Should You Get an X-Ray After a Cheekbone Injury? - Family Medicine

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Fracture of the zygomatic bone?


Dr.
Lin was at home a few days ago when his child accidentally bumped into his cheekbone.
Currently, he has no discomfort, bruising, or swelling.
Due to the rising pandemic situation, he is asking whether it is necessary to get an X-ray for confirmation.
Thank you.

Wanfu, 40~49 year old female. Ask Date: 2022/05/02

Dr. Lin Zhebin reply Family Medicine


Hello: Regarding the issue of your cheekbone being hit by a child, since you currently have no significant discomfort and there is no redness, swelling, or bruising observed, I personally believe that you can hold off on getting an X-ray for now.
However, I recommend that you monitor the impacted area over the next few days for any signs of swelling or pain, as well as any occurrences of blurred vision, changes in your visual field, nosebleeds, or discharge.
If you notice any of these symptoms, it is advisable to seek medical evaluation and treatment.

Reply Date: 2022/05/02

More Info


When it comes to assessing whether to get an X-ray after a cheekbone injury, several factors should be considered. In your case, since you mentioned that you were struck on the cheekbone by your child and are currently experiencing no discomfort, bruising, or swelling, the necessity of an X-ray may not be as pressing. However, it is essential to understand the role of imaging in diagnosing potential injuries.

X-rays are commonly used to evaluate bone injuries, including fractures. They are particularly useful for identifying visible breaks or dislocations. In cases of facial injuries, such as those involving the cheekbone (also known as the zygomatic bone), X-rays can help determine if there is a fracture that may not be immediately apparent through physical examination alone.
The decision to proceed with an X-ray should be based on several considerations:
1. Symptoms: If you develop any symptoms such as pain, swelling, or difficulty moving your jaw, it would be prudent to seek medical evaluation and possibly an X-ray. The absence of these symptoms is a good sign, but it does not entirely rule out the possibility of a fracture.

2. Physical Examination: A healthcare provider will typically perform a physical examination to assess for tenderness, swelling, or other signs of injury. If the examination reveals any concerning signs, an X-ray may be warranted.

3. Risk of Complications: Even if you are asymptomatic, some fractures can lead to complications, such as misalignment or damage to surrounding structures (like the eye or sinuses). If there is any concern about these risks, imaging may be recommended.

4. Medical Guidance: Given the ongoing pandemic, it is understandable to be cautious about seeking medical care. However, if you have any doubts or if your symptoms change, it is always best to consult with a healthcare professional. They can provide personalized advice based on your specific situation.

5. Alternatives to X-rays: In some cases, if there is a suspicion of a fracture but no clear indication for an X-ray, a healthcare provider might recommend monitoring your symptoms over a short period. If symptoms develop, then imaging can be pursued.

In summary, while your current lack of symptoms is reassuring, it is essential to remain vigilant. If you notice any changes or if you have concerns, do not hesitate to reach out to a healthcare provider for further evaluation. They can help determine whether an X-ray is necessary based on your individual circumstances. Remember, the goal of imaging is to ensure that any potential injuries are identified and managed appropriately to prevent complications down the line.

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