Nitzan D W, Dolwick F M, Marmary Y
Department of Oral and Maxillofacial Surgery, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
J Oral Maxillofac Surg. 1991 Apr;49(4):375-9; discussion 379-80. doi: 10.1016/0278-2391(91)90374-u.
In this study, the clinical and arthrographic findings from 43 internally deranged temporomandibular joints (TMJs) were compared with the intra-surgical observations. In 40 of 43 joints, arthrography did not provide any additional information useful for diagnosis or treatment. In six joints, the problem was misdiagnosed. Only in three joints did arthrography demonstrate the existence of perforation in the posterior attachment that had not been suspected during the clinical examination. Because of the doubtful importance of arthrographic information for the decision-making process, it is suggested that the method be applied only in cases in which clinical examination and plain radiographs have failed to uncover the signs and symptoms indicative of a TMJ disorder.
在本研究中，对43例颞下颌关节内紊乱症（TMJ）的临床和关节造影检查结果与手术中的观察结果进行了比较。43个关节中的40个，关节造影未提供任何对诊断或治疗有用的额外信息。6个关节存在误诊情况。仅在3个关节中，关节造影显示了后附着处穿孔的存在，而这在临床检查中并未被怀疑。由于关节造影信息对决策过程的重要性存疑，建议仅在临床检查和普通X线片未能发现提示TMJ紊乱的体征和症状的情况下应用该方法。
