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Question
Patient struck in left eye. The patient was asked to look up during exam and this is the finding. What imaging modality would you order if so inclined, what is the injury, and what is the disposition/plan?
Answer
Concern for a left orbital “blowout” fracture with muscle entrapment. Also called the trapdoor fracture. CT is the imaging modality of choice not plain films. This injury requires emergent consultation with a face surgeon (plastics, ENT or oculoplastics.). Right orbital fracture in the photo below.
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References
1.https://www.researchgate.net/figure/Girl-with-blowout-fracture-of-the-left-orbit-and-enophthalmos_fig1_351847537
2.|The Lancet. VOLUME 395, ISSUE 10221, P370, FEBRUARY 01, 2020
Football causes orbital trapdoor fracture with restricted eye movement
Paul Geraeds Kemps, BSc Michaël Herman Frank, MD
Published: February 01, 2020DOI:https://doi.org/10.1016/S0140-6736(19)33223-4