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.
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| Ossification | A fibrous joint between membrane-formed parietal bones and the upper occipital squama; it usually starts to fuse in middle adulthood. |
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.
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.
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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