Musculoskeletal case 23. Presentation
=====================================

* Ciaran Keogh
* William C. Torreggiani
* Khalid Al-Ismail
* Peter L. Munk

A 20-year-old man was seen in the Emergency Department in the early hours of the morning after having been assaulted outside a nightclub. The patient was alert and oriented, but his right cheek and orbit were badly swollen.

Radiography of the facial bones was carried out (Figs. 1–4).

![FIG. 1](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/45/4/279/F1.medium.gif)

[FIG. 1](http://canjsurg.ca/content/45/4/279/F1)

FIG. 1 

![FIG. 2](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/45/4/279/F2.medium.gif)

[FIG. 2](http://canjsurg.ca/content/45/4/279/F2)

FIG. 2 

![FIG. 3](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/45/4/279/F3.medium.gif)

[FIG. 3](http://canjsurg.ca/content/45/4/279/F3)

FIG. 3 

![FIG. 4](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/45/4/279/F4.medium.gif)

[FIG. 4](http://canjsurg.ca/content/45/4/279/F4)

FIG. 4 

What are these radiographic views? What is the diagnosis?

For the diagnosis and a discussion see page 309.

## Footnotes

*   Section Editor: Peter L. Munk, MD

*   Inquiries about this section should be directed to Dr. Peter L. Munk, Professor, Department of Radiology, Vancouver General Hospital and Health Sciences Centre, 855 West 12th Ave., Vancouver BC V5Z 1M9; plmunk{at}interchange.ubc.ca