Ciancaglini R, Rapetti A
Università degli Studi di Genova.
Mondo Ortod. 1991 Jul-Aug;16(4):389-97.
TMJ disorders includes: TMJ and masticatory muscles, pain, joint sounds, deviation and limitation of mandibular movements. A critical analysis of the literature dealing with the relationship between joint and muscle disorders in other joints (knee), leads to evaluate the reliability of the hypothesis of the existence of an arthro-myogenous relation in the aetiopathogenesis of craniomandibular disorders. As a preliminary conclusion we can say that the joint derangement seems the primary factor in the pathogenesis of TMJ disorders and cannot to differentiate muscle from joint involvement seems a difficult task.
颞下颌关节和咀嚼肌、疼痛、关节弹响、下颌运动偏斜和受限。对有关其他关节（膝关节）的关节与肌肉紊乱之间关系的文献进行批判性分析，有助于评估颅下颌紊乱症病因发病机制中关节源性关系存在这一假说的可靠性。作为初步结论，我们可以说关节紊乱似乎是颞下颌关节紊乱症发病机制中的主要因素，而区分肌肉与关节受累情况似乎是一项艰巨的任务。
