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Surgical and Radiologic Anatomy

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23.09.2015 | Original Article

A new anatomic trait for identifying the mendosal suture in young children: the mendosal–lambdoidal angle

verfasst von: Ilke Ali Gurses, Asim Esenkaya, Ozcan Gayretli, Aysin Kale, Adnan Ozturk, Aylin Tekes

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2016

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Abstract

Purpose

Radiologic diagnosis of skull fractures in young children is difficult due to numerous accessory sutures. This is especially true around the occipital bone because it has more than one ossification center. Normal anatomic variants, such as the mendosal suture, may be misinterpreted as a skull fracture. We investigated the anatomic traits of the mendosal suture in young children.

Methods

We retrospectively evaluated 52 children, aged between 1 month and 4 years, who had undergone head computed tomography with three-dimensional reconstructions. We evaluated the presence or absence of the mendosal suture. If present, then we measured the length of the suture and the angle between the lambdoidal and mendosal suture lines.

Results

The presence of the mendosal suture was bilateral in 12 children and unilateral in 5 children. The mendosal suture had a mean length of 13.9 ± 3.4 mm on the right side and 11.2 ± 4 mm on the left side. The angle between the mendosal and lambdoidal sutures had a mean value of 54.2° ± 11° for the right side and 53.6° ± 13.9° for the left side. The 95 % confidence interval for the mean value of the angle had a lower and upper bounds of 48° and 60° on the right side and 46° and 61° on the left side, respectively.

Conclusions

The angle between mendosal and lambdoidal suture lines may help radiologists to identify the mendosal suture.

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Titel: A new anatomic trait for identifying the mendosal suture in young children: the mendosal–lambdoidal angle
verfasst von: Ilke Ali Gurses
Asim Esenkaya
Ozcan Gayretli
Aysin Kale
Adnan Ozturk
Aylin Tekes
Publikationsdatum: 23.09.2015
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 3/2016
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-015-1556-y

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Springer Medizin

A new anatomic trait for identifying the mendosal suture in young children: the mendosal–lambdoidal angle

Abstract

Purpose

Methods

Results

Conclusions

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S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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