: The present record based retrospective study was conducted in the Department of FMT. 100 cases of road traffic accidents involving fatal head injuries which underwent autopsy over the period of 2 years were included in the study. Out of these cases patients involved in two wheeler accidents were further evaluated. Informed consent was obtained from the parent or legal guardian of each enrolled patient. Results: It was observed that out of total 100 cases of RTA with two wheelers 91% had not used helmet while only 9% were wearing helmet. It was observed that majority of the cases (36%) not using helmet were 20-29 years of age. Among helmet non users 93.40% cases were male. The most common associated injury was head injury and rib fracture. Abrasions and Lacerations were the most common injuries to face and head. Diffuse Extravasation of Blood from Scalp was observed most commonly followed by combined Extravasation from Frontal, Parietal and Temporal region among the non-helmet users. Among the helmet non users ACF with MCF and PCF was seen as most common base of skull fracture. The most common type of fracture in vault was linear fracture followed by Comminuted fracture. Parital bones, Frontal bones and temporal bone were the most commonly fractured bone. Conclusion: Head injury due to road traffic accidents often leads to fatal outcomes. Wearing helmets by two wheeler riders, strict implementation of traffic rules and prompt emergency services especially neurosurgery facilities can help in reducing the incidence of road traffic accident fatalities.