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Zygomatic Arch Fracture in a 40-Year-Old Woman

Ramponi, Denise DNP, NP-C, FAEN, CEN, FAANP, FNP-C, ENP-C; White, Thomas DEd, MSN, CRNP, CEN, FNP-BC

Section Editor(s): Ramponi, Denise DNP, NP-C, FAEN, CEN, FAANP, FNP-C, ENP-C; Column Editor

doi: 10.1097/TME.0000000000000042

This case describes an injury to a 40-year-old woman, employed as a softball team coach, who presented to an emergency department (ED) after sustaining a line drive hit to the right side of the face with a softball during practice. Upon arrival to the ED, the patient complained of moderate pain, swelling, and bruising over the right side of her midface area. After evaluation in the ED, the patient received a diagnosis of a zygomatic arch fracture that was further managed by an occupational medicine nurse practitioner, a plastic surgeon, and an ear, nose, and throat (ENT) physician specialist.

School of Nursing & Health Sciences, Robert Morris University, Moon Township, Pittsburgh, Pennsylvania (Dr Ramponi); Emergency Department and Convenient Care, Heritage Valley Health System, Sewickley, Pennsylvania (Dr Ramponi); Department of Nursing, Edinboro University of Pennsylvania, Edinboro, Pennsylvania (Dr White); and Emergency Department and Occupational Medicine Department, St. Vincent's Health System, Erie, Pennsylvania (Dr White).

Corresponding Author: Denise Ramponi, DNP, NP-C, FAEN, CEN, FAANP, FNP-C, ENP-C, School of Nursing & Health Sciences, 6001 University Blvd, Moon Township, PA 15108 (

Illustrations by Nicole Eaton and Allison Morrison, Robert Morris University.

Disclosure: The authors report no conflicts of interest.

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