From the 1930's (circa). Refers to a person of questionableintelligence. The size of the brain being given relative size of a human knuckle. Similar to pinhead.
A knucklehead townie is the exact opposite of a redneck country boy, knucklehead townies are usually bisexual don’t own firearms, hunt or fish and hate camping. Knucklehead townies tend to be liberals who can’t weld.