====== Metopic suture ====== {{ ::metopic_suture.jpg?400|}} The metopic [[suture]] (also known as the median frontal suture) is a type of calvarial suture. It is often associated with [[frontal sinus agenesis]] or hypoplasia. This suture runs through the midline across the frontal bone from the [[nasion]] to the [[bregma]], although it may often be incomplete. It usually fuses by around 9 months of age 1-4. A premature fusion of the suture is termed metopic synostosis (type of craniosynostosis) with can then result in trigonocephaly. The metopic suture is usually obliterated by about 7 years of age, but in rare cases it can persist 6 as an anatomical variant of little clinical significance but that it can be mistaken for frontal bone fracture. ====Differential diagnosis==== Frontal bone fracture Metopic sutures have a characteristic midline position and demonstrate sutural interdigitations.