Moses J J, Topper D C
Pacific Clinical Research Foundation, Encinitas, California 92024.
J Craniomandib Disord. 1991 Winter;5(1):19-27.
The goal of treatment for temporomandibular joint internal derangement has traditionally been the anatomic reduction of the displaced disc. Recent magnetic resonance imaging postoperative studies suggest that successful treatment may require only the mobilization of the adhered disc and release of capsular restraints rather than anatomic reduction. It is hypothesized that this mobilization of fibrosed and inflamed tissues decreases load concentration and allows pain-free function through physiologic adaptation.
颞下颌关节内紊乱的传统治疗目标是使移位的关节盘实现解剖复位。最近的磁共振成像术后研究表明，成功的治疗可能仅需要使粘连的关节盘活动并松解关节囊限制，而非解剖复位。据推测，这种对纤维化和炎症组织的活动可降低负荷集中，并通过生理适应实现无痛功能。
