TMJ injury

RE: TMJ injury

Evelyn Barbour-Hill — Sat, 23 Apr 2016 21:42:23 GMT

[quote user="Julie Boyle"]Could you direct me to it![/quote]

RE: TMJ injury

Julie Boyle — Sat, 23 Apr 2016 19:08:43 GMT

I'm afraid I still can't see the fracture! Could you direct me to it!

RE: TMJ injury

Rob Davis — Sat, 23 Apr 2016 18:57:18 GMT

[quote user="Evelyn Barbour-Hill"]I'm fairly confident I can see on the right a non-displaced fracture of the condyle, medial side, on the DV view.[/quote]

Thank you, Evelyn, I was hoping somebody would spot something I'd missed. As soon as I read your post I looked at the picture and can see what you mean - I can't believe I hadn't seen it myself! I will review the original DICOM picture when I'm back at work on Monday.

I had prescribed metacam and monitor anyway, so at least treatment plan hasn't changed!

RE: TMJ injury

grumpyoldman — Sat, 23 Apr 2016 16:50:00 GMT

great X-rays , hard to comment on TMJs without the through the mouth open view.

Some periorbital and masticatory myopathies can be painful without initial swelling and atrophy . Retrobulbar access 's/fb reactions /orbital myxosarcomas etc do not always swell or cause globe deviation. Zygomatic Sialadenitis +/- mucocoele

After a month you would expect something bad to have popped out of the woodwork.

2M antibodies ? CK

Ultrasound across the orbit , and laterally above and below the zygomatic arch ?

CT if you cannot find anything another way ?

RE: TMJ injury

Evelyn Barbour-Hill — Sat, 23 Apr 2016 16:33:06 GMT

I'm fairly confident I can see on the right a non-displaced fracture of the condyle, medial side, on the DV view.

Because of its plane it is invisible on the lateral view.

Treatment? Analgesia and rest ( no attempts to forcibly open mouth, no food that needs gnawing), I guess.