Eberhardt K, Sahm G
Abteilung für Neuroradiologie, Universität Würzburg.
Radiologe. 1990 Nov;30(11):541-6.
In 8 adult and 13 adolescent individuals who had undergone conservative treatment for condylar fractures 4.2 and 4.5 years earlier, respectively computed tomography was performed. In addition, joint mobility was examined clinically in 18 of these patients. The results of the radiological examination allow discrimination between high-grade and low-grade remodeling and excessive bone formation. With one exception, high-grade remodeling was invariably observed after childhood fractures. In the adult patients new bone formation was rarely observed. Correlation between the morphologic appearance and joint mobility was detectable only in cases of severely limited function. In the presence of less severe functional lesions, the size of the insertion area of the lateral pterygoid muscle might indicate the degree of functional rehabilitation. The radiological procedure is discussed.
在分别于4.2年和4.5年前接受髁突骨折保守治疗的8名成人和13名青少年个体中，进行了计算机断层扫描。此外，对其中18名患者进行了临床关节活动度检查。放射学检查结果有助于区分高级别和低级别重塑以及过度骨形成。除一例例外，儿童期骨折后均观察到高级别重塑。在成年患者中很少观察到新骨形成。仅在功能严重受限的情况下，形态学表现与关节活动度之间存在相关性。在功能损害较轻的情况下，翼外肌附着区域的大小可能表明功能康复的程度。本文讨论了放射学检查方法。
