We present a case of a Ping pong fracture, also recognized as a depressed skull fracture, in a late preterm female infant. This type of fracture can manifest spontaneously or as a result of obstetrical or external trauma. In present case, the mother had a history of involvement in a motor vehicle accident, and the newborn displayed low vitamin D levels attributed to maternal Vitamin D deficiency. The management of this type of fracture lacks a universally accepted standard protocol. It should be tailored to factors including clinical presentation, the underlying cause of the fracture, and the response to conservative management.
In the case, the infant was treated with vitamin D and the fracture was managed conservatively. Remarkably, the fracture resolved spontaneously over few months. The case also underscores the significance of evaluating vitamin D levels in newborns with depressed skull fractures, even when other risk factors such as obstetrical or external trauma are present, to ensure appropriate treatment.
Published Date: 2023-10-26; Received Date: 2023-09-24