Biomechanic Factors Associated With Orbital Floor Fractures.
JAMA Facial Plast Surg
; 19(4): 298-302, 2017 Jul 01.
Article
en En
| MEDLINE
| ID: mdl-28278314
ABSTRACT
IMPORTANCE Orbital floor fractures are commonly seen in clinical practice, yet the etiology underlying the mechanism of fracture is not well understood. Current research focuses on the buckling theory and hydraulic theory, which implicate trauma to the orbital rim and the globe, respectively. OBJECTIVE:
To elucidate and define the biomechanical factors involved in an orbital floor fracture. DESIGN, SETTING, ANDPARTICIPANTS:
A total of 10 orbits from 5 heads (3 male and 2 female) were used for this study. These came from fresh, unfixed human postmortem cadavers that were each selected so that the cause of death did not interfere with the integrity of orbital walls. Using a drop tower with an accelerometer, we measured impact force on the globe and rim of cadaver heads affixed with strain gauges.RESULTS:
The mean impacts for rim and globe trauma were 3.9 J (95% CI, 3.4-4.3 J) and 3.9 J (95% CI, 3.5-4.3 J), respectively. Despite similar impact forces to the globe and rim, strain-gauge data displayed greater mean strain for globe impact (6563 µS) compared with rim impact (3530 µS); however, these data were not statistically significant (95% CI, 3598-8953 µS; P = .94). CONCLUSIONS AND RELEVANCE Our results suggest that trauma directly to the globe predisposes a patient to a more posterior fracture while trauma to the rim demonstrates an anterior predilection. Both the hydraulic and buckling mechanisms of fracture exist and demonstrate similar fracture thresholds. LEVEL OF EVIDENCE NA.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas Orbitales
/
Heridas no Penetrantes
/
Fenómenos Biomecánicos
/
Lesiones Oculares
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
JAMA Facial Plast Surg
Año:
2017
Tipo del documento:
Article