Page 195 - 2021 IDMT Digital
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MANDIBULAR DISLOCATION
Introduction:
• 0DQGLEXODU GLVORFDWLRQ RFFXUV ZKHQ WKH PDQGLEXODU FRQG\OHV DUH GLVSODFHG
• 7KH SDWLHQW ZLOO SUHVHQW ZLWK D ZLGH RSHQ PRXWK DQG EH XQDEOH WR FORVH
• 5RXWLQHO\ WUDXPD GRHV FDXVH GLVORFDWLRQ PRUH FRPPRQO\ VSRQWDQHRXV
• 0HFKDQLVP LV W\SLFDOO\ D ZLGH \DZQ IROORZHG E\ D ELWLQJ DFWLRQ
• 'LVORFDWLRQ PD\ EH UHFXUUHQW GXH WR OD[LW\ RI 70- OLJDPHQWV RU VKDSH RI IRVVD
• 'LVORFDWLRQ PD\ EH ELODWHUDO RU XQLODWHUDO ZLWK PLGOLQH GHYLDWLRQ WR RQH VLGH
• 0DQXDO UHGXFWLRQ PD\ EH UHTXLUHG
Subjective:
• 6LJQV DQG 6\PSWRPV
o 'URROLQJ
o 3DLQ LQ WKH MDZ DQG LQ SUHDXULFXODU DUHD
o 8QDEOH WR FORVH PRXWK
o 'LIILFXOW\ WDONLQJ
• )RFXVHG +LVWRU\
o 5HFHQW IRRG LQWDNH
5HTXLULQJ ZLGH RSHQLQJ RI PRXWK IROORZHG E\ KLJK ELWH SUHVVXUH WKLQN
VXE VDQGZLFK
o 'HQWDO DSSRLQWPHQW
o +LVWRU\ RI SDVW RFFXUUHQFHV
o 7UDXPD
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH 96
o 3DLQ VFDOH ±
o 0RXWK ORFNHG LQ ZLGH RSHQ SRVLWLRQ ELODWHUDO RU XQLODWHUDO
o %RQ\ SURPLQHQFHV QRWHG LQ WKH SUHDXULFXODU DUHD 70-
o 773 RYHU WKH 70-V DQG PDVVHWHU SWHU\JRLG PXVFOH UHJLRQV
o 3DOSDWH IRU ERQ\ VWHS GHIHFWV WR U R IUDFWXUH
o 0DODOLJQHG GHQWDO RFFOXVLRQ ELWH
• 7RROV
o ; UD\ LI DYDLODEOH WR HYDOXDWH IRU SRVVLEOH IUDFWXUH
Assessment:
• 6LPSOH FRQG\ODU GLVSODFHPHQW UHGXFLEOH
• &RQVLGHU IUDFWXUH RI WKH PDQGLEXODU FRQG\OH
• &RQVLGHU RWKHU DVVRFLDWHG LQMXULHV LI WUDXPD UHODWHG
• &RQVLGHU KHPH DUWKURVLV RU IOXLG HIIXVLRQ LQWR 70- FDSVXOH SRVW LQMXU\
• 7XPRU FDQ GLVSODFH WKH MDZ UDUH
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