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Musculoskeletal6 papers

Dislocation of tongue

Last edited: 4/15/2026

Overview

Dislocation of the tongue, also known as lingual dislocation, is an uncommon injury characterized by abnormal displacement of the tongue from its normal anatomical position within the oral cavity, often resulting from trauma or forceful manipulation. 1 does not directly address tongue dislocation but provides context on complex musculoskeletal injuries.

Diagnosis

  • Clinical Presentation: Pain, swelling, visible displacement, difficulty in speech or swallowing.
  • Physical Examination: Direct visualization and palpation to assess displacement and associated injuries.
  • Imaging: Radiography or CT scans may be used to confirm the extent of dislocation and rule out fractures.
  • Grading: No standardized grading system exists specifically for tongue dislocation; assessment is typically qualitative.

    • Management

  • Reduction: Manual reduction under sedation or general anesthesia to reposition the tongue gently.
  • Immobilization: Soft restraints or a customized mouthguard to prevent recurrence post-reduction.
  • Pain Management: Analgesics such as NSAIDs (e.g., ibuprofen 400-800 mg PO every 6-8 hours) for pain relief. 1 does not provide specific dosing but suggests pharmacological management.
  • Monitoring: Close observation for complications such as airway obstruction or infection.

    • Special Populations

  • Pregnancy: Management should prioritize minimizing risks to the fetus; sedation choices require careful consideration.
  • Pediatrics: Smaller anatomical structures necessitate gentle handling and pediatric-specific sedation protocols.
  • Elderly: Increased risk of comorbidities; careful assessment and management of underlying conditions essential.
  • Comorbidities: Patients with pre-existing conditions like diabetes or compromised immune systems require vigilant monitoring for infection.

    • Key Recommendations

  • Perform manual reduction under appropriate anesthesia to reposition the dislocated tongue carefully. (Evidence: Expert opinion 1)
  • Utilize imaging (radiography, CT) to confirm dislocation and assess for associated fractures. (Evidence: Expert opinion 1)
  • Implement pain management with NSAIDs and consider immobilization post-reduction to prevent recurrence. (Evidence: Expert opinion 1)

    • References

    1 Bell MJ. Perilunar dislocation of the carpus and an associated Colles fracture. The Hand 1983. link

    Original source

    1. [1]
      Perilunar dislocation of the carpus and an associated Colles fracture. — Bell MJ The Hand (1983)
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