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难治性颞下颌关节脱位——腕部枢轴法复位

Refractory Temporomandibular Joint Dislocation - Reduction Using the Wrist Pivot Method.

作者信息

Lum Vincent W M, Poh Juliana

机构信息

Changi General Hospital, Department of Accident & Emergency, Singapore, Singapore.

Singapore General Hospital, Department of Emergency Medicine, Bukit Merah, Singapore.

出版信息

Clin Pract Cases Emerg Med. 2017 Oct 18;1(4):380-383. doi: 10.5811/cpcem.2017.9.35834. eCollection 2017 Nov.

DOI:10.5811/cpcem.2017.9.35834
PMID:29849337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5965220/
Abstract

We report a case of a 19-year-old male who presented to the emergency department with refractory atraumatic temporomandibular joint dislocation. Multiple attempts at reduction by emergency physicians before and after sedation were unsuccessful. The dislocation was eventually reduced using the wrist pivot technique. This case highlights the need to consider alternative methods of temporomandibular joint reduction, particularly in cases refractory to reduction despite the use of sedation.

摘要

我们报告一例19岁男性病例，该患者因难治性非创伤性颞下颌关节脱位就诊于急诊科。急诊医生在镇静前后多次尝试复位均未成功。最终采用腕部支点技术成功复位。该病例强调了需要考虑颞下颌关节复位的替代方法，尤其是在尽管使用了镇静但仍难以复位的病例中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a510/5965220/23afae656090/cpcem-01-380-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a510/5965220/898acfbf4f9d/cpcem-01-380-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a510/5965220/23afae656090/cpcem-01-380-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a510/5965220/898acfbf4f9d/cpcem-01-380-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a510/5965220/23afae656090/cpcem-01-380-g002.jpg

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本文引用的文献

1
Dislocation of the Temporomandibular Joint and Relocation Procedures.颞下颌关节脱位及复位方法
Adv Emerg Nurs J. 2016 Jul-Sep;38(3):177-82. doi: 10.1097/TME.0000000000000110.
2
Temporomandibular joint dislocation.颞下颌关节脱位
Natl J Maxillofac Surg. 2015 Jan-Jun;6(1):16-20. doi: 10.4103/0975-5950.168212.
3
The "syringe" technique: a hands-free approach for the reduction of acute nontraumatic temporomandibular dislocations in the emergency department.“注射器”技术：急诊科用于复位急性非创伤性颞下颌关节脱位的免手持方法。
J Emerg Med. 2014 Dec;47(6):676-81. doi: 10.1016/j.jemermed.2014.06.050. Epub 2014 Sep 30.
4
Treatment of acute temporomandibular joint dislocation using manipulation technique for disk displacement.采用盘移位手法技术治疗急性颞下颌关节脱位
J Craniofac Surg. 2014 Mar;25(2):596-7. doi: 10.1097/SCS.0000000000000676.
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Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation.评价颞下颌关节脱位的机制和管理原则。文献系统回顾与颞下颌关节脱位新分类建议。
Head Face Med. 2011 Jun 15;7:10. doi: 10.1186/1746-160X-7-10.
6
Temporomandibular joint dislocation reduction technique: a new external method vs. the traditional.颞下颌关节脱位复位技术：一种新的外部方法与传统方法的比较
Ann Plast Surg. 2009 Aug;63(2):176-8. doi: 10.1097/SAP.0b013e31818937aa.
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Unified hands technique for mandibular dislocation.下颌脱位的统一手法复位技术。
J Emerg Med. 2010 Apr;38(3):366-7. doi: 10.1016/j.jemermed.2008.12.022. Epub 2009 Mar 20.
8
Bilateral temporomandibular joint dislocation following pulmonary function testing: a case report and review of closed reduction techniques.
Emerg Med J. 2008 Jul;25(7):435-6. doi: 10.1136/emj.2007.055038.
9
Mandibular reduction.下颌骨复位
J Emerg Med. 2008 May;34(4):435-40. doi: 10.1016/j.jemermed.2007.06.037. Epub 2008 Feb 1.
10
A safe and effective way for reduction of temporomandibular joint dislocation.一种安全有效的颞下颌关节脱位复位方法。
Ann Plast Surg. 2007 Jan;58(1):105-8. doi: 10.1097/01.sap.0000232981.40497.32.