Correspondence and communication
Painful exostosis of the external occipital protuberance

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    Following thorough irrigation, the laceration was closed primarily, and the patient was discharged home. Occipital spurs, though largely asymptomatic, have been thought to cause significant local discomfort and pain on occasion [3,4] and in rare cases may require surgical drilling of the exuberant bone for relief [5]. The present case describes an unusual instance of fracture of the spur following direct impact.

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