Pediatric Skull Fractures
- PMID: 29489156
- Bookshelf ID: NBK482218
Pediatric Skull Fractures
Excerpt
Head injury is common in the pediatric population and is a major cause of morbidity and mortality. The annual incidence is estimated at 250 per 100,000, accounting for approximately 600,000 pediatric emergency department visits each year. Pediatric fractures differ from those in adults because of the capacity of children's bones to remodel, although the craniofacial skeleton and brain remain in active development. Infants have a larger head-to-body surface area ratio, decreasing from 18% in infancy to 9% in adulthood. The pediatric skull is thinner and more pliable, offering less protection to the brain and predisposing children to head injuries. About 10% to 30% of pediatric head injuries result in skull fractures, the presence of which increases the risk of intracranial injury.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Consultations
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Bonfield CM, Naran S, Adetayo OA, Pollack IF, Losee JE. Pediatric skull fractures: the need for surgical intervention, characteristics, complications, and outcomes. J Neurosurg Pediatr. 2014 Aug;14(2):205-11. - PubMed
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- Karepov Y, Kozyrev DA, Benifla M, Shapira V, Constantini S, Roth J. E-bike-related cranial injuries in pediatric population. Childs Nerv Syst. 2019 Aug;35(8):1393-1396. - PubMed
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