Medial orbital wall fracture with rectus entrapment

Arch Otolaryngol. 1975 Jan;101(1):33-5. doi: 10.1001/archotol.1975.00780300037009.


Two cases of medial orbital fracture with medial rectus muscle entrapment are reported, one a bona fide blowout fracture. Review of the literature reveals six previous cases. Clinically, patients complain of diplopia with lateral gaze and forced duction tests confirm medial rectus entrapment. Radiographic confirmation is best obtained with hypocycloidal tomography. Surgical therapy is indicated for diplopia or enophthalmus.

MeSH terms

  • Adult
  • Diplopia / etiology
  • Humans
  • Male
  • Muscular Diseases / diagnostic imaging
  • Muscular Diseases / etiology
  • Oculomotor Muscles*
  • Orbit / injuries*
  • Skull Fractures / complications*
  • Skull Fractures / diagnostic imaging
  • Tomography, X-Ray