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Case 22

History:

86 year old male status post assault

Findings:

Facial CT shows fracture of the left anterior and postero-lateral maxillary wall, the zygomatic arch and lateral orbital wall.

Diagnosis:

Tripod fracture

Discussion:

The tripod fracture consists of a set of three fractures. The first involvesĀ anterior and postero-lateral maxillary walls as well as the orbital floor. The second portion involves the zygomatic arch. The third involves the lateral orbital wall, or the fronto-zygomatic suture. The tripod fracture is usually secondary to a direct blow to the malar eminence.