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Cranial sutures

Updated: 9/27/2023
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Definition

Cranial sutures are fibrous bands of tissue that connect the bones of the skull.

Alternative Names

Fontanelles; Sutures - cranial

Information

An infant's skull is made up of six separate cranial bones (the frontal bone, the occipital bone, two parietal bones, and two temporal bones). These bones are held together by strong, fibrous, elastic tissues called cranial sutures.

The spaces between the bones where the sutures are (sometimes known as "soft spots") are called fontanelles. They are a part of normal development. The cranial bones remain separate for about 12-18 months. They then grow together (fuse) as part of normal growth. They stay fused throughout adulthood.

Two fontanelles are usually seen on a newborn's skull: one on the top in the middle, just forward of center; and one in the back in the middle. Like the sutures, fontanelles gradually become closed, solid, bony areas. The posterior fontanelle (in the back of the head) usually closes by the time an infant is 1 or 2 months old, or may already be closed at birth. The anterior fontanelle (at the top of the head) usually closes sometime between 9 months and 18 months.

The sutures and fontanelles are needed for the infant's brain growth and development. During childbirth, the flexibility of the fibers allows the bones to overlap so the head can pass through the birth canal without pressing on and damaging the infant's brain.

During infancy and childhood, the fibers are flexible. This allows the brain to grow quickly and protects the brain from minor impacts to the head (such as when the infant is learning to hold his head up, roll over, and sit up). Without flexible sutures and fontanelles, the child's brain would be constricted in the cranial bones and could not grow enough. The child would develop brain damage.

Feeling the cranial sutures and fontanelles is one way that doctors and nurses follow the child's growth and development. They are able to assess the pressure inside the brain by feeling the tension of the fontanelles. The fontanelles should feel flat and firm. Bulging fontanelles may be a sign of increased pressure within the brain. In this case, doctors may need to use imaging techniques such as CT scan or MRI scan. Surgery may be needed to relieve the increased pressure.

Sunken, depressed fontanelles are sometimes a sign of dehydration.

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Continue Learning about Zoology

What are army ants used for in the amazon tribes?

sutures


What are the zig zag lines that connect the individual bones of the skull?

"sutures"


How long does cat wear cone after declawing?

Normally until the sutures come out, which is around 10-14 days. Most cats take out their own sutures :0). You can also take off the cone and try putting a bitter apple cream around the suture area, not on the sutures but around it to keep the cat from licking at the suture area excessively. Best to do what your Veterinarian told you to do.


How do you take out catgut?

Catgut suture is absorbable - the body breaks it down by phagocytosis, eventually leaving no trace that it was ever there. Therefore, catgut is typically used in situations where the sutures will never be looked at again, much less removed by hand. Theoretically, catgut sutures could be removed in the same fashion as any other suture - cutting between the knot and the rest of the suture and removing the remnants.


Sutures - separated?

DefinitionSeparated sutures are abnormally wide spaces in the bony joints of the skull in an infant.See also: Sutures - ridgedAlternative NamesSeparation of the suturesConsiderationsThe skull of an infant or young child is made up of bony plates that allow for growth. The borders at which these plates come together are called sutures or suture lines.In an infant only a few minutes old, the pressure from delivery may compress the head, making the bony plates overlap at the sutures and creating a small ridge. This is normal in 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.Diseases or conditions that cause an abnormal increase in the pressure within the head can cause the sutures to spread apart. These separated sutures can be a sign of pressure within the skull (increased intracranial pressure).Separated sutures may be associated with bulging fontanelles. If intracranial pressure is increased a lot, there may be large veins over the scalp.Common CausesArnold-Chiari malformationBattered child syndromeBleeding inside the brain (intraventricular hemorrhage)Brain tumorCertain vitamin deficienciesDandy-Walker malformationDown syndromeHydrocephalusInfections that are present at birth (congenital infections)Lead poisoningMeningitisSubdural hematoma or subdural effusionUnderactive thyroid gland (hypothyroidism)Call your health care provider ifContact your health care provider if:Your child has noticeably separated sutures, bulging fontanelles, or very obvious scalp veinsThere is redness, swelling, or discharge from the area of the suturesWhat to expect at your health care provider's officeThe health care provider will perform a physical exam. This will including examining the fontanelles and scalp veins and feeling (palpating) the sutures to find out how far they are separated.The health care provider will ask questions about the child's medical history and symptoms, including:Does the child have other symptoms (such as abnormal head circumference)?When did you first notice that the separated sutures?Does it seem to be getting worse?Is the child otherwise well? (for example, are eating and activity patterns normal?)The following tests may be performed:MRI of the headCT scan of the headUltrasound of the headInfectious disease work-up, including blood cultures and possible spinal tapMetabolic work-up, such as blood tests to look at electrolyte levelsStandard eye examAlthough your health care provider keeps records from routine examinations, you might find it helpful to keep your own records of your child's development. You will want to bring these records to your health care provider's attention if you notice anything unusual.

Related questions

Where is the area where cranial bones join together?

Cranial bones join at sutures.


Articulations between cranial bones are?

sutures


What is another name for skull sutures?

The cranial sutures are fibrous joints, also known as synarthroses.


When do the cranial sutures fuse completely?

The cranial sutures are band if tissue that are not fused together when babies are born. The cranial sutures fuse completely together around the age of 2.


What is the area where two or more bones join together?

The immovable joints between the cranial bones are called sutures.


What is a immovoble joint?

A type of joint that is immovable is called a synarthrotic joint. An example would be the sutures between the cranial bones.


Must a joint allow movement between two bones to be called a joint?

No, some joints, such as the cranial sutures, are immovable.


What is the joint between the jaw and the skull?

the cranial fibrous, cartilaginous, and synovial joints.immovable joints


What cranial bone is not sutured?

All cranial bones are joined by sutures with some bones having Sharpey's fibres giving a degree of flexability to some joints but even these joints are still sutures. The part of the skull that is not sutured is the mandible (the jaw) but then this structure is not actually a part of the cranium. The cranium is the portion of the skull that contains the brain.


What cranial bone articulates with all other cranial bones?

The Sphenoid (Sphenoidal Bone) this is why it is know as the keystone of the cranial floor *The sphenoid is not a facial bone, it is a cranial bone. There is no facial bone which 'articulates' with 'every other facial bone'. Articulation suggests jointed so sutures would make more sense & these sutures would be on all facial bones edges which knit them together


What are two names for the small bones that are trapped within a suture?

Wormian or sutural bones are located in sutures between certain cranial bones.


What are the immovable joints of the cranial bones known as?

The cranial bones are fused together at immovable joints known as sutures. The skull contains 22 bones of which 21 are fused together at these joints. The only skull bone that is capable of movement is the jaw bone.