Depressed skull fracture

Dr Craig Hacking 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 pediatric 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.

Fractures
Share article

Article information

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

Support Radiopaedia and see fewer ads

Cases and figures

  • Case 1
    Drag here to reorder.
  • Case 2
    Drag here to reorder.
  • Case 3
    Drag here to reorder.
  • Case 4: with extradural hematoma
    Drag here to reorder.
  • Case 5: with subdural hematoma
    Drag here to reorder.
  • Case 6: caused with a hammer
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.