Aim: Objective analysis of clinical and epidemiological aspects of minor head injuries in children with an attempt to elaborate a practical algorythm for diagnostic management.

Material and methods: All children aged 3 to 18 years with minor head injury treated in the years 2005-2006 in the Department of Paediatric Surgery and Traumatology in Grudziądz, were included in a prospective study. In all, 884 children were enrolled into this analysis. Their medical data were reviewed with an emphasis on circumstances of injury, clinical signs and symptoms, diagnostic and therapeutic management its evaluation and final outcome.

Results: Loss of consciousness and/or postinjury amnesia were noted in 88 patients (9.3%). Skull x-ray carried out in 486 children revealed bone fracture in 4 cases. 473 (53.5%) children were hospitalised, while 411 (46.5%) were discharged after initial examination for home the care. Among 82 children who had computed tomography, intracranial pathology was found in 11. None of the patients from either group required surgical intervention and all were discharged in a good condition.

Conclusions: From clinical point of view, it seems relevant to separate the group of patients with minimal head injury requiring no diagnostic study and hospitalization. Loss of consciousness and posttraumatic amnesia in children with minor injury should be treated as an indication for computed tomography and/or observation of the patient in hospital. The role of conventional x-ray in minor head injury is minimal. The presented practical diagnostic algoryithm for children with minor head trauma, treated in emergency departments in Poland seems to be fully justified and important.