Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

The Causes of Blow-out Fracture in Old Age Patients and Their Computed Tomography Findings and Associated Facial Bone Fracture

고연령 안와파열 골절 환자의 수상 원인과 컴퓨터 단층촬영 소견 및 동반 골절의 연령별 비교

  • Seo, Dong Woo (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Sohn, Chang Hwan (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Jung, Sang Ku (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Ahn, Shin (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Kim, Won Young (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Kim, Won (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center)
  • 서동우 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 손창환 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 정상구 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 안산 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 김원영 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 김원 (울산대학교 의과대학 서울아산병원 응급의학과)
  • Received : 2009.04.27
  • Accepted : 2009.06.07
  • Published : 2009.06.30
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Abstract

Purpose: The purpose of this study was to evaluate the causes of blow-out fractures, the computed tomography findings, and the associated facial bone fractures in aged patients. Methods: This study was performed by conducting a chart review. From January 2004 to December 2007, the patients who visited the emergency room of Asan Medical Center and were diagnosed as having a blow-out fracture were included in the study population. Patients 60 years of age or older were grouped as the aged group while patients younger than 60 years of age were grouped as the control group. Results: Between the aged group and the control group, there was a difference in the causes of blow-out fractures. The most common cause of blow-out fracture was a slip down in the aged group and violence in the control group (p<0.05). There were no differences in associated symptoms. Extraocular muscle herniation was the only statistically different computed tomography findings. In associated facial bone fractures, the most common fractures were the zygoma in the aged group and the nasal bone in the control group (p<0.05). Conclusion: In patients 60 years of age or older, the most common cause of blow-out fracture was a slip down, and the most common associated facial bone fracture was a zygomatic fracture.

Keywords

References

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