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January 4, 1919, Vol 72, No. 1 >
ARTICLE | January 4, 1919

DEPRESSED FRACTURE OF THE MALAR BONE

A. E. ROCKEY, M.D.
JAMA. 1919;72(1):28-29. doi:10.1001/jama.1919.26110010007009a.
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ABSTRACT

Preparation for the activities of war has made this lesion more frequent than was usual in civil life. It is caused by direct violence of a fall or blow. Automobile or motorcycle mishaps, bayonet and trench drill, mule kicks, and blows in boxing and baseball have been factors in cases brought to our hospital. The extent of the depression, the location of the fracture line, and complicating fractures of other bones differ with the force and direction of the trauma.

In construction, the malar bone itself is more rugged than the maxilla in the immediate vicinity of its articulations. The occasional occurrence of complete or partial anesthesia of the area of distribution of the infra-orbital nerve demonstrates definitely that the fracture line runs through its foramen of exit. The orbital plate is also involved. The temporal process may or may not be broken. Emphysema was present in one case. When

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