<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Motorcycle- and moped crashes are prevalent in motorised societies and carry a significant risk of serious injury. Whereas helmet use has reduced the frequency and severity of head injuries, the association between helmet use and neck injury risk is less clear. In the present retrospective study, we examined the relationship between helmet use and various types of head and neck injuries resulting from fatal motorcycle and moped crashes during a 20-year period. Eighty-three cases were included of whom 56 were analysed in detail based on their confirmed use/non-use of helmet. Intracranial haemorrhage was the most common finding, followed by CNS disruption and skull fracture. There was a significantly lower prevalence of skull vault fractures and epidural haemorrhage in the helmeted cases. Injuries to the brainstem and cervical spine fracture/dislocation were more common in the helmeted cases, although this was likely a function of higher speeds among motorcycle riders rather than an effect of helmet use per se. Further investigation of these findings require additional detailed information regarding the nature and severity of the crash, as well as helmet use and type, in order to assess non-confounded associations with the anatomical distribution, type and severity of observed head and neck injuries.</p></abstract>

Motorcycle- and moped crashes are prevalent in motorised societies and carry a significant risk of serious injury. Whereas helmet use has reduced the frequency and severity of head injuries, the association between helmet use and neck injury risk is less clear. In the present retrospective study, we examined the relationship between helmet use and various types of head and neck injuries resulting from fatal motorcycle and moped crashes during a 20-year period. Eighty-three cases were included of whom 56 were analysed in detail based on their confirmed use/non-use of helmet. Intracranial haemorrhage was the most common finding, followed by CNS disruption and skull fracture. There was a significantly lower prevalence of skull vault fractures and epidural haemorrhage in the helmeted cases. Injuries to the brainstem and cervical spine fracture/dislocation were more common in the helmeted cases, although this was likely a function of higher speeds among motorcycle riders rather than an effect of helmet use per se. Further investigation of these findings require additional detailed information regarding the nature and severity of the crash, as well as helmet use and type, in order to assess non-confounded associations with the anatomical distribution, type and severity of observed head and neck injuries.

Relationship between head and neck injuries and helmet use in fatal motorcycle and moped crashes in Denmark

Section of Zoophysiology, Department of Bioscience

Care and Primary Health Research Institute, Faculty of Health, Medicine, and Life Sciences

Scandinavian Journal of Forensic Science

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Motorcycle- and moped crashes are prevalent in motorised societies and carry a significant risk of serious injury. Whereas helmet use has reduced the frequency...

Relationship between head and neck injuries and helmet use in fatal motorcycle and moped crashes in Denmark

Published Online: May 13, 2021

Page range: 1 - 7

DOI: https://doi.org/10.2478/sjfs-2019-0005

Keywords
fatal motorcycle crash, fatal moped crash, helmet, road traffic crash, traffic safety, head injury, neck injury, medicolegal autopsy, post-mortem

© 2020 Lars Uhrenholt et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Relationship between head and neck injuries and helmet use in fatal motorcycle and moped crashes in Denmark

Published Online: May 13, 2021

Page range: 1 - 7

DOI: https://doi.org/10.2478/sjfs-2019-0005

Keywordsfatal motorcycle crash, fatal moped crash, helmet, road traffic crash, traffic safety, head injury, neck injury, medicolegal autopsy, post-mortem

© 2020 Lars Uhrenholt et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
fatal motorcycle crash, fatal moped crash, helmet, road traffic crash, traffic safety, head injury, neck injury, medicolegal autopsy, post-mortem