The authors conducted a literature review to inform the development of a care pathway for the assessment and management of adult fractures, specifically isolated fractures not combined with facial or systemic injury. Assessments included a core of Hess chart, field of binocular single vision (BSV), quality of life, and exophthalmometry. Imaging included CT as gold standard. Timing of assessment showed disagreement in the literature but with potential to extend the observation period up from two to four weeks for many cases without red flag signs. A care pathway was produced comprising an algorithm for decision-making based on assessment results.