{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T23:26:21Z","timestamp":1770247581594,"version":"3.49.0"},"reference-count":11,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Congenital depressed skull fractures (ping-pong fractures) without obstetric trauma are rare. A term male neonate delivered via uncomplicated caesarean section, demonstrated a right parieto-temporal skull depression (5 cm \u00d7 5 cm) at birth. Computed tomography revealed a 4 mm parietal depression without intracranial injury. No instrumental delivery or maternal trauma were present. The likely aetiology was intrauterine compression (\u2018faulty foetal packing\u2019). The patient was managed conservatively with close follow-up.\nContribution:\u00a0This case underscores the importance of perinatal history and neuroimaging in distinguishing spontaneous from traumatic fractures and supports conservative management in neurologically intact infants.<\/jats:p>","DOI":"10.4102\/sajr.v30i1.3305","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T10:21:58Z","timestamp":1770200518000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Congenital depressed skull fracture in a neonate without obstetric trauma"],"prefix":"10.4102","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7969-6770","authenticated-orcid":false,"given":"Elliot K.","family":"Mmutle","sequence":"first","affiliation":[{"name":"Witbank Tertiary Hospital, Emalahleni, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0221-6833","authenticated-orcid":false,"given":"Baby S.","family":"Lekhuleni","sequence":"additional","affiliation":[{"name":"Witbank Tertiary Hospital, Emalahleni, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4156-1205","authenticated-orcid":false,"given":"Luvo","family":"Gaxa","sequence":"additional","affiliation":[{"name":"Witbank Tertiary Hospital, Emalahleni, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2580","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Ben-Ari Y, Merlob P, Hirsch M, Reisner S. 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Pediatr Neurosurg. 2006;42(5):273\u2013276. https:\/\/karger.com\/pne\/article-abstract\/42\/5\/273\/276533\/Depressed-Skull-Fractures-in-Children-Treatment?redirectedFrom=fulltext","DOI":"10.1159\/000094061"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Robertson RL, Robson CD, Zurakowski D. CT versus MR in neonatal brain imaging at term. Pediatr Radiol. 2003;(33):442\u2013449. https:\/\/doi.org\/10.1007\/s00247-003-0933-6","DOI":"10.1007\/s00247-003-0933-6"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Dharmaraj ST, Embleton ND, Jenkins A. Depressed skull fracture in a newborn baby. Arch Dis Child Fetal Neonatal Ed. 2009;94:F137. https:\/\/doi.org\/10.1136\/adc.2008.148718","DOI":"10.1136\/adc.2008.148718"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Ilhan O, Bor M, Yukkaldiran P. Spontaneous resolution of a \u2018ping-pong\u2019 fracture at birth. 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