Closed reduction of laterally displaced fracture/dislocation of the mandibular condylar process in a child

J Craniofac Surg. 2011 Jul;22(4):1504-6. doi: 10.1097/SCS.0b013e31821d4db6.

Abstract

This is a unique case of isolated lateral fracture/dislocation of the condylar process in a 3-year-old child injured on an escalator. Immediate closed reduction under general anesthesia successfully restored condylar height and premorbid dental occlusion. Maxillomandibular fixation was not used because mandibular mobilization was encouraged. Clinical follow-up confirmed maintenance of normal dental occlusion and temporomandibular joint function.

MeSH terms

  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / therapy*
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / injuries*
  • Mandibular Fractures / diagnostic imaging
  • Mandibular Fractures / therapy*
  • Pressure
  • Range of Motion, Articular / physiology
  • Temporal Bone / diagnostic imaging
  • Tomography, X-Ray Computed
  • Traction / methods