Burgess J
Department of Oral Medicine SC-63, University of Washington School of Dentistry, Seattle 98195-9950.
J Craniomandib Disord. 1991 Fall;5(4):251-7.
Descriptive data are presented for 100 patients reporting facial pain and temporomandibular dysfunction (TMD) precipitated by (1) overt facial/head trauma, (2) "whiplash" injury, and (3) "whiplash" injury with overt trauma. Analysis of the data suggests that these TMD trauma subsets are significantly different in terms of total number of pain sites, presence of concomitant neck pain, range of opening, and report of sleep disturbance and involvement in litigation. They also varied with respect to reducing and nonreducing disc displacement. However, significant differences were not observed for initial pain at presentation; muscle pressure pain threshold; McGill affective or HSCL-90 depression, anxiety, and somatization scores; prior pain duration; or time post-trauma before pain onset. These findings suggest that patients within these trauma categories share some common characteristics but may differ in important demographic, pain, and temporomandibular joint dysfunction variables.
本文呈现了100例报告面部疼痛和颞下颌关节紊乱（TMD）患者的描述性数据，这些患者的症状由以下原因引发：（1）明显的面部/头部创伤；（2）“挥鞭样”损伤；（3）伴有明显创伤的“挥鞭样”损伤。数据分析表明，这些TMD创伤亚组在疼痛部位总数、是否伴有颈部疼痛、开口度、睡眠障碍报告以及诉讼参与情况方面存在显著差异。它们在可复性和不可复性盘移位方面也有所不同。然而，在就诊时的初始疼痛、肌肉压痛阈值、麦吉尔情感量表或HSCL - 90抑郁、焦虑和躯体化评分、既往疼痛持续时间或创伤后疼痛发作前的时间方面未观察到显著差异。这些发现表明，这些创伤类别中的患者有一些共同特征，但在重要的人口统计学、疼痛和颞下颌关节功能障碍变量方面可能存在差异。
