{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:06:04Z","timestamp":1777770364006,"version":"3.51.4"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T00:00:00Z","timestamp":1727222400000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2024,9]]},"abstract":"Abstract<\/jats:title>Background and Aims<\/jats:title>A ping pong fracture is a rare depressed skull fracture (DSF) observed in infants. It occurs due to the inward buckling of the calvarium, creating a cup\u2010like shape. Trauma during childbirth, particularly from instrumental delivery or the application of pressure by physicians or midwives during challenging deliveries, is the primary cause. This study aimed to investigate the epidemiologic characteristics associated with DSF in newborns and to identify the main factors related to its incidence and the type of hematoma involved.<\/jats:p><\/jats:sec>Methods<\/jats:title>This is a retrospective case\u2010control analysis of all newborns delivered with DSF at King Abdulla University Hospital in Jordan between January 2008 and December 2020. The medical records were reviewed, and clinical data were collected and analyzed.<\/jats:p><\/jats:sec>Results<\/jats:title>Out of 42,955 live births delivered at King Abdulla University Hospital, 13 cases of DSF were observed, giving an incidence of 3.0 in 10,000 live births. All cases were delivered at full term. Of the 13 cases, nine cases were associated with the use of instrumental delivery. Seven of those nine cases were delivered vaginally, while the other two cases required cesarean section following unsuccessful instrumental delivery. Four cases were spontaneous, with no history of trauma or instrument use, and delivered by cesarean section. Only 3 of the 13 cases required neurosurgical elevation of DSF. The outcome was excellent in all cases, both cosmetically and neurologically.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Ping\u2010pong skull fractures are seen in newborns infrequently in the Jordanian population, with an incidence of 0.03%. Most of the cases have resulted from difficult deliveries though spontaneous fractures can be encountered rarely. The treatment is usually conservative with spontaneous resolution. The overall prognosis is excellent both neurologically and cosmically.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.2283","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T12:02:44Z","timestamp":1727265764000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Depressed \u201cping pong\u201d skull fractures in the newborns: A cohort study"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1340-295X","authenticated-orcid":false,"given":"Suhair M. A.","family":"Qudsieh","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Division of Obstetrics and Gynecology, Faculty of Medicine Yarmouk University Irbid Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0720-5207","authenticated-orcid":false,"given":"Mohammed M.","family":"Al Barbarawi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine Jordan University of Science and Technology Irbid Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar F.","family":"Altal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Jordan University of Science and Technology Irbid Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ala M. Al","family":"Barbarawi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Jordan University of Science and Technology Irbid Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-429X","authenticated-orcid":false,"given":"Raed M.","family":"Al\u2010Zoubi","sequence":"additional","affiliation":[{"name":"Surgical Research Section, Department of Surgery Hamad Medical Corporation Doha Qatar"},{"name":"Department of Biomedical Sciences, QU\u2010Health, College of Health Sciences Qatar University Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0248-4777","authenticated-orcid":false,"given":"Mazhar S.","family":"Al Zoubi","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, Faculty of Medicine Yarmouk University Irbid Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226264"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnt.2012.12.001"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-207077"},{"issue":"2","key":"e_1_2_12_5_1","article-title":"Spontaneous depressed skull fracture in a neonate","volume":"9","author":"Calheiros\u2010Trigo F","year":"2020","journal-title":"J Pediatr Neonatal Individ Med JPNIM [Internet]"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.035"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02751901"},{"issue":"04","key":"e_1_2_12_8_1","article-title":"Depressed skull fracture in a term newborn infant","volume":"05","author":"Suneja U","year":"2015","journal-title":"Pediatr Ther [Internet]"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.2.PEDS11304"},{"key":"e_1_2_12_10_1","article-title":"Faulty fetal packing","volume":"2011","author":"Flannigan C","year":"2011","journal-title":"Case Reports"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.148718"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073811410058"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.05.130"},{"key":"e_1_2_12_14_1","article-title":"\u2018Ping pong\u2019 fracture in a term infant","volume":"2012","author":"Brittain C","year":"2012","journal-title":"Case Reports"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.10.029"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.2283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T12:30:40Z","timestamp":1729773040000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.2283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/hsr2.2283"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.2283","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2023-12-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2283"}}