Subluxation
Encyclopedia
A subluxation may have different meanings, depending on the medical
specialty involved. It implies the presence of an incomplete or partial dislocation
of a joint or organ
. The World Health Organization
(WHO) defines both the medical subluxation and the chiropractic subluxation
. It contrasts the two and states in a footnote that a medical subluxation is a "significant structural displacement, and therefore visible on static imaging studies
."
is the subluxation of the head of the radius
from the annular ligament
. Other joints that are prone to subluxations are the shoulder
s, finger
s, kneecaps, and hips affected by hip dysplasia
. A spinal subluxation is relatively rare, but can sometimes impinge on spinal nerve
roots, causing symptoms in the areas served by those roots. In the spine, such a displacement may be caused by a fracture
, spondylolisthesis
or severe osteoarthritis
.
subluxation is called ectopia lentis
, an ocular condition characterized by a displaced or malpositioned lens
within the eye
. Subluxated lenses are frequently found in those who have had ocular trauma and those with certain systemic disorders, such as Marfan syndrome
, Ehlers–Danlos syndrome, and homocystinuria
. Some subluxated lenses may require removal, as in the case of those that float freely or those that have opacified to form cataract
s.
subluxation is a traumatic
injury in which the tooth
has increased mobility but has not been displaced from the mandible
or maxilla
. This is a common condition and one of the commonest dental traumatic disorders. Dental subluxation is a non-dental-urgency condition, i.e., unlikely to result in significant morbidity if not seen within 24 hours by a dentist
, and usually treated conservatively; good oral hygiene
with 0.12% chlorhexidine gluconate
mouthwash
, a soft and cold diet, and avoidance of smoking
for several days. In painful
situations, a temporary splinting of the injured teeth may relieve the pain
.
Medicine
Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....
specialty involved. It implies the presence of an incomplete or partial dislocation
Dislocation (medicine)
Joint dislocation, or luxation , occurs when bones in a joint become displaced or misaligned. It is often caused by a sudden impact to the joint. The ligaments always become damaged as a result of a dislocation...
of a joint or organ
Organ (anatomy)
In biology, an organ is a collection of tissues joined in structural unit to serve a common function. Usually there is a main tissue and sporadic tissues . The main tissue is the one that is unique for the specific organ. For example, main tissue in the heart is the myocardium, while sporadic are...
. The World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...
(WHO) defines both the medical subluxation and the chiropractic subluxation
Vertebral subluxation
Vertebral subluxation is a term that is commonly used by some chiropractors to describe signs and symptoms of the spinal column. Those chiropractors who assert this concept also add a visceral component to the definition...
. It contrasts the two and states in a footnote that a medical subluxation is a "significant structural displacement, and therefore visible on static imaging studies
X-ray
X-radiation is a form of electromagnetic radiation. X-rays have a wavelength in the range of 0.01 to 10 nanometers, corresponding to frequencies in the range 30 petahertz to 30 exahertz and energies in the range 120 eV to 120 keV. They are shorter in wavelength than UV rays and longer than gamma...
."
Orthopedics
An orthopedic subluxation of any joint will usually need medical attention to help relocate or reduce the joint. Nursemaid's elbowNursemaid's elbow
Nursemaid's elbow, Babysitter's elbow or Pulled elbow is a dislocation of the elbow joint caused by a sudden pull on the extended pronated arm, such as by an adult tugging on an uncooperative child, or swinging the child by the arms during play...
is the subluxation of the head of the radius
Radius (bone)
The radius is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna, which exceeds it in length and size. It is a long bone, prism-shaped and slightly curved longitudinally...
from the annular ligament
Annular ligament
The anular ligament is a strong band of fibers, which encircles the head of the radius , and retains it in contact with the radial notch of the ulna....
. Other joints that are prone to subluxations are the shoulder
Shoulder
The human shoulder is made up of three bones: the clavicle , the scapula , and the humerus as well as associated muscles, ligaments and tendons. The articulations between the bones of the shoulder make up the shoulder joints. The major joint of the shoulder is the glenohumeral joint, which...
s, finger
Finger
A finger is a limb of the human body and a type of digit, an organ of manipulation and sensation found in the hands of humans and other primates....
s, kneecaps, and hips affected by hip dysplasia
Hip dysplasia (human)
Hip dysplasia, developmental dysplasia of the hip or congenital dysplasia of the hip is a congenital or acquired deformation or misalignment of the hip joint.-Terminology:...
. A spinal subluxation is relatively rare, but can sometimes impinge on spinal nerve
Spinal nerve
The term spinal nerve generally refers to a mixed spinal nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body...
roots, causing symptoms in the areas served by those roots. In the spine, such a displacement may be caused by a fracture
Fracture
A fracture is the separation of an object or material into two, or more, pieces under the action of stress.The word fracture is often applied to bones of living creatures , or to crystals or crystalline materials, such as gemstones or metal...
, spondylolisthesis
Spondylolisthesis
Spondylolisthesis describes the anterior or posterior displacement of a vertebra or the vertebral column in relation to the vertebrae below. It was first described in 1782 by Belgian obstetrician, Dr. Herbinaux. He reported a bony prominence anterior to the sacrum that obstructed the vagina of a...
or severe osteoarthritis
Osteoarthritis
Osteoarthritis also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion...
.
Ophthalmology
An ophthalmologicOphthalmology
Ophthalmology is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems...
subluxation is called ectopia lentis
Ectopia lentis
Ectopia lentis is a displacement or malposition of the eye's crystalline lens from its normal location. A partial dislocation of a lens is termed lens subluxation or subluxated lens; a complete dislocation of a lens is termed lens luxation or luxated lens.-Ectopia lentis in dogs and cats:Although...
, an ocular condition characterized by a displaced or malpositioned lens
Lens (anatomy)
The crystalline lens is a transparent, biconvex structure in the eye that, along with the cornea, helps to refract light to be focused on the retina. The lens, by changing shape, functions to change the focal distance of the eye so that it can focus on objects at various distances, thus allowing a...
within the eye
Human eye
The human eye is an organ which reacts to light for several purposes. As a conscious sense organ, the eye allows vision. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth...
. Subluxated lenses are frequently found in those who have had ocular trauma and those with certain systemic disorders, such as Marfan syndrome
Marfan syndrome
Marfan syndrome is a genetic disorder of the connective tissue. People with Marfan's tend to be unusually tall, with long limbs and long, thin fingers....
, Ehlers–Danlos syndrome, and homocystinuria
Homocystinuria
Homocystinuria, also known as cystathionine beta synthase deficiency or CBS deficiency, is an inherited disorder of the metabolism of the amino acid methionine, often involving cystathionine beta synthase...
. Some subluxated lenses may require removal, as in the case of those that float freely or those that have opacified to form cataract
Cataract
A cataract is a clouding that develops in the crystalline lens of the eye or in its envelope, varying in degree from slight to complete opacity and obstructing the passage of light...
s.
Dentistry
A dentalDentistry
Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered...
subluxation is a traumatic
Dental trauma
Dental trauma refers to trauma to the face, mouth, and especially the teeth lips and periodontium. The study of dental trauma is called dental traumatology.- Types :* Tooth fractures**Enamel infraction**Enamel fracture**Enamel-dentine fracture...
injury in which the tooth
Tooth
Teeth are small, calcified, whitish structures found in the jaws of many vertebrates that are used to break down food. Some animals, particularly carnivores, also use teeth for hunting or for defensive purposes. The roots of teeth are embedded in the Mandible bone or the Maxillary bone and are...
has increased mobility but has not been displaced from the mandible
Mandible
The mandible pronunciation or inferior maxillary bone forms the lower jaw and holds the lower teeth in place...
or maxilla
Maxilla
The maxilla is a fusion of two bones along the palatal fissure that form the upper jaw. This is similar to the mandible , which is also a fusion of two halves at the mental symphysis. Sometimes The maxilla (plural: maxillae) is a fusion of two bones along the palatal fissure that form the upper...
. This is a common condition and one of the commonest dental traumatic disorders. Dental subluxation is a non-dental-urgency condition, i.e., unlikely to result in significant morbidity if not seen within 24 hours by a dentist
Dentist
A dentist, also known as a 'dental surgeon', is a doctor that specializes in the diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aides in providing oral health services...
, and usually treated conservatively; good oral hygiene
Oral hygiene
Teeth cleaning is part of oral hygiene and involves the removal of dental plaque from teeth with the intention of preventing cavities , gingivitis, and periodontal disease. People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened...
with 0.12% chlorhexidine gluconate
Chlorhexidine gluconate
Chlorhexidine is a chemical antiseptic. It is effective on both Gram-positive and Gram-negative bacteria, although it is less effective with some Gram-negative bacteria. It has both bactericidal and bacteriostatic mechanisms of action, the mechanism of action being membrane disruption, not ATPase...
mouthwash
Mouthwash
Mouthwash or mouth rinse is a product used to enhance oral hygiene. Some manufacturers of mouthwash claim that antiseptic and anti-plaque mouth rinse kill the bacterial plaque causing cavities, gingivitis, and bad breath. Anti-cavity mouth rinse uses fluoride to protect against tooth decay...
, a soft and cold diet, and avoidance of smoking
Smoking
Smoking is a practice in which a substance, most commonly tobacco or cannabis, is burned and the smoke is tasted or inhaled. This is primarily practised as a route of administration for recreational drug use, as combustion releases the active substances in drugs such as nicotine and makes them...
for several days. In painful
Toothache
A toothache, also known as odontalgia or, less frequently, as odontalgy, is an aching pain in or around a tooth.-Causes:* Dental etiology, In most cases toothaches are caused by problems in the tooth or jaw, such as** Dental caries...
situations, a temporary splinting of the injured teeth may relieve the pain
Pain
Pain is an unpleasant sensation often caused by intense or damaging stimuli such as stubbing a toe, burning a finger, putting iodine on a cut, and bumping the "funny bone."...
.