Forensic Medicine · Mechanical Injuries (Blunt, Sharp, Regional Injuries)

A pedestrian struck by a vehicle sustains a fracture of the skull. On examination, a circular segment of the parietal bone is depressed inward as a single intact piece, with the inner table more involved than the outer table. This fracture is BEST described as a:

  • A Diastatic fracture
  • B Gutter fracture
  • C Ring fracture
  • D Pond (indented) fracture
Correct answer: D. Pond (indented) fracture

Explanation

Pond or indented fracture occurs when a blunt force depresses a localized area of bone inward as a single piece, typically seen in infants and parietal bone. Diastatic fracture is a split along a suture line. Ring fracture encircles the foramen magnum from vertical forces. Gutter fracture is a furrow in the skull floor from a glancing projectile. The circular inward depression as one piece defines pond fracture.

Reference: Practical Forensic Medicine, 3rd ed.

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