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{| class="wikitable"
{{#ask: [[Is DrugClass::Benzodiazepine]] | ?SeizureDose=Dose | ?BrandName=Trade Name}}
|-
! Dislocation Type
! Frequency
! Mechanism
! Additional Comments
! Associated with fracture?
! Image
|-
| '''Anterior'''
|
*Most common
|
*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
|
[[File:Anterior Dislocation.jpeg|100px]]
|-
| '''Posterior'''
|
*Rare
|
*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
|
[[File:Posterior Dislocation.jpeg|100px]]
|-
| '''Lateral'''
|
*Rare
|
*
|
*Often associated with mandibular fracture
|
*Yes
|
[[File:Lateral Dislocation.jpeg|100px]]
|-
| '''Superior'''
|
*Rare
*Occur from blow to the partially opened mouth
|
*Associated with cerebral contusions, facial nerve palsy, deafness
|
*
|
[[File:Superior Dislocation.jpeg|100px]]
|}


==EX==
[[Scarlet_fever_1.2.jpg|thumb|"Slapped cheeks" and "white mustache" (circumoral pallor) typical of scarlet fever.]]
 
 
'''Superior''' dislocations occur after being punched below the mandibular ramus as the mouth remains half-open. Since great force occurs in a punch, the angle of the jaw will be forced upward moving towards the [[condylar]] head. This can result in a fracture of the glenoid fossa and displacement of the condyle into the [[middle cranial fossa]], potentially injuring the [[facial nerve|facial]] and [[vestibulocochlear nerve]]s and the [[temporal lobe]]. '''Lateral''' dislocations move the mandibular condyle away from the skull and are likely to happen together with jaw fractures.<ref name=EMedicine823775/><ref name=pmid21474286>{{cite journal |doi=10.1016/j.ijom.2011.02.031 |pmid=21474286 |title=Management of long-standing mandibular dislocation |journal=International Journal of Oral and Maxillofacial Surgery |volume=40 |issue=8 |pages=810–4 |year=2011 |last1=Huang |first1=I-Y. |last2=Chen |first2=C.-M. |last3=Kao |first3=Y.-H. |last4=Chen |first4=C.-M. |last5=Wu |first5=C.-W. }}</ref>
 
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. [[seizure]]s, ligamentous laxity, degeneration of joint capsule).

Latest revision as of 19:21, 5 November 2025