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Home › Body Atlas › Bones › Lambdoid Suture
Bone Head & Skull

Lambdoid Suture

sutura lambdoidea

The lambdoid suture is the fibrous joint at the back of the skull between the occipital bone below and the two parietal bones above. It is shaped like the Greek letter lambda, with its apex at lambda in the midline and its arms running down and forward to the asterion on each side. Small extra bones (sutural or Wormian bones) are most often found along this suture.

Anatomical Data

Structure & Landmarks

Articulations
Landmarks
OssificationA fibrous joint between membrane-formed parietal bones and the upper occipital squama; it usually starts to fuse in middle adulthood.
Clinical Relevance

Clinical Notes

Lambdoid craniosynostosis is the rarest single-suture synostosis and causes flattening at the back of the head on one side with a characteristic trapezoid head shape when viewed from above. It must be distinguished from the far more common positional (deformational) plagiocephaly caused by infants lying on one side, which needs repositioning or a helmet rather than surgery. Numerous Wormian bones along the lambdoid suture are associated with conditions such as osteogenesis imperfecta and cleidocranial dysplasia.

Pathology

Common Injuries & Conditions

Lambdoid Craniosynostosis

Early fusion of one lambdoid suture causing flattening of the back of the head on that side, with the ear on that side pulled backward and downward.

Positional Plagiocephaly

Flattening of the back of an infant's head from lying in one position, with open sutures; it is a key differential diagnosis for lambdoid synostosis and usually improves with repositioning.

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