Totten V Y, Zambito R F
Department of Emergency Medicine, The Catholic Medical Center of Brooklyn and Queens, New York, New York, USA.
J Emerg Med. 1998 May-Jun;16(3):467-70. doi: 10.1016/s0736-4679(98)00018-3.
"Locked" or dislocated temporomandibular joint (TMJ) is a common problem in emergency medicine. Like many other joint dislocations, the repositioning of the joint can be facilitated by conscious sedation and muscular relaxation. Propofol is a useful agent for use in the emergency department because of its extremely short half-life, its antiemetic properties, and its safety record. We report two cases of locked TMJ that were repositioned under sedation with propofol. We review methods for repositioning the locked TMJ and review appropriate agents for sedation and muscular relaxation.
“锁定”或脱位的颞下颌关节（TMJ）是急诊医学中的常见问题。与许多其他关节脱位一样，通过意识镇静和肌肉松弛可以促进关节复位。丙泊酚因其半衰期极短、具有止吐特性及安全记录，是急诊科有用的药物。我们报告两例在丙泊酚镇静下复位的锁定颞下颌关节病例。我们回顾了锁定颞下颌关节的复位方法，并探讨了合适的镇静和肌肉松弛药物。
