title: Biomechanic Factors Associated With Orbital Floor Fractures.
abstract: OBJECTIVE
  Orbital floor fractures are commonly seen in clinical practice, yet the etiology underlying the mechanism of fracture is not well understood. Current research focuses on the buckling theory and hydraulic theory, which implicate trauma to the orbital rim and the globe, respectively.
  
  
  OBJECTIVE
  To elucidate and define the biomechanical factors involved in an orbital floor fracture.
  
  
  METHODS
  A total of 10 orbits from 5 heads (3 male and 2 female) were used for this study. These came from fresh, unfixed human postmortem cadavers that were each selected so that the cause of death did not interfere with the integrity of orbital walls. Using a drop tower with an accelerometer, we measured impact force on the globe and rim of cadaver heads affixed with strain gauges.
  
  
  RESULTS
  The mean impacts for rim and globe trauma were 3.9 J (95% CI, 3.4-4.3 J) and 3.9 J (95% CI, 3.5-4.3 J), respectively. Despite similar impact forces to the globe and rim, strain-gauge data displayed greater mean strain for globe impact (6563 μS) compared with rim impact (3530 μS); however, these data were not statistically significant (95% CI, 3598-8953 μS; P = .94).
  
  
  CONCLUSIONS
  Our results suggest that trauma directly to the globe predisposes a patient to a more posterior fracture while trauma to the rim demonstrates an anterior predilection. Both the hydraulic and buckling mechanisms of fracture exist and demonstrate similar fracture thresholds.
  
  
  METHODS
  NA.
authors.affiliation: Department of Otolaryngology, Wayne State University, Detroit, Michigan.
authors.forename: Sagar
authors.initials: S
authors.lastname: Patel
authors.affiliation: Department of Biomedical Engineering, Wayne State University, Detroit, Michigan.
authors.forename: Christopher
authors.initials: C
authors.lastname: Andrecovich
authors.affiliation: Department of Otolaryngology, Wayne State University, Detroit, Michigan.
authors.forename: Michael
authors.initials: M
authors.lastname: Silverman
authors.affiliation: Department of Biomedical Engineering, Wayne State University, Detroit, Michigan.
authors.forename: Liying
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Otolaryngology, Wayne State University, Detroit, Michigan.
authors.forename: Mahdii
authors.initials: M
authors.lastname: Shkoukani
mesh_terms: D000368:Aged; D001696:Biomechanical Phenomena / Q000502:physiology*; D002102:Cadaver; D005131:Eye Injuries / Q000150:complications* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008953:Models, Anatomic; D009915:Orbit / Q000503:physiopathology; D009917:Orbital Fractures / Q000209:etiology* / Q000503:physiopathology*; D012307:Risk Factors; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000503:physiopathology*