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! Dislocation Type
! Dislocation Type
! Frequency
! Frequency
! Associated with trauma?
! Mechanism
! Mechanism
! Additional Comments
! Additional Comments
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*Most common
*Most common
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*No
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*Spontaneously while patient is yawning, "popping" ears, or laughing
*Spontaneously while patient is yawning, "popping" ears, or laughing
*Risk factors:
*Risk factors:
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*Rare
*Rare
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*Yes
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*Follows a blow to the mandible that may or may not break the condylar neck
*Follows a blow to the mandible that may or may not break the condylar neck
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*Rare
*Rare
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*Yes
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*
*
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*Rare
*Rare
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*Yes
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*Occur from blow to the partially opened mouth
*Occur from blow to the partially opened mouth

Revision as of 20:40, 17 December 2019

Dislocation Type Frequency Associated with trauma? Mechanism Additional Comments Associated with fracture? Image
Anterior
  • Most common
  • No
  • Spontaneously while patient is yawning, "popping" ears, or laughing
  • Risk factors:
    • Prior dislocation
    • Weakness or laxity of capsule
    • Ligamentous injury
  • Mandibular condyle forced in front of the articular eminence
  • May happen bilaterally or unilaterally
  • No

Anterior Dislocation.jpeg

Posterior
  • Rare
  • Yes
  • Follows a blow to the mandible that may or may not break the condylar neck
  • Condylar head may prolapse into the external auditory canal
  • Possible

Posterior Dislocation.jpeg

Lateral
  • Rare
  • Yes
  • Often associated with mandibular fracture
  • Yes

Lateral Dislocation.jpeg

Superior
  • Rare
  • Yes
  • Occur from blow to the partially opened mouth
  • Can result in a fracture of the glenoid fossa and displacement of the condyle into the middle cranial fossa, potentially injuring the facial and vestibulocochlear nerves and the temporal lobe.
  • Associated with cerebral contusions, facial nerve palsy, deafness
  • Yes

Superior Dislocation.jpeg

EX

Posterior, superior and lateral dislocations are uncommon injuries and usually result from high-energy trauma to the chin. By contrast, anterior dislocations are more often the result of low-energy trauma (e.g. tooth extraction) or secondary to a medical condition that affects the stability of the joint (e.g. seizures, ligamentous laxity, degeneration of joint capsule).