Ping pong fracture

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

Head trauma.

Patient Data

Age: 1 year
Gender: Male
ct
  • occipital bone smooth inward indentation / depressed fracture with inner buckling of the calvarium.

  • No intracranial hemorrhage or scalp hematoma.

Case Discussion

Findings consistent with ping pong fracture which is the equivalent of greenstick fracture of long bones. Spontaneous elevation in this type of fracture is extremely rare and the treatment is generally conservative.

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