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If certain bones of the skull grow too fast then premature fusion of the sutures, craniosynostosis, may occur. [1] This can result in skull deformities. [ 1 ] These deformities include: [ 3 ]
Wormian bones, also known as intrasutural bones or sutural bones, [1] are extra bone pieces that can occur within a suture (joint) in the skull.These are irregular isolated bones that can appear in addition to the usual centres of ossification of the skull and, although unusual, are not rare. [2]
Expansion forces at the sutures lead to expansion of bone and thus growth of craniofacial skeleton. Cranial vault increases in size via the primary growth of bone that happens at the suture. Sicher theorized that tissues such as periosteum , Cartilage and sutures are growth centers just like epiphysis of the long bone that allow the bone to form.
As growth and ossification progress, the connective tissue of the fontanelles is invaded and replaced by bone creating sutures. The five sutures are the two squamous sutures, one coronal, one lambdoid, and one sagittal suture. The posterior fontanelle usually closes by eight weeks, but the anterior fontanel can remain open up to eighteen months.
A suture is a type of fibrous joint that is only found in the skull (cranial suture). The bones are bound together by Sharpey's fibres . A tiny amount of movement is permitted at sutures, which contributes to the compliance and elasticity of the skull.
The sagittal suture 'divides' the coronal suture in two halves; unilateral meaning that either the right side or the left side to the sagittal suture is fused. This fact immediately raises an important point. Unlike closure of the sagittal or the metopic suture, right and left are not the same in unilateral coronal synostosis.
It persists until approximately 18 months after birth. It is at the junction of the coronal suture and sagittal suture. The fetal anterior fontanelle may be palpated until 18 months. In cleidocranial dysostosis, however, it is often late in closing at 8–24 months or may never close. Examination of an infant includes palpating the anterior ...
Cranial sutures. A defining characteristic of Crouzon syndrome is craniosynostosis, which results in an abnormal head shape.This is present in combinations of: frontal bossing, trigonocephaly (fusion of the metopic suture), brachycephaly (fusion of the coronal suture), dolichocephaly (fusion of the sagittal suture), plagiocephaly (unilateral premature closure of lambdoid and coronal sutures ...