Single parietal skull fractures versus occipital fractures and multiple fractures in infants: are there differences in history, findings, and determination of abuse?

Introduction: Skull fractures are the most common type of fracture in infancy; while most are not due to abuse, they are the second most common fracture attributable to abuse. Most infant skull fractures are single parietal skull fractures, and some studies have found that, in comparison, occipital fractures and multiple skull fractures are more likely to be caused by higher energy trauma, involve more intracranial injury, and are more often caused by physical abuse. We hypothesized that, compared to infants …