Superolateral Dislocation of Intact Mandibular Condyle: A Rare Case Series


Authors : Dr. Ayush Garg; Dr. Vikas Kunwar Singh; Dr. Ruchika Tiwari; Dr. Priyal Lathi; Dr. Hetvi Saxena; Dr. Akshita Arya;

Volume/Issue : Volume 7 - 2022, Issue 5 - May

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3MuoAEl

DOI : https://doi.org/10.5281/zenodo.6626201

Abstract : In mandibular fractures, the most common dislocations of mandibular condyle are anterior and anteromedial dislocations. Condylar head dislocations are less common in three directions: lateral, medial, and posterior as comparedto superolaterally dislocated condyle which is rarely reported. Patients and Method: We describe four patients with superolaterally dislocated intact mandibular condylein Mahatma Gandhi Hospital (MGH), Jaipur between 2013 to 2021 due to road traffic accidents & fall from height and their treatment modalities. Results: Dislocation towards lateral and superior side of intact condyle is frequently avoided, despite the fact that it needs complete physical and radiographic examinations as well as timely identification and management are extremely important because dislocation for a long time might result in difficult reduction. For superior-lateral condylar dislocations, manual reduction is the first therapeutic option, however in delayed instances, open reduction is the best alternative. Conclusion: This study demonstrates that although superolateral displacement of intact mandibular condyle is a rare condition but the early diagnosis and treatment of SDMC is necessary.

Keywords : Superolateral dislocation, Lateral dislocation, Mandibular condyle, Mandibular fracture.

In mandibular fractures, the most common dislocations of mandibular condyle are anterior and anteromedial dislocations. Condylar head dislocations are less common in three directions: lateral, medial, and posterior as comparedto superolaterally dislocated condyle which is rarely reported. Patients and Method: We describe four patients with superolaterally dislocated intact mandibular condylein Mahatma Gandhi Hospital (MGH), Jaipur between 2013 to 2021 due to road traffic accidents & fall from height and their treatment modalities. Results: Dislocation towards lateral and superior side of intact condyle is frequently avoided, despite the fact that it needs complete physical and radiographic examinations as well as timely identification and management are extremely important because dislocation for a long time might result in difficult reduction. For superior-lateral condylar dislocations, manual reduction is the first therapeutic option, however in delayed instances, open reduction is the best alternative. Conclusion: This study demonstrates that although superolateral displacement of intact mandibular condyle is a rare condition but the early diagnosis and treatment of SDMC is necessary.

Keywords : Superolateral dislocation, Lateral dislocation, Mandibular condyle, Mandibular fracture.

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