CLINICAL PICTURE AND DIAGNOSTICS OF LINEAR BONE FRACTURES OF CRANIAL VAULT IN CHILDREN OF EARLY AGE
A retrospective analysis of 197 cases of linear fractures of the skull bones in children aged up to 12 months inclusive was carried out. The prevalence of this pathology was 13.5 %. The most common cause of injury was the fall of the child from the bed - 39.6 %. The clinical picture is not different in variety. Among the clinical manifestations, the most common is vomiting - 5.6%, lethargic - 8.6 %, drowsiness - 11.2 %. Loss of consciousness, focal symptomatology, convulsions are noted with intracranial complications. In 72.1 % of the children there were no symptoms. Among the external manifestations of the fracture, the local reddening and hyperemia of soft tissues in the projection of the head impact was the most frequently observed - 16.2 %, soft tissue swelling - 33 %, subperiostal hematoma - 12.7 %. As the main method, CT was used. Routine craniography does not always allow verifying bone fracture. Most often among the fractures of the bones of the cranial vault, there is a fracture of the parietal and occipital bones - 45.2 % and 25.9 % of the children, respectively.