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Lockjaw

Lockjaw is a colloquial term for , the inability to open the mouth due to sustained of the muscles, which can result from various causes including infections, trauma, or temporomandibular disorders. It is most commonly associated with , a serious bacterial caused by Clostridium tetani, which produces a leading to painful muscle contractions. , commonly known as lockjaw, enters the body through wounds contaminated with , , or animal containing bacterial spores and is not contagious. Symptoms typically begin 3 to 21 days after exposure (average 8 days) with stiffness, potentially progressing to spasms, difficulties, and life-threatening complications if untreated. Clostridium tetani spores are widespread in soil and manure, germinating in anaerobic wound environments to release , which disrupts neurotransmitters and causes muscle hyperactivity. forms include generalized (most common), localized, cephalic, and neonatal, the last affecting unvaccinated newborns in low-hygiene settings. Risk factors encompass unvaccinated status, chronic wounds, IV drug use, and conditions like . Prevention centers on vaccines (DTaP for children, Tdap/Td boosters every 10 years for adults), reducing incidence dramatically in vaccinated areas, alongside prompt wound care. Globally, cases declined 89% from 2000 to 2021, with estimated deaths falling 84% to about 7,700 in 2021; overall burden has decreased substantially due to , though around 35,000 deaths occur annually, mainly in low-income regions. As of 2022, the around 28 cases yearly, with a case-fatality rate of approximately 10%, mostly in unvaccinated older adults. Treatment involves emergency hospitalization, immune globulin, antibiotics, wound care, and supportive measures like relaxants or . Without early care, mortality is high (up to 50% in generalized cases), emphasizing vaccination's role in eradication efforts; as of 2024, 122 countries have achieved maternal and elimination. For other uses of "lockjaw," including in music, fiction, and slang, see the relevant sections below.

Medicine

Tetanus

Tetanus is an acute infectious disease caused by the bacterium , a spore-forming, , gram-positive rod ubiquitous in and the gastrointestinal tracts of animals. The disease results from the production of , a potent released by the bacteria upon germination in wounds, which interferes with release in the , leading to uncontrolled muscle contractions. This toxin primarily affects inhibitory neurons, causing disinhibition of motor neurons and resultant spastic . The hallmark initial symptom of tetanus is , or lockjaw, characterized by painful spasms and rigidity of the masseter muscles that limit jaw opening. Symptoms typically progress over hours to days to generalized rigidity and spasms involving the neck, back, and abdominal muscles, often triggered by stimuli such as light or noise, and can escalate to opisthotonos—a severe arching of the back. In severe cases, spasms may involve respiratory and laryngeal muscles, leading to , fractures, and potentially fatal if untreated. The case-fatality rate remains high, around 10-20% even with modern care, particularly in resource-limited settings. Tetanus has been recognized since ancient times, with the earliest descriptions attributed to in the BCE, who noted its association with wounds and characteristic spasms. Significant progress occurred in the , culminating in the development of the tetanus toxoid vaccine by French bacteriologist Gaston Ramon in 1924, who inactivated the toxin with to create a safe . Prior to widespread , tetanus caused an estimated millions of cases and hundreds of thousands of deaths annually worldwide, including ~787,000 neonatal deaths in 1988. Vaccination programs have reduced global neonatal tetanus deaths by 97% since 1988, to about 8,000 in 2023, with overall incidence continuing to decline. Transmission occurs when C. tetani spores enter the body through punctures, cuts, or s contaminated with , dust, animal feces, or other environmental sources; the "rusty nail" association stems from the potential for such objects to carry dirt rather than rust itself causing infection. Spores germinate in low-oxygen environments like deep , producing the toxin locally before it spreads hematogenously to the . The ranges from 3 to 21 days, averaging 8 days, influenced by wound location, severity of , and prior status. Tetanus is not contagious between people and cannot be spread through casual contact. Treatment requires immediate hospitalization, often in an intensive care unit for severe cases, focusing on neutralizing unbound , eradicating , controlling spasms, and providing supportive care. Human tetanus immune globulin (TIG), typically 500 international units intramuscularly, is administered to bind circulating , while thorough removes the source of . Antibiotics such as (preferred over penicillin due to better efficacy in conditions) are given intravenously for 7-10 days to eliminate vegetative , and benzodiazepines or neuromuscular blockers like vecuronium are used to manage muscle spasms. may be necessary for airway protection and respiratory support in up to 50% of generalized cases. Prevention relies on active immunization with tetanus toxoid-containing vaccines, which induce protective antibodies against the toxin without preventing spore germination. The DTaP vaccine is administered in a primary series of five doses to children at 2, 4, 6, and 15-18 months, and 4-6 years, followed by a Tdap booster at 11-12 years. Adults receive Tdap once, then Td or Tdap boosters every 10 years to maintain immunity, with additional doses recommended for pregnant individuals during each pregnancy (27-36 weeks) to protect newborns via passive antibody transfer. The World Health Organization's Maternal and Neonatal Tetanus Elimination initiative, launched in 1999, has achieved elimination in 49 countries as of December 2024 through targeted vaccination campaigns, clean delivery practices, and neonatal care improvements, reducing global neonatal cases by 89% from 17,935 in 2000 to 1,995 in 2021 and deaths by 84% in the same period.

Trismus

Trismus, commonly known as lockjaw, is defined as the inability to open the mouth fully due to spasm or fibrosis of the masticatory muscles, resulting in restricted jaw mobility. It is typically measured by the interincisal distance, with normal mouth opening exceeding 35 mm; values below this threshold indicate trismus. This condition arises from tonic contractions of the muscles of mastication, leading to mandibular hypomobility and limited oral aperture. The primary causes of include disorders (TMD), which involve or dysfunction of the joint structures. Dental abscesses and oral infections, such as , can induce muscle spasms through inflammatory spread to adjacent tissues. Trauma to the face or jaw, for head and neck cancers causing , and iatrogenic factors like post-surgical scarring are also common etiologies. While represents one infectious cause through neurotoxin-mediated spasms, most cases stem from these mechanical or inflammatory mechanisms. Diagnosis of relies primarily on clinical examination, assessing maximal mouth opening and jaw during a patient's history review for recent , procedures, or infections. modalities such as MRI or scans are employed to evaluate involvement or underlying structural abnormalities. Differentiation from is achieved by the absence of systemic symptoms like generalized muscle spasms or rigidity. Treatment strategies focus on addressing the underlying cause and alleviating symptoms, beginning with conservative measures like involving jaw-stretching exercises to improve mobility. Nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants, such as , are used to reduce pain and . For severe or refractory cases, (Botox) injections target hyperactive masticatory muscles, while surgical interventions address structural issues like or . Epidemiologically, affects approximately 25% of patients with following radiotherapy, with prevalence varying based on treatment intensity and tumor location. This complication significantly impairs nutrition by hindering adequate food intake and compromises , increasing risks of secondary infections. Historically, the term "" originated in the context of to describe jaw muscle spasms but has since broadened to encompass any restrictive condition regardless of .

Music

Musicians

Eddie "Lockjaw" Davis (March 2, 1922 – November 3, 1986) was an American jazz tenor saxophonist renowned for his powerful, aggressive playing style. Born in New York City, Davis began his professional career in the 1940s, performing with bands led by Cootie Williams and Andy Kirk before gaining prominence in the post-war jazz scene. His nickname "Lockjaw," often shortened to "Jaws," originated from an early recording session where he named one of his compositions "Lockjaw," which became a hit and stuck as his moniker. Influenced by tenor giants like Coleman Hawkins and Lester Young, Davis developed a robust tone and improvisational approach that blended the intricate lines of bebop with the rhythmic drive of hard bop. A key figure in the evolution of , Davis pioneered the and Hammond B3 combination in the mid-1950s, touring and recording extensively with organist from 1955 to 1960. He enjoyed a long association with Count Basie's orchestra, joining as a featured soloist in the and contributing to the band's signature -to-bop transition sound. Davis's career spanned , , , and genres, with notable recordings including the 1958 album , which showcased his commanding presence alongside Scott's work. Throughout his life, he remained a staple in jazz clubs and international festivals, influencing generations of saxophonists with his visceral, no-holds-barred approach until his death in .

Albums and EPs

Lockjaw is the second studio by the American band , released on August 29, 1995, by ' subsidiary (510) Records. Produced primarily by the band alongside engineer Stoker, with handling production on the track "Enough," the features 14 songs blending rhythms with energy, including standout tracks like "Don't Wanna Behave" and "." Recorded at in , it marked the band's major-label debut and contributed to the mid-1990s revival, earning praise for its energetic guitar riffs and dual female vocals that conveyed themes of rebellion against authority. Critics highlighted its role as a solid entry in the genre's resurgence, with reviews noting the 's catchy melodies and punk-infused choruses despite a shift away from heavier elements. In the electronic music scene, Lockjaw is a collaborative by Australian producer (Harley Streten) and vocalist (Nicholas Murphy), released on November 22, 2013, via Future Classic. The three-track EP, recorded over a week on Australia's South Coast, builds on their prior work together on 's 2012 debut album track "Left Alone," showcasing Faker's soulful baritone over Flume's textured electronic production. Key tracks include the lead single "Drop the Game," which peaked at #18 on the ARIA Singles Chart and was certified platinum in , alongside "What About Us" and "This Song Is Not About a Girl.") Reception was positive, with awarding it a 7.0 for its intimate, slowed-down aesthetic that balanced Faker's emotional delivery with Flume's subtle synth manipulations. Lockjaw is also the name of a melodic band from /, formed in 1998. The band released their Relentless in 2023 and has been active with tours, including "The Relentless Tour" in late 2025, drawing influences from acts like Metallica and . Across both releases, production emphasizes raw energy and vocal-driven narratives, often evoking motifs of interpersonal tension and gritty resolve in lyrics—such as complaints about societal constraints in ' punk tracks and introspective longing in and Faker's . Artwork for the features bold, chaotic visuals aligning with its rebellious themes, while the EP's minimalist cover reflects the constrained, brooding atmosphere of its soundscapes.

Songs

"Lockjaw" is a by featuring , initially released on the rapper's February 2016 mixtape Wave Gods and issued as a standalone on , 2016. The track's lyrics center on themes of street life, including rapid wealth accumulation, heavy use causing jaw clenching, and boastful reflections on relationships with women. Produced by , it blends beats with the artists' energetic flows, contributing to its club appeal and contributing to 's rising profile in the mid-2010s scene. The song achieved commercial success, peaking at number 73 on the chart in September 2016 and reaching number 23 on the chart. It was certified gold by the RIAA in December 2016 for 500,000 units sold, later upgraded to platinum. A remix featuring , , and was released in December 2016, expanding its reach within the hip-hop community. The official music video, directed by Spiff TV and released in June 2016, depicts and traveling through the hoods of , —nodding to Montana's heritage—and , Kodak Black's hometown, emphasizing themes of cultural roots and street authenticity amid luxury elements. The visual's global flair helped amplify the song's cultural impact, positioning it as a crossover hit that highlighted immigrant and Southern rap narratives. The track experienced a resurgence in popularity on in early 2025, gaining new streams and attention. Other standalone tracks titled "Lockjaw" include Sir Mix-a-Lot's 1992 cut from the album , which employs the term as a for silencing rival MCs, reflecting competitive battle dynamics of the era.

Fictional characters

Marvel Comics

Lockjaw is a fictional character appearing in American comic books published by , primarily known as a loyal member of the race. Created by writer and artist , he first appeared in #45 (December 1965), introduced as the gigantic pet and protector of the Inhuman Royal Family. Lockjaw's origin involves exposure to the Terrigen Mists, a transformative substance central to Inhuman , which mutated him into a massive with extraordinary abilities while he was still young. Although a 1980s storyline by writer John Byrne temporarily retconned Lockjaw as a humanoid Inhuman transformed into a dog by the Mists, subsequent narratives, including a 2017 flashback in #5 by and Frazer Irving, established him definitively as an animal altered at birth through Inhuman genetic experiments and Terrigen exposure. Lockjaw possesses a range of superhuman powers derived from his Terrigen , most prominently the ability to teleport himself and others over vast distances—up to 240,000 miles in a single jump, sufficient to reach from to the Moon—across dimensions, and occasionally through time with external aid. He also exhibits capable of exerting up to 90 tons of biting force, allowing him to chew through metal and dig massive tunnels effortlessly, as well as limited for creating force fields or moving objects. Additionally, Lockjaw can ingest and process large amounts of matter to sustain his size and energy needs, and he demonstrates enhanced senses, including an empathic link that alerts him to threats against his loved ones. In his role as the Royal Family's devoted guardian and primary mode of transportation, Lockjaw serves figures like , , and especially , whom he has accompanied since her childhood; his personality blends fierce loyalty with playful mischief, often displaying canine behaviors like chasing squirrels or enjoying belly rubs amid high-stakes battles. Throughout Marvel's publications, Lockjaw has featured prominently in Inhumans-centric stories, such as the original Fantastic Four arc where he aided the Royal Family during their exile on Earth, and later series like Inhumans (1998) and Silent War (2007), involving conflicts like royal exiles and interstellar wars. He gained a leadership spotlight in Lockjaw and the Pet Avengers (2009–2010), where he assembled a team of superpowered animals to collect the Infinity Stones, showcasing his intelligence and heroism. More recently, Lockjaw has appeared in the Marvel Mutts Infinity Comic series (2023) and Imperial #4 (2025). Lockjaw also appeared in alternate realities, such as Marvel Zombies (2005), where he was zombified, and Earth X (1999), depicting his death at Maximus's hands. In live-action, Lockjaw was adapted for the Marvel Cinematic Universe in the 2017 ABC television series Marvel's Inhumans, portrayed as a 2,000-pound teleporting dog using a combination of animatronics and CGI, serving as Crystal's companion during the Royal Family's Attilan uprising.

Hey Arnold!

Lockjaw is a minor animal character in the animated television series Hey Arnold!, appearing exclusively in the episode "Field Trip," which originally aired on October 23, 1996. Depicted as an old, graffiti-covered Galapagos tortoise residing in the city aquarium, Lockjaw weighs over 400 pounds and is portrayed as a rare, endangered species subjected to poor care, highlighting themes of urban neglect and mistreatment of wildlife in an inner-city environment. The character serves as a symbol of forgotten creatures amid urban decay, contrasting the aquarium's hype of Lockjaw as the "infamous terror of the deep" with its reality as a lonely, depressed animal. In the episode, Lockjaw briefly interacts with protagonist Arnold Shortman and his classmates during a school to the aquarium, where Arnold's excitement turns to upon discovering the tortoise's true condition. Later, Arnold and his grandmother, Gertie, sneak into the aquarium at night, clean the from Lockjaw's shell, and liberate the by rolling it on a to the nearby , allowing it to return to a natural . This subplot underscores environmental messages central to the series, emphasizing for mistreated animals and the consequences of inadequate urban wildlife management, without any fantastical elements—Lockjaw is a purely realistic depiction with no superpowers or anthropomorphic traits. Created as part of Hey Arnold!, which aired on from October 7, 1996, to June 8, 2004, Lockjaw was designed by the show's production team under creator to fit the series' grounded portrayal of city life and its inhabitants, including stray animals. The character has no voice actor, relying instead on visual storytelling and incidental sound effects to convey its exhaustion and relief, aligning with the show's focus on everyday realism in a fictionalized City-inspired setting. Though a one-off character, Lockjaw has garnered minor cultural impact through fan nostalgia, with official clips of the liberation scene amassing over 685,000 views on YouTube as of November 2025, reflecting the series' broader exploration of urban ecology and animal welfare themes that resonate with audiences. This episode contributes to Hey Arnold!'s reputation for weaving subtle social commentary into children's animation, using Lockjaw to illustrate the hidden struggles of city wildlife.

Other uses

Northeastern elite accent

Locust Valley lockjaw refers to a variant of the non-rhotic Northeastern elite accent, characterized by clipped vowels, a taut jaw with minimal mouth opening, and a nasal, breathy tone that conveys studied restraint. This speech pattern, named after the affluent community of Locust Valley, , emerged among the yachting aristocracy of the Seawanhaka Corinthian Yacht Club in Oyster Bay during the mid-20th century. It involves subtle facial tension, such as jaws opening only slightly while lower incisors press against upper ones, producing an effect often described as "tetanus pretentious" for its rigid delivery—ironically contrasting the medical condition of lockjaw caused by . The accent's origins trace to old-money families on and in , evolving from 19th-century upper-class speech influenced by British prestige forms but adapted to American contexts. It became associated with figures like the , whose variant featured stretched vowels (e.g., "faaa-thah" for "father") and non-rhoticity, shaped by elite institutions such as Harvard and private boarding schools. Jackie Kennedy exemplified this through her upbringing and education, blending elements of British with American elite norms. Linguistically, the accent features vowel shifts, including a split short A system where words like "can't" shift toward [kɛnt] and "bad" approximates [bɛd], alongside aspirated T sounds adding a puff of air (e.g., in "but"). It often maintains distinctions like the cot-caught contrast, avoiding the merger common in other American dialects, and incorporates a creaky, quality with suppressed rises for an air of indifference. appears in some realizations, particularly in creaky among speakers like William F. Buckley, contributing to the "aristocratic ." These traits were parodied in media, such as on and Jane Hathaway on , exaggerating the elite's perceived detachment. Culturally, Locust Valley lockjaw symbolized snobbery and social exclusivity, serving as a marker among Northeastern elites isolated by and . Sociological analyses, such as those by Geoffrey Nunberg, highlight its role in signaling prestige through "studied indifference," contrasting with middle-class avoidance of stigmatized features. The accent declined sharply after , with elites adopting rhotic speech by the 1980s amid broader democratization of and reduced tolerance for affectation, though it endures in media stereotypes of upper-class characters.

Slang

In contemporary slang, "lockjaw" has evolved beyond its medical connotation of tetanus-induced jaw rigidity to describe various informal states of physical or emotional fixation, often rooted in urban and digital subcultures. Pre-2025 entries on Urban Dictionary primarily associate the term with drug-related effects, such as the jaw clenching or locking experienced from chronic cocaine use, a phenomenon also known as "cocaine jaw" due to the stimulant's impact on the central nervous system. Another common usage refers to temporary jaw fatigue or "locking" after prolonged oral sex, humorously extending the idea of physical strain. This slang gained traction in hip-hop culture through references to substance-induced effects, exemplified in French Montana's 2017 track "Lockjaw" featuring , where the term alludes to the side effects of and consumption, reflecting broader themes of excess in rap lyrics. Such usages highlight how "lockjaw" became a coded expression for in street and party narratives within the genre. In early 2025, "lockjaw" exploded as a trend, repurposed to signify being stunned speechless or in jaw-dropping awe, often in reaction videos or challenges where users freeze in exaggerated shock, and remained popular throughout the year with videos continuing into November 2025. The viral surge was propelled by the song "LOCKJAW" by katsvfy, with lyrics like "Shut up. Lockjaw" syncing to "unrecognizable makeup" transformations, where creators reveal dramatic before-and-after looks, amassing millions of views across platforms by late January. Beyond these dominant uses, "lockjaw" appears sporadically in gaming communities and memes to denote a "frozen" or immobilized state, such as a character or player's momentary in intense play, echoing the medical root of rigidity but adapted for humorous digital scenarios. Overall, the term's migration from —stemming from in infections—to illustrates social media's role in reshaping , blending shock value with accessibility to contrast its formal, health-related meanings.

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