Compound Depressed Skull Fracture

Patients with open compound cranial fractures depressed greater than the thickness of the cranium should undergo operative intervention to prevent infection.

Compound depressed skull fracture. However unusual the history of assault a clear picture of the mechanism of the injury is vital. Depressed facture this refers to a fracture that causes the skull to indent or extend into. A compound fracture involves a break in or loss of skin and splintering of the bone. The clinical findings of the patients were significant regarding gender.

Where there is a break in the skin and a splintering of the skull bone. From october 2015 to december 2018 38 patients with comminuted skull fractures were admitted to the hospital. Also known as a compound fracture an open fracture occurs when the skin is broken and the bone emerges. Where the fracture causes displacement of the bone toward the brain.

Compound depressed skull fractures occur commonly from assault with various sharp and blunt objects. Compound depressed skull fractures occur when there is a laceration over the fracture putting the internal cranial cavity in contact with the outside environment increasing the risk of contamination and infection. Patients with open compound depressed cranial fractures may be treated nonoperatively if there is no clinical or radiographic evidence of dural penetration significant intracranial hematoma depression greater than 1 cm. A depressed skull fracture is a break in a cranial bone or crushed portion of skull with depression of the bone in toward the brain.

In complex depressed fractures the dura mater is torn. Compound fractures account for up to 90 of these injuries 3 6 17 and are associated with an infection rate of 1 9 to 10 6 9 13 16 17 an average. In contrast depressed fractures will often require surgical intervention for cosmesis and reduction in the incidence of post traumatic epilepsy 1. Depressed skull fractures result in the bone of the skull vault being folded depressed inward into the cerebral parenchyma.

Skull fractures if closed and undisplaced rarely need any direct management with treatment being aimed at any associated injury e g. Depressed cranial fractures may complicate up to 6 of head injuries in some series 7 and account for significant morbidity and mortality. The use of a stiletto heeled shoe as an offensive weapon has not been reported before as a cause of such an injury. Pathology these mostly 75 occur in the frontopariet.

Or clinically suspected cranial fractures. Digital subtraction angiography or magnetic resonance venography was performed to find out the venous sinus.