Traumatic rupture of the inferior rectus muscle: case report and review of the literature
Main Article Content
Abstract
Traumatic inferior rectus muscle rupture secondary to blunt injury in the absence of associated orbital or ocular fractures or injury is rarely encountered, and there are limited published reports on subsequent surgical repair. We present the case of a 74-year-old man with complete inferior rectus transection following a fall with facial strike. A computed tomography scan of the face was unremarkable. Surgical exploration and repair of the muscle was performed by hooking the inferior oblique muscle to identify the inferior rectus muscle. Subsequent strabismus surgery was performed for residual binocular diplopia, resulting in excellent anatomic and visual outcomes and postoperative ocular alignment.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Akiyama K, Karaki M, Hoshikawaa H, Mori N. Retrieval of ruptured medial rectus muscle with an endoscopic endonasal orbital approach: a case report and indication for surgical technique. Auris Nasus Larynx 2015;42:241-4. DOI: https://doi.org/10.1016/j.anl.2014.10.011
Chen J, Kang Y, Deng D, Shen T, Yan J. Isolated total rupture of extraocular muscles. Medicine (Baltimore) 2015;94:e1351. DOI: https://doi.org/10.1097/MD.0000000000001351
Tomasetti P, Metzler P, Jacobsen C. Isolated inferior rectus muscle rupture after blunt orbital trauma. J Surg Case Rep 2013;2013. DOI: https://doi.org/10.1093/jscr/rjt076
Tynan D, Dunn H, Roberts T. Complete inferior rectus transection following blunt trauma: a case report and novel approach to surgical repair. Ophthalmic Plast Reconstr Surg 2019;35:e69-e72. DOI: https://doi.org/10.1097/IOP.0000000000001352
Flanders M, Chaudhry Z, Mercer G. Traumatic rupture of the inferior rectus muscle: clinical presentation and surgical management. Can J Ophthalmol 2022:S0008-4182(21)00421-X.
Batra R, Gao A, Shun-Shin GA. The management of traumatic isolated inferior rectus rupture. Strabismus 2012;20:105-8.
Zuo X, Gao L, Bao L, Chunyan L. Surgical repair of traumatic isolated inferior rectus muscle avulsion. Eur J Ophthalmol 2019;29:106-9. DOI: https://doi.org/10.1177/1120672118769780
Guardana GG. Satisfied result of modified Knapp procedure for a rare case of isolated superior rectus muscle rupture: a case report. Ophthalmol Ina 2021;47:3-8.
Singh A, Pandey PK, Agrawal A, Rana KM, Mittal SK, Kumar B. Simultaneous superior rectus recession and anterior transposition of inferior oblique muscle as a surgical option for traumatically lost inferior rectus muscle. Strabismus 2018;26:90-5. DOI: https://doi.org/10.1080/09273972.2018.1444066
Beauchamp C, Mitchell PR. Inferior oblique muscle surgery. In: Duane TD, Tasman W, Jaeger EA. Duane’s Clinical Ophthalmology. Revised ed. Philadelphia: Lippencott-Raven; 1995: chapter 87.
Batra R, Gao A, Shun-Shin GA. The management of traumatic isolated inferior rectus rupture. Strabismus 2012;20:105-8. DOI: https://doi.org/10.3109/09273972.2012.680228
Couser NL, Lenhart PD, Hutchinson AK. Augmented Hummelsheim procedure to treat complete abducens nerve palsy. J AAPOS 2012;16:331-5. DOI: https://doi.org/10.1016/j.jaapos.2012.02.015