Fujimura Kazuma, Kobayashi Susumu, Suzuki Toshikazu, Segami Natsuki
Department of Oral and Maxillofacial Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan.
J Oral Pathol Med. 2005 Mar;34(3):157-63. doi: 10.1111/j.1600-0714.2004.00298.x.
We still lack knowledge of causative factors in arthritis related to temporomandibular disorders (TMD). The goal of the present study was to investigate whether applying a mechanical loading on the glenoid fossa can induce arthritis.
Coil springs were placed in 24 rabbits so as to exert a force of 100 g between the orbital edge and the antegonial notch. At 1, 2, 4 and 8 weeks after the surgery, six samples of the temporomandibular joint (TMJ) were removed for histologic examination.
The results showed that mild synovitis began 1-2 weeks after the start of loading, and the degree of synovitis was significant at 4 weeks, and that morphologic changes occurred in the articular eminence and condyle, while type II collagen in the cartilage of the articular eminence degraded prior to that in the condyle.
Our results revealed that mild, continuous mechanical loading to the glenoid fossa induces synovitis of the articular capsule, and induces organic changes of the articular cartilage without destroying these tissues.
我们对与颞下颌关节紊乱病(TMD)相关的关节炎的致病因素仍缺乏了解。本研究的目的是调查在关节盂上施加机械负荷是否会诱发关节炎。
在24只兔子的眼眶边缘和下颌角切迹之间放置螺旋弹簧,以施加100克的力。在手术后1、2、4和8周,取出六个颞下颌关节(TMJ)样本进行组织学检查。
结果显示,加载开始后1 - 2周出现轻度滑膜炎,4周时滑膜炎程度显著,关节结节和髁突出现形态学变化,关节结节软骨中的II型胶原蛋白比髁突软骨中的更早降解。
我们的结果表明,对关节盂进行轻度、持续的机械负荷会诱发关节囊滑膜炎,并诱发关节软骨的器质性改变,而不会破坏这些组织。