Presentation
Fighting. Punch to the face. Left sided tenderness and unable to open mouth properly.
Patient Data
Age: 15 years
Gender: Male
From the case:
Mandibular condyle fracture/dislocation
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Fracture of the left mandibular ramus with dislocation of the left mandibular condyle which is displaced medially.
From the case:
Mandibular condyle fracture/dislocation
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Left mandibular condyle fracture dislocation with medial displacement of the condyle. The midline mandibular fracture is also now visualsed.
From the case:
Mandibular condyle fracture/dislocation
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Post-operative fixation of the left mandibular condyle fracture and midline mandibular body fracture.
Case Discussion
This case highlights two important points:
- always clearly identify the position of the mandibular condyles in the TMJs in trauma
- look carefully for the second fracture because they often occur as pairs
CT is very helpful for clarification of the exact injury.
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