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Wormian bone

A.Prof Frank Gaillard ◉ ◈ et al.

Wormian bones (a.k.a. intrasutural bones) is the name given to the additional small bones sometimes found between the cranial sutures of the bones of the skull vault, most commonly in relation to the lambdoid suture. Some reserve the term Wormian bones to just the intrasutural bones proximate to the lambdoid suture.

Some consider them abnormal only if greater than 10 in number.

Epidemiology

The reported incidence is variable, ranging from around 10% (in Caucasian skulls) and 40% (in Indian skulls) to 80% (in Chinese skulls) ^ref. In general, males are more frequently affected than females ^ref.

Associations

Their associations are various, and include:

Wormian bones can also be idiopathic (anatomical variant).

A useful mnemonic is PORKCHOPS.

Locations

lambdoid suture: most common
lambda (also known as the pre-interparietal or inca bone)
pterion: up to 12%; former anterolateral fontanelle (also known as the epipteric bone or pterion ossicle)
sagittal and coronal sutural bones: uncommon

History and etymology

Wormian bones are named after the Danish physician, theologian and antiquary Ole Worm (Olaus Wormius) (1588-1654) ⁴, who first described them.

Quiz questions

References

Anatomy: General

anatomic position
Terminologia Anatomica
- superseded nomenclature
  - Nomina Anatomica
  - Basle Nomina Anatomica (BNA)
anatomic variants
regional anatomy
systems anatomy
- reticuloendothelial system
- endocrine system
labeled imaging anatomy cases
osteology
- skeleton
  - axial skeleton
  - appendicular skeleton
- bones
  - macroscopic structure
  - microscopic structure
  - bone growth
    - fetal bone formation
      - notochord
    - developmental ossification
      - endochondral ossification
        
        primary ossification
        
        secondary ossification
      - intramembranous ossification
  - bones types
  - nutrient foramen
- joints
  - structural types
  - functional types
- muscles
  - bursa
- organs
  - embryology
    - mesenchyme
    - parenchyma
  - skin
    - glomus body
- blood vessels
  - histology
    - intracranial arteries
- nerves
  - histology
    - Obersteiner-Redlich zone

Article information

rID: 5288

System: Head & Neck, Musculoskeletal

Section: Anatomy

Tag: variant, neuroanatomy, skull, reference needed

Synonyms or Alternate Spellings:

Intrasutural bones
Sutural bones
Wormian bones

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