Part of the orbit that fractures in blow out fracture of orbit is
**Core Concept**
A blowout fracture of the orbit occurs when there is a fracture of one or more of the bones that form the orbital floor or medial wall. This type of fracture is often caused by a direct blow to the orbit, such as from a sports injury or a fall, which results in the displacement of the orbital contents into the maxillary sinus or ethmoid sinus.
**Why the Correct Answer is Right**
The orbital floor is a thin, plate-like structure that is composed of the maxillary bone. It is the weakest part of the orbit and is most susceptible to fracture in the event of a direct blow to the orbit. The orbital floor is also the most common site of blowout fractures because it is the thinnest part of the orbit and has the least amount of bony support. When the orbital floor fractures, the orbital contents, including the globe, extraocular muscles, and nerves, can herniate into the maxillary sinus, leading to enophthalmos (sinking of the eye into the orbit) and other orbital complications.
**Why Each Wrong Option is Incorrect**
**Option A:** The orbital rim is a thicker, more robust structure that is less likely to fracture in a blowout injury.
**Option B:** The orbital roof is formed by the frontal bone and is not typically involved in a blowout fracture of the orbit.
**Option C:** The medial wall of the orbit is formed by the lamina papyracea of the ethmoid bone and can be involved in a blowout fracture, but it is not the most common site.
**Clinical Pearl / High-Yield Fact**
In a blowout fracture of the orbit, it is essential to assess for entrapment of the inferior rectus muscle, which can occur when the orbital floor fractures and the muscle becomes trapped in the maxillary sinus. This can lead to postoperative diplopia (double vision) and other complications.
**Correct Answer: C. The medial wall of the orbit is not the correct answer, but the correct answer is not listed. I will provide the correct answer which is D. The orbital floor.