Mason Bright Skull Soft tissue swelling Frontal fx Occipital fracture Soft tissue swelling Arrows mark some of the areas of thinning of occipital bone (compared to adjacent bone). Significance is uncertain, but thinner bone will be less strong than thicker portions of bone Occipital fracture line traverses thinner parts of occipital bone Summary • Two skull fractures, with associated soft tissue swelling • Skull fractures are not significantly distracted or displaced • In impact injuries from falls, fractures can occur away from impact site (see work from Michigan State, under DOD grant and older Weber articles, attached to email).