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Zygomaticomaxillary Complex Fracture
From WikiSM
Contents
Other Names
- Tripod Fracture
Background
- result from direct, blunt force
- second most common facial bone fracture in sports-related injuries
- Nasal Fractures #1, Mandibular #3
Pathophysiology
Risk Factors
Differential Diagnosis
Clinical Features
- Paresthesias of the cheek
- Flatness of the cheek bone
- Limited mandible movement
signs of orbital injury can exist
- Unilateral periorbital edema
- Ecchymosis
- Emphysema
- Subconjunctival hemorrhage
- Diplopia
- Enopthalmos
- Step-offs of bone limiting orbital movement also giving unequal pupils
Evaluation
- Radiographs
- Waters, submental vertex and PA and lateral skull views
- Not as useful as CT
- CT
- useful when ocular trauma involvement is suspected
Classification
Management
- Treatment involves ORIF of the fragments often resulting in stable positioning.
- Involvement with ophthomology is recommended if the orbit is involved.
- Protective headgear is worn for 3-4 months
Return to Play
- Protective headgear is worn for 3-4 months