Zusammenfassung
Impressionsfrakturen treten bei etwa 5% der Kindern mit stationär behandeltem Schädel-Hirn-Trauma auf. Am Beispiel eines 1,5 Jahre alten Kindes mit Pingpongfraktur wird über die klinischen Zeichen, die Bildgebung und die Therapie bei Impressionsfrakturen im Kindesalter berichtet. Operative und konservative Therapieansätze werden, abhängig vom Schweregrad der Fraktur und Begleiterscheinungen, unterschiedlich beurteilt. Die verschiedenen therapeutischen Optionen werden anhand der Literatur diskutiert.
Abstract
Depressed skull fractures are seen in about 5% of children admitted to hospital with head injury. The clinical signs, imaging techniques, and therapy for depressed skull fractures in children are reviewed, exemplified by the case of a 1.5-year-old child with a ping-pong-ball fracture. Surgical and non-surgical treatment is assessed; treatment recommendations vary depending on the severity of the fracture and accompanying injuries. The literature on the different therapeutic options is reviewed, and the options are discussed.
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Rodt, T., Diensthuber, M., Rittierodt, M. et al. Pingpongfraktur. Monatsschr Kinderheilkd 156, 479–481 (2008). https://doi.org/10.1007/s00112-007-1622-6
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DOI: https://doi.org/10.1007/s00112-007-1622-6