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[儿童髁突脱位骨折后的颞下颌关节形态]

[TMJ morphology after condylar dislocation fractures in childhood].

作者信息

Sahm G, Eberhardt K, Schuknecht B

机构信息

Poliklinik für Kieferorthopadie, Universität Wurzburg.

出版信息

Dtsch Zahnarztl Z. 1990 Jun;45(6):349-53.

PMID:2269123
Abstract

In a CT- and NMR-study, condylar remodeling after conservative treatment of condylar dislocation fractures in growing individuals was evaluated. The regenerated condyles displayed great similarities. Two condylar parts could be differentiated--one with and one without muscular attachment. The medial part represents the former small fragment and the lateral part a bony outgrowth. One of the patients studied demonstrated a bifid condyle. NMR-records were remarkable in that each of the three patients presented a lateral pterygoid muscle with the two heads oriented one above the other rather than side by side. This does not seem to support the observation made in experiments, that the disc remains fixed to the caput in low condylar fractures.

摘要

在一项CT和核磁共振研究中,对生长发育期个体髁突脱位骨折保守治疗后的髁突重塑进行了评估。再生的髁突显示出高度相似性。可区分出两个髁突部分——一个有肌肉附着,另一个没有。内侧部分代表先前的小骨折块,外侧部分为骨赘。所研究的一名患者表现出双叉状髁突。核磁共振记录值得注意的是,三名患者中的每一位都有翼外肌,其两个头一个在上一个在下,而不是并排排列。这似乎不支持在实验中观察到的现象,即在低位髁突骨折中,盘状软骨仍固定于髁头。

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