颞下颌关节弹响在诊断关节盘前移位中的批判性评估
Critical assessment of temporomandibular joint clicking in diagnosing anterior disc displacement.
作者信息
Kobs Giedre, Bernhardt Olaf, Kocher Thomas, Meyer Georg
机构信息
Institute of Odontology, Faculty of Medicine, Vilnius University, Zalgirio 115, Vilnius, Lithuania.
出版信息
Stomatologija. 2005;7(1):28-30.
OBJECTIVES
The objective of this study was to compare temporomandibular joint (TMJ) findings from clinical examination and magnetic resonance imaging (MRI) for diagnosing anterior disc displacement.
MATERIAL AND METHODS
114 subjects with at least one sign of temporomandibular disorders (tenderness/pain on palpation of the joints or muscles, TMJ sounds, pain or deviation during maximum mouth opening (active/passive)) and 193 controls underwent MRI after proper history taking and assessment of clinical symptoms.
RESULTS
464 joints with no disk displacement (NDD), 114 joints with reducible displaced disk (RDD), and 36 joints with permanently displaced disk (PDD) were confirmed on magnetic resonance imaging (MRI).
CONCLUSION
The results suggest that anterior disc displacement of the TMJ can not be diagnosed with considerable accuracy through the use of clinical examination only.
目的
本研究的目的是比较临床检查和磁共振成像（MRI）在诊断颞下颌关节（TMJ）前盘移位方面的结果。
材料与方法
114名至少有一项颞下颌关节紊乱体征（关节或肌肉触诊压痛/疼痛、TMJ弹响、最大张口时疼痛或偏斜（主动/被动））的受试者和193名对照者在进行适当的病史采集和临床症状评估后接受了MRI检查。
结果
磁共振成像（MRI）证实464个关节无盘移位（NDD），114个关节有可复性盘移位（RDD），36个关节有不可复性盘移位（PDD）。
结论
结果表明，仅通过临床检查不能相当准确地诊断TMJ前盘移位。
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