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Radiology, Vol 143, 487-492, Copyright © 1982 by Radiological Society of North America

ARTICLES

Blow-out fractures of the orbit: a comparison of computed tomography and conventional radiography with anatomical correlation

SB Hammerschlag, S Hughes, GV O'Reilly, MH Naheedy and CL Rumbaugh

Orbital blow-out fractures were experimentally created in eight human cadavers. Each orbit underwent conventional radiographic studies, complex motion tomography, and computed tomographic examinations. A comparison of the three modalities was made. Anatomical correlation was obtained by dissecting the orbits. The significance of medial-wall fractures and enophthalmos is discussed. Limitation of inferior rectus muscle mobility is thought to be a result of muscle kinking associated with orbital fat-pad prolapse at the fracture site, rather than muscle incarceration. Blow-out fractures should be evaluated by computed tomographic computer reformations in the oblique sagittal plane.


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