Spontaneous elevation of a ping-pong fracture: Case report and review of the literature

SORAR M., Fesli R., Gürer B., Kertmen H., Sekerci Z.

Pediatric Neurosurgery, vol.48, no.5, pp.324-326, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 48 Issue: 5
  • Publication Date: 2013
  • Doi Number: 10.1159/000351412
  • Journal Name: Pediatric Neurosurgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.324-326
  • Keywords: Head trauma, Infant, Ping-pong fracture, Spontaneous elevation, DEPRESSED SKULL FRACTURES, MANAGEMENT, NEWBORN
  • Lokman Hekim University Affiliated: No


Depressed skull fractures compromise 7-10% of the children admitted to hospital with a head injury. Depressed skull fractures that occur in children younger than 1 year are different from those found in older children. In neonates and infants, a depressed fracture forms an inward buckling of the bones forming a 'cup shape', termed a 'ping-pong fracture'. In neonates, spontaneous elevation of a ping-pong fracture after birth trauma is well documented. However, in infants, spontaneous elevation of a ping-pong fracture following head injury is extremely rare. Here, we present the case of an 11-month-old child, in whom a ping-pong fracture was spontaneously elevated within 2 h. In addition, the relevant literature is reviewed and discussed. Copyright © 2013 S. Karger AG, Basel.