Let’s first understand the terms Luxation, Subluxation & Habitual Dislocation👇🏻

• Luxation of joint refers to complete dislocation – Non self reducing.
• Subluxation is partial dislocation or Self-reducing.
• Repeated anterior dislocation & self reduction leads to Habitual/Recurrent dislocation.

➡️ Condylar dislocations can be divided into Anterior (Luxation/Subluxation), Cranial & Posterior Dislocations.

Etiology:

1. Fracture of condyle (due to acute trauma)
2. Stretching of capsule of TMJ
3. Yawning/mouth opened too widely (during extraction/ Tonsillectomy/ Endoscopy)

Clinical Features:

1. Sudden locking & immobilization of jaw when the mouth is open. Hence mouth cannot be closed and patient becomes panicky.
2. Spasmodic contractions of Temporal, internal pterygoid & masseter muscle with protrusion of jaw.
3. Severe pain, excessive salivation & depression of skin around preauricular area
4. Eating/talking – impossible.

Treatment:

1. Relaxation of Muscles – Inferior & superior pressure of thumbs in mandibular molar area.
2. General anesthesia
3. Tiring the masticatory muscles: Cupping the chin in palm of hand & applying pressure 5-10 min.
4. Recurrent Dislocation – Alter the ligament, bony musculature.
5. Repositioning Dislocated Temperomandibular Joint..Do watch till the end! (Video credits: Youtube channel-The General Medicine)👇🏻

https://www.instagram.com/tv/Bz-qZqunJtF/?igshid=24valy01dqya