0
Special Feature |

Radiological Case of the Month FREE

[+] Author Affiliations

Section Editor: Beverly P. Wood, MD

More Author Information
Arch Pediatr Adolesc Med. 2001;155(6):732. doi:10.1001/archpedi.155.6.731.
Text Size: A A A
Published online

Figure 1. Anterior-posterior skull radiograph.

Figure 2. Lateral skull radiograph.

Inca bones are a result of faulty ossification in the interparietal area of the occipital squama.1 The occipital squama consists of a supraoccipital area that develops in cartilaginous bone and an interparietal area that is ossified in membranous bone. Inca bones form when an additional pair of ossification centers develop in the interparietal area and do not fuse with the remainder of the occipital bone. They are located at the lower border of the interparietal occipital suture and slightly above the external occipital protuberance. The Inca bones fuse completely by age 40 years.1

The distinction between the Inca bone and a skull fracture is accomplished by noticing the irregular contour of the edges of the Inca bone compared with the smoother, linear course of a skull fracture.2 The distinction is important in avoiding the patient and the family experiencing an evaluation for nonaccidental trauma.

Matsumura  GUchiumi  TKida  KIchikawa  RKodama  G Developmental studies on the interparietal part of the human occipital squama. J Anat. 1993;182 ((Pt 2)) 197- 204
Keats  TE Atlas of Normal Roentgen Variants. 4th ed. Chicago, Ill Year Book Medical Publishers1973;65- 67

Accepted for publication September 22, 1999.

Reprints: Kimberly Parente, MD, Medical College of Georgia, 1120 15th St, Augusta, GA, 30912-3770.

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Matsumura  GUchiumi  TKida  KIchikawa  RKodama  G Developmental studies on the interparietal part of the human occipital squama. J Anat. 1993;182 ((Pt 2)) 197- 204
Keats  TE Atlas of Normal Roentgen Variants. 4th ed. Chicago, Ill Year Book Medical Publishers1973;65- 67

Correspondence

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
JAMAevidence.com

The Rational Clinical Examination
Evidence Summary and Review 2

The Rational Clinical Examination
Detecting Pleural Effusion by Chest Radiograph