Monday 18 June 2012

23.GUTTER FRACTURE DUE TO

A.IRON ROD
B.HAMMER
C.BULLET
D.CHOP

ANS:BULLET


he most common cause of a skull fracture is blunt force trauma. Think of your skull as an incredibly tough egg. When you bang this egg against the counter it may crack slightly, but not break completely. This is true of the skull as well. It typically requires a significant amount of force to fracture your skull. For example, an individual merely punching you in the back of the head would most likely not be sufficient.

While gutter fractures can occur from a thin blunt or sharp object striking the skull the most common cause is from a bullet wound. Sometimes bullet wounds will puncture the scalp and be angeled in such a way as to graze or groove the skull but not puncture it. A gutter fracture can be inflicted in other ways including: power tools grazing the head, car accidents, and any fall that allows the individual to grace themselves against a sharp surface.

Initial diagnosis of any skull fracture will be conducted with an x-ray or CT scan. A CT scan will likely be conducted to gauge the growth of the fracture. These scan are used to take multiple cross-sectional x-rays to create a comprehensive 3D image of the skull. If a doctor suspects that there is brain damage he may also conduct a MRI scan. Often the skull is mended with a cranioplasty using acrylic, wire mesh, steel plates or autologous bone.

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