Aetiology and incidence of facial fractures sustained during sports: a prospective study of 140 patients

Maladière, E; Bado, F; Meningaud, Jean Paul; Guilbert, F; Bertrand, Jacques-Charles

doi:10.1054/ijom.2001.0059

Cited by 91 publications

(85 citation statements)

References 12 publications

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“…According to different studies from several countries the incidence of maxillofa- cial fractures sustained during sports is from 5.6 to 33% 2,3,7,19,20,21,26 . However, in our hospital 6% of the fractures were sports-related.…”

Section: Discussionmentioning

confidence: 99%

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Sports-related maxillofacial fractures: A retrospective study of 125 patients

Mourouzis¹,

Koumoura²

2005

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

“…A clash of heads and a struck by the elbow were the most common causes of accidents for soccer and basketball, respectively. Falls to the ground occurred mainly during no-contact sports 20 . Impacts against game accessories or equipment such as the ball were rare and they occurred in soccer and hockey.…”

Section: Discussionmentioning

confidence: 99%

Sports-related maxillofacial fractures: A retrospective study of 125 patients

Mourouzis¹,

Koumoura²

2005

International Journal of Oral and Maxillofacial Surgery

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“…Falls resulting in facial trauma had a 43.9% incidence of Le Fort fractures, occurred from an average height of 7.3 meters, and were associated with extremity, head, or chest injuries 9.8% of the time [25][26][27]. Sports-related facial trauma had a greater frequency of Le Fort fractures in high-speed sports such as mountain-biking and skiing [28]. Specifically, Maladière et al found that there was an increased incidence of Le Fort fractures in mountain bikers when compared to cyclists (15.2% vs. 3.7%), likely due to the high velocity and dangerous terrain associated with mountain biking compared to cycling.…”

Section: Etiologymentioning

confidence: 99%

“…Specifically, Maladière et al found that there was an increased incidence of Le Fort fractures in mountain bikers when compared to cyclists (15.2% vs. 3.7%), likely due to the high velocity and dangerous terrain associated with mountain biking compared to cycling. Conversely, lower velocity maxillofacial fractures typically occurred in the setting of contact sports such as soccer and rugby [28]. Drug and alcohol use has been documented in 28-45% of traumas that result in facial fracture and has been associated with more severe Le Fort fracture types [6,10,14,26,28].…”

Section: Etiologymentioning

confidence: 99%

“…Conversely, lower velocity maxillofacial fractures typically occurred in the setting of contact sports such as soccer and rugby [28]. Drug and alcohol use has been documented in 28-45% of traumas that result in facial fracture and has been associated with more severe Le Fort fracture types [6,10,14,26,28]. One study found that positive screens for drug or alcohol use were present in 13.6%, 18.1%, and 52.1% of Le Fort I, II, and III fractures [6].…”

Section: Etiologymentioning

confidence: 99%

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Le Fort Fractures: A Collective Review

Phillips¹,

Turco²

2017

BEAT

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Le Fort fractures constitute a pattern of complex facial injury that occurs secondary to blunt facial trauma. The most common mechanisms of injury for these fractures, which are frequently associated with drug and alcohol use, include motor vehicle collisions, assault, and falls. A thorough search of the world's literature following PRISMA guidelines was conducted through PubMed and EBSCO databases. Search terms included "Le Fort fracture", "facial", "craniofacial", and "intracranial." Articles were selected based on relevance and examined regarding etiology, epidemiology, diagnosis, treatment, complications, and outcomes in adults. The analyzed studies were published between 1980 and 2016. Initial data search yielded 186 results. The search was narrowed to exclude articles lacking in specificity for Le Fort fractures. Fifty-one articles were selected, the majority of which were large case studies, and collectively reported that Le Fort fractures are most commonly due to highvelocity MVC and that the severity of fracture type sustained occurred with increasing frequency. It was also found that there is a general lack of published Level I, Level II, and Level III studies regarding Le Fort fracture management, surgical management, and outcomes. The limitation of this study, similar to all PRISMA-guided review articles, is the dependence on previously published research and availability of references as outlined in our methodology. While mortality rates for Le Fort fractures are low, these complex injuries seldom occur in isolation and are associated with other severe injuries to the head and neck. Quick and accurate diagnosis of Le Fort fractures and associated injuries is crucial to the successful management of blunt head trauma.

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