From the Department of Forensic Medicine, Hanoi Medical University.
Neurosurgical Center, Viet Duc Hospital, Hanoi.
Am J Forensic Med Pathol. 2021 Mar 1;42(1):30-35. doi: 10.1097/PAF.0000000000000627.
We aim to describe morphological structures of skull fractures and relevant factors in motorcycle accident victims in Vietnam. This work represents a retrospective cross-sectional study based on forensic reports of fatal motorcycle accident victims. Between January 2013 and August 2019, a total of 226 fatal motorcycle accident patients with skull fracture diagnoses were enrolled. Linear and depressed fractures were the common patterns (46.0% and 37.2% of cases, respectively), whereas stellate (11.5%) fractures were rare. Fractures of the temporal bone (68.6% of cases) and basilar skull (60.6%) were the most common, whereas fractures of the parietal bone were the least common (9.7%). Two or more patterns of skull fracture were recorded in 25.5% of cases, and 2 or more fracture locations were recorded in 76.6% of cases. Fractures of the parietal bone were associated with victims not wearing a helmet. In addition, fractures of the basilar skull were more likely to occur among victims with alcohol consumption. We found the common pattern of skull fractures was linear and depressed fractures, and the common location of skull fractures was temporal and basilar bone. Further studies that include larger sample sizes and collect more information should be conducted to better understand relationships between skull fractures and related factors.
我们旨在描述越南摩托车事故受害者颅骨骨折的形态结构及相关因素。这是一项回顾性的病例对照研究，基于对 2013 年 1 月至 2019 年 8 月期间的致命性摩托车事故受害者的法医报告。共纳入 226 例颅骨骨折的致命性摩托车事故患者。线性和凹陷性骨折是常见的类型（分别占 46.0%和 37.2%），而星状骨折则较为罕见（占 11.5%）。颞骨（68.6%的病例）和颅底（60.6%）骨折最为常见，而顶骨骨折则最为少见（9.7%）。25.5%的病例记录了两种或两种以上类型的颅骨骨折，76.6%的病例记录了两个或两个以上的骨折部位。未戴头盔的受害者更易发生顶骨骨折。此外，基底颅骨骨折更可能发生在有饮酒行为的受害者中。我们发现，颅骨骨折的常见类型是线性和凹陷性骨折，颅骨骨折的常见部位是颞骨和颅底骨。应开展进一步的研究，纳入更大的样本量并收集更多信息，以更好地了解颅骨骨折与相关因素之间的关系。
