Pattern of Skull Fractures due to Blunt Force in and around Khammam

Head is the most common site to be injured in blunt force trauma, may result injury to the contents of the skull, either alone or with a fracture of the skull. Out of 108 cases, majority were found to be co-existing with intracranial injuries, but few cases showed the presence of skull fractures alone. Most vulnerable age group is the active population of persons were 30–40 years while the cause of fracture in maximum number of cases (90%) was direct trauma. Most of victims were male 98 and from urban area. Highest number were reported during rainy season. Occupationally the laborers were top among other occuaptions. Most common cause being road traffic accidents followed by fall from height and then by assault. In 108 cases of intracranial lesions, 100 cases sustained fracture of the skull without any injury to the scalp and in 36 cases injuries of both scalp and skull were present. Fissured fracture was the commonest type followed by comminuted fracture and then by depressed fracture. We detected that in 6 cases skull fracture was not found. Sub Dural hemorrhage was the commonest intracranial hemorrhage associated with head injuries. The sites of skull fractures most commonly involved in our study is Parietal. In our study, in basal fractures, middle cranial fossa was commonly involved in 32.35% of cases. The study of pattern of skull fractures is important as head being the most exposed and prominent part of body; it becomes most susceptible to injuries, as a result of criminal violence or accident. The skull fractures, especially by blunt force offer varying diagnostic and medico-legal problems to the medical jurists as well as to the clinicians. The prime objective of present study is to know the patterns of skull fractures due to blunt force trauma and cause, mechanism of injury and their preventive measures.