30. Special mandibular joint
Emergency Department of Michigan Medical University Hospital.
Qiao Chu took off his surgical gown, took off his gloves, and sat down at his desk tiredly.
She has been so tired lately, and today on this day shift, she has already done three emergency surgeries, all of which are emergencies, one more complicated than the other, and one more serious than the other.
She had gone to bed late last night, and she didn't go to bed until one o'clock in the morning until she was flipping through the materials, and now, she just wanted to get a good night's sleep.
"Dr. Joe! Listen, there's the sound of a police car, it seems to be coming towards us......." The nurse on duty comfortably pricked up her ears and listened for a while, and said with a sad face.
Generally, on duty in the emergency department, the two voices that I am most afraid of hearing are the horn of the ambulance and the siren of the police car. Either way, you'll need to be busy for most of the day.
"Looks like he's busy again!"
Qiao Chu was just about to lie on the table and squint for a while, when he heard the sound of the police car siren from far and near, although the nurse on duty was extremely reluctant, she still pushed the cart and rushed out as soon as possible.
Qiao Chu also got up quickly and ran out with the little nurse.
"What's the situation?" The door of the police car opened, and Qiao Chu asked for the first time.
"One was kicked in the lower body, and the other was beaten off by someone and his jaw fell off, it should have been a fight, however, there are no witnesses, our people have already called up the surveillance, please treat them first!" Xiao Xue jumped out of the police car.
"Push to the treatment room immediately!" Qiao Chu instructed the nurse.
Qin Hao and Qi Xiaofeng were quickly carried to the hospital's cart by the nurses and nurses, and rushed to the emergency room one after the other.
Qi Xiaofeng curled up and lay on the cart, humming and moaning in his mouth. Qin Hao was lying with his face facing up, he didn't scream, he just supported his chin with his hand, looking terrified.
Behind the cart were two students from the second middle school.
The two students were also panicked, they were also invited to Xibei's birthday party, because there was something temporary, they decided to leave early, but they didn't expect to see Qin Hao and Qi Xiaofeng who fell to the ground near the parking lot, and the two quickly called the police.
After a brief check of the injuries of the two, none of them were serious, so Qiao Chu opened a list and asked the nurse to escort the two to filming!
Soon Qiao Chu got the film, Qi Xiaofeng's lower body was contusion, and the diagnosis was clear, but it is not clear whether it can leave sequelae, and it can only be treated symptomatically. It's just that Qin Hao's film makes Qiao Chu a little unpredictable.
The temporomandibular joint is the only synovial joint between the skull, which is composed of the mandibular fossa, articular tubercles, and mandibular head of the temporal bone. Temporomandibular joint dislocation occurs because the mandibular head slides forward into the infratemporal fossa and cannot retract into the fossa.
It stands to reason that general external forces will not cause temporomandibular joint dislocation, and in this case, the first possibility is that there is a problem with the anatomy of the temporomandibular joint itself, such as local ligament laxity and wear of the joint surface. Another possibility is that the external force is large enough and the force angle is accurate enough.
However, judging from Qin Hao's film, there is no problem with the anatomy of his temporomandibular joint, the ligaments are very tight, the articular surface is also smooth, and there is no damage, and what makes Qiao Chu even more incomprehensible is that judging from Qi Xiaofeng's film, there is a small sharp hook at the end of his mandibular head, which is just embedded in the joint socket.
This is an anatomy that the average person does not have. The existence of such a hook can be said to be a protective shield of the temporomandibular joint, and the direction of the external force is basically opposite to this hook, so even if there is an external force to strike his jaw joint, it will only make his jaw joint and socket fit more closely, and will not dislocate the jaw joint.
Of course, there is another problem, such a complex anatomical mechanism, once dislocated, it is more difficult to reduce, manual reduction is basically impossible, and the operation is easy to damage the ligaments, and the articular surface will also be damaged.
"The patient, immediately give pain relief and swelling treatment, this ...... For the time being, inject a shot of diazepam! Qiao Chu first set Qi Xiaofeng's treatment plan, as for Qin Hao, he can only be treated conservatively for the time being.
"Where's my son?"
As soon as he got the injection, a middle-aged man with shiny hair rushed into the emergency room, followed by two men in black, full of style.
"Ah Hao! What happened to you? ”
Seeing Qin Hao on the emergency bed, the man rushed over with an anxious expression.
The person who came was Qin Hao's father, Qin Yifan, the owner of Mizhou Guixinyuan Real Estate Development Co., Ltd.
"Dad......" Seeing his father, Qin Hao's eyes turned red, and he wanted to say something, but his mouth hurt so much that he couldn't say anything, only shed tears.
Looking at his son's pitiful appearance, Qin Yifan felt distressed for a while, "Who beat him?" Son, tell me, who is so bold? Qin Yifan asked loudly.
"We received a call and only saw the two of them at the scene, but there should be a video at the scene, and our personnel are still investigating." Xiao Xue stepped forward to explain that at this moment she regretted that she was on duty for her brother on impulse, and now it's okay, her brother is a pickle girl who is free outside, and she is in a big trouble.
"Which police station are you from? I called your director, why haven't you caught anyone yet? Because of his anger, the muscles on Qin Yifan's face trembled violently.
"Chengxi Police Station!" Xiao Xue pouted, and truthfully reported the name of her brother's unit, anyway, she was just a temporary leader, so she had trouble letting her cheap brother go to the top.
"I'll call him right away! A group of rice buckets, even one person can't catch it! He roared as he dialed the head of the Chengxi police station.
"Xia Donghai, my son was beaten, and your people haven't caught the murderer yet, what kind of efficiency is this?" Qin Haofan asked loudly.
Today is the weekend, Xia Donghai rarely spent a weekend at home with his wife and children, and he received such a call, although Qin Yifan is not a political bigwig, but he is also a figure in the business world. Therefore, after receiving his call, Xia Donghai did not dare to slack off at all, and immediately asked the police at the scene to answer the phone.
"Your director told you to answer the phone!" After receiving a satisfactory answer, Qin Yifan's face finally softened a little and handed the phone to Xiao Xue.
Xiao Xue pointed at herself, a little confused for a while, but it was difficult to ride a tiger, so she had to take the phone head-on.
"I'm Xia Donghai, what's the situation? Why can't you even catch someone! Are they all rice buckets? Xia Donghai was angry, and naturally sent it to his subordinates, but he didn't expect that it was not his soldiers on the other side of the phone, but Xiao Xue.
Where did Xiao Xue suffer from this kind of, as soon as she heard Xia Donghai's words, her temper also came up!
"I'm Xiao Xue, Xiao Yang's sister, Xiao Yang went out to pick up girls, you can talk to him if you have something!" After speaking, he didn't wait for the other party to reply, and pressed the phone directly.
Dare to blow my beard and stare at Xiao Xue, and don't look at my father's promise? Xiao Xue thought so, smiled slightly, and handed the phone to Qin Yifan, "Uncle, don't be so arrogant, this is a hospital, if your son can't beat someone but is bullied, it will be a shame!" With that, he swaggered out.