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Published on: January 29, 2018
Wormian bones in a general paediatric population
B Marti1, D Sirinelli, L Maurin
1Paediatric Radiology Department, Clocheville University Hospital, 49 boulevard Béranger, Tours, France. bastienmarti17@gmail.com
Insights
Wormian bones are common in children, found in 53% of those under three. A significant number of children had multiple wormian bones, which does not necessarily indicate osteogenesis imperfecta.
Area of Science:
- Pediatric Radiology
- Craniometry
- Skeletal Dysplasias
Background:
- Wormian bones, or accessory ossicles, are common anatomical variations in the skull.
- Their presence, especially in large numbers, can sometimes be misconstrued as a sign of underlying skeletal disorders like osteogenesis imperfecta.
Purpose of the Study:
- To determine the prevalence, quantity, and location of wormian bones in a healthy pediatric population.
- To establish a baseline for normal variation in wormian bone occurrence.
Main Methods:
- Retrospective analysis of 605 CT brain scans from children aged 0–3 years.
- Exclusion of scans from children with suspected bone diseases.
- Data collection on the presence, number, and suture location of wormian bones.
Main Results:
- Wormian bones were identified in 53% of the pediatric cohort.
- 43% had 1–3 wormian bones, while 10% had four or more.
- The lambdoid suture was the most frequent site for wormian bone occurrence, with no correlation to CT indications.
Conclusions:
- Wormian bones are a frequent finding in young children.
- The presence of multiple wormian bones (up to four or more) is not uncommon and does not automatically suggest osteogenesis imperfecta.
Unlabelled:
Wormian bones are small bones that are often found within the sutures and fontanelles of the skull. When a child presents an unexplained fracture or fracture(s), osteogenesis imperfecta is usually suggested when an "abnormally high number" of fractures are seen.
Purpose:
To assess the frequency, number, and topography of wormian bones in a "normal" paediatric population.
Materials And Methods:
In a population aged from 0 to 3 years, we retrospectively analysed 605 CT brain scans carried out for a range of indications, excluding cases in which there was a suspicion of constitutional bone disease.
Results:
In our population, wormian bones were found in 53% of children (n=320): 43% of the children had between one and three (n=260), 10% had four or more (n=60), and 6% had five or more (n=40). There was no significant relationship between the number of wormian bones and the various indications that had led to the CT scan being carried out. Wormian bones in the lambdoid suture were found in by far the greatest numbers.
Conclusion:
Wormian bones are common and can sometimes be numerous without necessarily pointing to osteogenesis imperfecta, since 10% of the children in our study had at least four.
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