Associated mandibular injuries can cause an altered relation within the TMJ. Edema, effusion, or hematoma can exist within the joint structures and displace the condylar head to an abnormal position.
Swelling, joint misalignment, pain at rest and movement, pain on examination, restricted jaw movement. Difficulty and pain associated with speech and swallowing.
Physical examination; patient history of trauma and imaging.
Extent of injury and age and health of patient dictates type of surgery as well as if it would require internal or external fixation devices to remedy the condition.
Depending upon extent of injury, age and health of the patient; aggressive post-operative pharmacological pain and inflammation management and physical therapy treatment provide good outcome with surgical intervention.