Sport-related injury accounts for 1/3 of all orbita...
Mechanism of injury: significant trauma to the orbit
Double vision with upward gaze
Periorbital tenderness, swelling, ecchymosis
Impaired ocular mobility...
Apply cool compresses for the first 24 to 48 hr to decrease swelling in order to minimize/reverse herniation and avoid surgical intervention.
Avoid Valsalva maneuvers and nose...
Permanent restriction of extraocular movement
Decreased visual acuity
Aerni GA. Blunt visual trauma. Clin Sports Med. 2013;32(2):289–301.
Jones NP. Orbital blowout fractures in sport. Br J Sports Med. 1994;28(4):272–275.
Lincoln AE, Caswell ...
Pediatric patients >5 yr old are more likely to have trapdoor fractures which require immediate surgical intervention.
CT scan of the orbits is the diagnostic test of choice.
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