Post-traumatic epilepsy (PTE) is the most important problem in patients who are able to return to a normal life after head injuries. Depressed fractures are commonly accepted as risk factors increasing development of PTE. In this study PTE was found in 9 % of 122 patients with depressed fractures and 3 % in 200 patients with closed head injury. PTE was found to significantly increased in patien...

BACKGROUND There has been no study to compare the diagnostic accuracy of an experienced radiologist with a trainee in nasal bone fracture. OBJECTIVES To compare the diagnostic accuracy between conventional radiography and computed tomography (CT) for the identification of nasal bone fractures and to evaluate the interobserver reliability between a staff radiologist and a trainee. PATIENTS A...

Data are given of a consecutive series of 225 cases with depressed skull fracture, admitted within 48 hours after the accident. The series is considered to represent the full range of this type of injury in a densely populated area in the Netherlands. The predominance of young male patients with a compound fracture is stressed. The data are compared with other series. The results of long-term f...

OBJECTIVE In the pediatric population the skull has not yet undergone ossification and it is assumed that the diagnostic rate of skull fractures by simple X-rays are lower than that of adults. It has been recently proposed that the diagnostic rates of skull fractures by 3-dimensional computer tomography (3D-CT) are higher than simple X-rays. The authors therefore attempted to compare the diagno...

Anatomic reduction of articular depression tibial plateau fractures is challenging. The authors describe a new technique using percutaneous balloon-guided inflation osteoplasty for a depressed lateral tibial plateau fracture. The fluoroscopy-guided inflation osteoplasty restores the joint surface anatomically in a minimally invasive fashion. The metaphyseal void is filled with a fast-setting fl...

The present case shows a case of fracture-redislocation of the hip caused by a depressed fracture of the femoral head similar to a Hill-Sachs lesion. A 59-year-old man fell from a roof and his left hip joint was dislocated posteriorly. He was admitted to a nearby hospital, and he was referred to our hospital more than 24 hours after injury. Computed tomography (CT) suggested a bone chip from th...

“Ping-pong” fractures (PPF) are depressed skull fractures typical of newborns. PPF usually result from head injury and, rarely, may cause severe long-term neurological sequelae. The management of PPF is still controversial. The goal of this paper is to present a case of “spontaneous” ping-pong fracture and to review the pertinent literature of the last 20 years. We report on a newborn who prese...

Figure 1. Maxillofacial computed tomographic scan, demonstrating a depressed zygomatico-maxillary complex fracture with loss of projection (top left), displacement at the sphenozygo-matic suture (top right), zygomaticomaxillary buttress (bottom right), with minimal orbital floor displacement (bottom left).