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Sutures - ridged

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• Treatment

Definition:

Ridged sutures is caused by an overlap of the bony plates of the skull, with or without premature closure.

Alternative Names:

Ridged sutures

Considerations:

The skull of an infant or young child is made up of bony plates that allow for growth of the skull. The borders at which these plates intersect are called sutures or suture lines. In an infant only a few minutes old, the pressure from delivery compresses the head, making the bony plates overlap at the sutures and creating a small ridge.

This is a normal finding of newborns. In the next few days the head expands, the overlapping disappears, and the edges of the bony plates meet edge to edge. This is the normal position.

Ridging of the suture line can also occur when the bony plates fuse together prematurely. When this happens, growth along that particular suture line ceases. Premature closure generally leads to an unusually shaped skull.

Premature closure of the sagittal suture (the suture running the length of the skull) produces a long, narrow head. Premature closure of the coronal suture (the suture running from side to side on the skull) leads to a short, wide head.

Common Causes:

• Normal ridging due to overlap of bony plates after birth -- resolves spontaneously
• Congenital craniosynostosis
• Crouzon's syndrome
• Apert syndrome  
• Carpenter's syndrome
• Pfeiffer syndrome

• Review Date: 10/27/2005
• Reviewed By: Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor of Pediatrics, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.

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