cross suture lines, bilateral or multiple fractures were notably more common in nonaccidental trauma The complete description and evaluation of abusive or nonaccidental head trauma is discussed separately in Chapter 87 Child Abuse/Assault FIGURE 113.4 Depressed skull fracture An axial CT scan with bone windows demonstrates a closed depressed skull fracture over the left parietal bone Clinical Considerations Clinical Recognition Many of the historical and physical findings suggestive of skull fracture are the same as described above for ciTBI The history may include a witnessed