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Updated: Jun 5, 2025
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Patterns of Orbital Fractures Caused by Sports Injuries in Children
1Resident in Training, Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Sports-related orbital fractures are common in children, often caused by baseball or softball collisions. Most cases resolve without surgery, but emergent operations are needed for entrapment or significant defects.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Sports Medicine
Background:
- Sports injuries contribute significantly to facial fractures in children.
- Contact sports pose a risk for maxillofacial trauma, particularly involving the orbit.
Purpose of the Study:
- To analyze the patterns of sports-related orbital bone fractures in pediatric patients.
- To understand the mechanisms, locations, and management of orbital injuries in children due to sports.
Main Methods:
- Retrospective case series of pediatric patients with sports-related orbital injuries from 2015-2021.
- Data collected included demographics, injury mechanism, sport type, symptoms, and treatment outcomes.
- Descriptive statistics were used to analyze fracture patterns and management strategies.
Main Results:
- Baseball/softball collisions accounted for the majority of injuries (77.2%) in 101 pediatric patients.
- Orbital floor fractures were most common (86.1%), followed by medial wall fractures (21.8%).
- Most fractures were minimally displaced (67.3%) and managed non-surgically, with 22.8% requiring surgery, often emergently for entrapment.
Conclusions:
- Sports are a frequent cause of pediatric orbital trauma, with baseball/softball being the leading cause.
- Non-surgical management is typical, except in cases of entrapment, oculocardiac reflex, or large defects.
- Findings can inform safety measures and protective equipment to reduce sports-related orbital injuries in children.
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