Depressed skull fracture

Mr Andrew Murphy and Dr Ian Bickle et al.

Depressed skull fractures result in the bone of the skull vault being folded (depressed) inward into the cerebral parenchyma. It is usually the result of a high energy impact to the skull.

These mostly (~75%) occur in the frontoparietal region 3.

There are number of associated injuries with depressed skull fractures 1,2:

Rarely undertaken, especially outside of the paediatric population. The fracture is identified due to the projection of dense bone over the skull.

The modality of choice in head trauma. The fracture is shown in detail along with any associated injuries.

There are a number of indications for operative management, this include 2-4:

Depressed skull fracture are associated with higher rates of infection (~10%), seizure (~15%), neurological deficits, and death 3.

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Article information

rID: 29691
Synonyms or Alternate Spellings:
  • Depressed skull fractures

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Cases and figures

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    Case 1
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    Case 2
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    Case 3
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    Case 4: with extradural haematoma
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    Case 5: with subdural haematoma
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    Case 6: caused with a hammer
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