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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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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