Sphenoidal fontanelle
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The pterion is the region where the
frontal Front may refer to: Arts, entertainment, and media Films * ''The Front'' (1943 film), a 1943 Soviet drama film * ''The Front'', 1976 film Music * The Front (band), an American rock band signed to Columbia Records and active in the 1980s and e ...
, parietal, temporal, and sphenoid bones join. It is located on the side of the
skull The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone. However two parts are more prominent: the cranium and the mandible. In humans, th ...
, just behind the
temple A temple (from the Latin ) is a building reserved for spiritual rituals and activities such as prayer and sacrifice. Religions which erect temples include Christianity (whose temples are typically called churches), Hinduism (whose temples ...
.


Structure

The pterion is located in the
temporal fossa The temporal fossa is a fossa (shallow depression) on the side of the skull bounded by the temporal lines and terminating below the level of the zygomatic arch. Boundaries * Medial: frontal bone, parietal bone, temporal bone, and sphenoid bon ...
, approximately 2.6 cm behind and 1.3 cm above the posterolateral margin of the frontozygomatic suture. It is the junction between four bones: * the
parietal bone The parietal bones () are two bones in the skull which, when joined at a fibrous joint, form the sides and roof of the cranium. In humans, each bone is roughly quadrilateral in form, and has two surfaces, four borders, and four angles. It is nam ...
. * the squamous part of
temporal bone The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples, and house the structures of the ears. ...
. * the greater wing of sphenoid bone. * the
frontal bone The frontal bone is a bone in the human skull. The bone consists of two portions.'' Gray's Anatomy'' (1918) These are the vertically oriented squamous part, and the horizontally oriented orbital part, making up the bony part of the forehead, pa ...
. These bones are typically joined by five
cranial sutures In anatomy, fibrous joints are joints connected by fibrous tissue, consisting mainly of collagen. These are fixed joints where bones are united by a layer of white fibrous tissue of varying thickness. In the skull the joints between the bones ar ...
: * the sphenoparietal suture joins the sphenoid and parietal bones. * the coronal suture joins the frontal bone to the sphenoid and parietal bones. * the squamous suture joins the temporal bone to the sphenoid and parietal bones. * the sphenofrontal suture joins the sphenoid and frontal bones. * the sphenosquamosal suture joins the sphenoid and temporal bones.


Clinical significance


Haematoma

The pterion is known as the weakest part of the skull. The anterior division of the
middle meningeal artery The middle meningeal artery ('' la, arteria meningea media'') is typically the third branch of the first portion of the maxillary artery. After branching off the maxillary artery in the infratemporal fossa, it runs through the foramen spinosum t ...
runs underneath the pterion. Consequently, a traumatic blow to the pterion may rupture the middle meningeal artery causing an epidural haematoma. The pterion may also be fractured indirectly by blows to the top or back of the head that place sufficient force on the skull to fracture the pterion.


Surgery

The pterion is a structural landmark for
neurosurgical Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peri ...
approach to middle cerebral artery
aneurysm An aneurysm is an outward bulging, likened to a bubble or balloon, caused by a localized, abnormal, weak spot on a blood vessel wall. Aneurysms may be a result of a hereditary condition or an acquired disease. Aneurysms can also be a nidus ( ...
s.


Etymology

The pterion receives its name from the Greek root ''pteron'', meaning ''
wing A wing is a type of fin that produces lift while moving through air or some other fluid. Accordingly, wings have streamlined cross-sections that are subject to aerodynamic forces and act as airfoils. A wing's aerodynamic efficiency is e ...
''. In
Greek mythology A major branch of classical mythology, Greek mythology is the body of myths originally told by the ancient Greeks, and a genre of Ancient Greek folklore. These stories concern the origin and nature of the world, the lives and activities ...
,
Hermes Hermes (; grc-gre, wikt:Ἑρμῆς, Ἑρμῆς) is an Olympian deity in ancient Greek religion and Greek mythology, mythology. Hermes is considered the herald of the gods. He is also considered the protector of human heralds, travelle ...
, messenger of the gods, was enabled to fly by winged sandals, and wings on his head, which were attached at the pterion.


References


External links

*
Diagram - look for #24
(sourc
here
{{Authority control Skull