Orbital Blow-out fracture and inferior rectus muscle transection

Case contributed by Shervin Sharifkashani
Diagnosis certain

Presentation

Facial trauma and right eye pain and limitation of motion of the eye.

Patient Data

Age: 40 years
Gender: Male

Right orbital medial wall and floor blow-out fracture with fat and inferior rectus muscle herniation within the fracture gap and penetration of the fractured bone within the inferior rectus muscle and partial tear of the muscle. Hemorrhage within the right maxillary and ethmoid sinuses and exodeviation of the right eye and preseptal soft tissue swelling is seen.

Case Discussion

The case illustrates the uncommon partially torn inferior rectus muscle in orbital floor blow-out fracture and herniation of the torn part within the fracture gap.

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