Boston's sign

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Boston's sign

Boston's sign (/bɒstənz saɪn/) is a medical term used to describe a clinical sign in ophthalmology that is indicative of orbital floor fracture. It is named after the city of Boston, where it was first described. The etymology of the term is not well known, but it is believed to have been named by the medical professionals who first identified the sign.

Definition

Boston's sign is a physical examination finding that is characterized by the inability to gaze upward due to entrapment of the inferior rectus muscle following an orbital floor fracture. This sign is often associated with blunt trauma to the eye or face.

Clinical Significance

The presence of Boston's sign is a strong indicator of an orbital floor fracture. It is often used in conjunction with other clinical signs and symptoms, such as diplopia, enophthalmos, and hypoesthesia of the cheek, to diagnose this type of fracture. Early recognition of Boston's sign can lead to prompt treatment and prevent complications such as diplopia and enophthalmos.

Related Terms

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