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Skull fractures occurred in 1,187 of 4,465 children (26.6%) who presented with trauma to the head. The incidence and character of the complications of head injuries associated with a skull fracture were compared with those of head injuries without such a fracture. The presence of a fracture of the skull alone without associated clinical abnormalities of the sensorium or the central nervous system is of little significance. The presence of a fracture should not alter the decision for future medical care except in children with a depressed or compound fracture.
Harwood-Nash et al. (Fri,) studied this question.