The 'Syringe' Technique

A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department

Julie Gorchynski, MD; Eddie Karabidian, MSC; Michael Sanchez, MD

J Emerg Med. 2014;47(6):676-681.

Conclusion

Our described technique is a novel hands-free maneuver that is quick, simple, safe, and effective. EPs should consider this method as a useful technique in the management of acute nontraumatic TMJ dislocations in the ED.

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Cite this: A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department - Medscape - Dec 01, 2014.

Table 1. Data for the Length of Time that the TMJ had been Dislocated, the Time Needed to Reduce the TMJ, and the Syringe Sizes Utilized for Reduction
N = 31	n (%)
Duration of dislocation	<1 h	1–2 h	>2 h
Duration of dislocation	13 (42)	14 (45)	4 (13)
Reduction time	<1 min	1–2 min	>2 min
Reduction time	24 (77)	5 (16)	2 (7)
Syringe size	10 mL	5 mL	10 mL and 5 mL
Syringe size	17 (55)	3 (10)	11 (35)

TMJ = temporomandibular joint.

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A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department

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