ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021
Skull fractures in abusive head trauma: a single centre experience and review of the literature.
Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Article
- What are the computed tomography patterns of head injury following low-velocity accidental head trauma in infants?Pediatric radiology · 2025Article
- A Systematic Review of Pediatric Abusive Head Trauma: What a Surgeon Needs to Know Before Using a Knife.Cureus · 2025Review
- [Red flags for child abuse : Pediatric radiological and forensic aspects].Radiologie (Heidelberg, Germany) · 2024Review
- Quantitative morphological analysis framework of infant cranial sutures and fontanelles based on CT images.Journal of anatomy · 2024Article
- Incidence, risk factors and outcomes of traumatic head injury among trauma patients visited at the Yanet Trauma and Surgery Specialized Centre, Sidama region, Hawassa, Ethiopia: cohort study.Frontiers in neurology · 2024Article
- Skeletal survey yields in low vs. high risk pediatric patients with skull fractures.Child abuse & neglect · 2023Article
- Pediatric skull fractures: could suture contact be a sign of abuse?Emergency radiology · 2022Article
- Abusive head trauma: neuroimaging mimics and diagnostic complexities.Pediatric radiology · 2021Review
- Pediatric Abusive Head Trauma: A Systematic Review.Diagnostics (Basel, Switzerland) · 2021Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe authors provide a comprehensive framework with which to approach paediatric calvarial injury sustained as a result of suspected abusive head trauma (AHT). This is achieved through the presentation of a case series set in the context of the unique morphology of the infant skull and the possible diagnostic pitfalls which may arise due to the presence of variant anatomy or other mimicking conditions.
methodsA retrospective analysis of sixty-three patients referred to our institution with suspected AHT was carried out. Seventeen patients with skull fractures were identified and their fractures were described in terms of anatomical location, type and course. Our data was then interpreted in the light of known anatomical fracture mimics and the available literature on the subject.
resultsForty-two skull fractures were identified and described in our cohort, most of which were simple linear fractures of the parietal bones (33%). There were also a substantial number of complex stellate fractures, namely of the parietal (29%) and occipital (10%) bones. Eleven fracture mimics including accessory sutures and wormian bones were also identified in this cohort.
conclusionsOur study supports and builds on the existing literature, thereby offering a more complete view of the spectrum of calvarial damage sustained as a result of AHT in the context of its diagnostic pitfalls.
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