BACKGROUND: Vertical diplopia after blow out fracture repair is not uncommon; we report an unusual case of inferior rectus muscle (IR) transection presenting as a persistent infra-duction deficit after uncomplicated blow out fracture repair. METHODS: We used multi-positional MRI to diagnose a transected IR with a contracted and posteriorly displaced muscle belly. RESULTS: Infra-duction improved after surgical repair of the transected IR. CONCLUSION: Multipositional MRI is a novel technology that can be used to assist in the decisive management of persistent post-operative infra-duction deficits and avoid prolonged periods of observation.
BACKGROUND:Vertical diplopia after blow out fracture repair is not uncommon; we report an unusual case of inferior rectus muscle (IR) transection presenting as a persistent infra-duction deficit after uncomplicated blow out fracture repair. METHODS: We used multi-positional MRI to diagnose a transected IR with a contracted and posteriorly displaced muscle belly. RESULTS: Infra-duction improved after surgical repair of the transected IR. CONCLUSION: Multipositional MRI is a novel technology that can be used to assist in the decisive management of persistent post-operative infra-duction deficits and avoid prolonged periods of observation.
Authors: Joseph L Demer; Robert A Clark; Reika Kono; Weldon Wright; Federico Velez; Arthur L Rosenbaum Journal: J AAPOS Date: 2002-12 Impact factor: 1.220
Authors: Andrea A Tooley; Benjamin Levine; Kyle J Godfrey; Richard D Lisman; Ann Q Tran; John E Sherman Journal: Craniomaxillofac Trauma Reconstr Date: 2020-05-21