Fracture, Orbital, Sports Medicine

Fracture of the osseous walls of the orbit

Orbital anatomy:

• Bony orbit is a conical structure:

  • Base faces anterolaterally.

  • Apex originates posteromedially.

  • Seven bones: frontal, maxilla, ...

Timing

Mechanism:

• Penetrating trauma:

  • Energy/velocity

  • Type of material

  • Size of object

• Nonpenetrating trauma

Location

Protective eyewear in use

Visual symptoms:

• Change in vision

• Diplopia

• Discharge

• ...

Visual impairment

Globe injury

Immediate referral to ophthalmology for open globe injury, facial fracture, symptomatic orbital emphysema, orbital compartment syndrome, ret...

Based on significance of ocular injury and associated findings

Fracture only:

• Noncontact sport: 2 wk

• Contact sport: 4 to 6 wk

Surgery for fracture:

• Return will vary.

• Depends on ...

American Society for Testing and Materials: http://www.astm.org/Standards/F803.htm

Kontio R, Lindqvist C. Management of orbital fractures. Oral Maxillofac Surg Clin North Am.  2...

Significant changes in VA or vision loss: possible optic nerve compromise:

• Ophthalmic emergency

• Immediate ophthalmology consultation

Significant other exam abnormality: immediate ophthalm...