Abstract
Dislocation of the condyle of the mandible is a common condition that may occur in an acute or chronic form. It is characterised by inability to close the mouth with or without pain. Dislocation has to be differentiated from subluxation which is a self reducible condition. Dislocation can occur in any direction with anterior dislocation being the commonest one. Various predisposing factors have been associated with dislocation like muscle fatigue and spasm, the defect in the bony surface like shallow articular eminence, and laxity of the capsular ligament. People with defect in collagen synthesis like Ehler Danlos syndrome, Marfan syndrome are said to be genetically predisposed to this condition. Various treatment modalities have been used ranging from conservative techniques to surgical methods. Acute dislocations can be reduced manually or with conservative approach and recurrent and chronic cases can be reduced by surgical intervention. Though the dislocation in our case was 4 months a simple manual reduction proved to be successful. We believe that manual reduction can be attempted as first line of treatment prior to surgical intervention.
Original language | English |
---|---|
Pages (from-to) | 251-256 |
Number of pages | 6 |
Journal | Kathmandu University Medical Journal |
Volume | 8 |
Issue number | 30 |
Publication status | Published - 01-04-2010 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Medicine(all)
Cite this
}
Chronic bilateral dislocation of temporomandibular joint. / Shakya, S.; Ongole, R.; Sumanth, K. N.; Denny, C. E.
In: Kathmandu University Medical Journal, Vol. 8, No. 30, 01.04.2010, p. 251-256.Research output: Contribution to journal › Article
TY - JOUR
T1 - Chronic bilateral dislocation of temporomandibular joint
AU - Shakya, S.
AU - Ongole, R.
AU - Sumanth, K. N.
AU - Denny, C. E.
PY - 2010/4/1
Y1 - 2010/4/1
N2 - Dislocation of the condyle of the mandible is a common condition that may occur in an acute or chronic form. It is characterised by inability to close the mouth with or without pain. Dislocation has to be differentiated from subluxation which is a self reducible condition. Dislocation can occur in any direction with anterior dislocation being the commonest one. Various predisposing factors have been associated with dislocation like muscle fatigue and spasm, the defect in the bony surface like shallow articular eminence, and laxity of the capsular ligament. People with defect in collagen synthesis like Ehler Danlos syndrome, Marfan syndrome are said to be genetically predisposed to this condition. Various treatment modalities have been used ranging from conservative techniques to surgical methods. Acute dislocations can be reduced manually or with conservative approach and recurrent and chronic cases can be reduced by surgical intervention. Though the dislocation in our case was 4 months a simple manual reduction proved to be successful. We believe that manual reduction can be attempted as first line of treatment prior to surgical intervention.
AB - Dislocation of the condyle of the mandible is a common condition that may occur in an acute or chronic form. It is characterised by inability to close the mouth with or without pain. Dislocation has to be differentiated from subluxation which is a self reducible condition. Dislocation can occur in any direction with anterior dislocation being the commonest one. Various predisposing factors have been associated with dislocation like muscle fatigue and spasm, the defect in the bony surface like shallow articular eminence, and laxity of the capsular ligament. People with defect in collagen synthesis like Ehler Danlos syndrome, Marfan syndrome are said to be genetically predisposed to this condition. Various treatment modalities have been used ranging from conservative techniques to surgical methods. Acute dislocations can be reduced manually or with conservative approach and recurrent and chronic cases can be reduced by surgical intervention. Though the dislocation in our case was 4 months a simple manual reduction proved to be successful. We believe that manual reduction can be attempted as first line of treatment prior to surgical intervention.
UR - http://www.scopus.com/inward/record.url?scp=78249237187&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78249237187&partnerID=8YFLogxK
M3 - Article
C2 - 21209547
AN - SCOPUS:78249237187
VL - 8
SP - 251
EP - 256
JO - Kathmandu University Medical Journal
JF - Kathmandu University Medical Journal
SN - 1812-2027
IS - 30
ER -