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颅下颌关节紊乱与全身关节活动度

Craniomandibular disorders and general joint mobility.

作者信息

Westling L

机构信息

Department of Stomatognathic Physiology, University of Gothenburg, Sweden.

出版信息

Acta Odontol Scand. 1989 Oct;47(5):293-9. doi: 10.3109/00016358909007715.

Abstract

The purpose of the investigation was to study the relationship between general joint mobility and dysfunction among patients with craniomandibular disorders (CMD). Joint mobility was assessed in 74 female patients and 73 controls, using Beighton's modification of the Carter & Wilkinson hypermobility score. Twenty-five (83%) of 30 patients with score greater than or equal to 3 (lax joints) had temporomandibular joint (TMJ) involvement. Eighteen (41%) of 44 patients with score 0-2 (no laxity) had TMJ involvement. The difference between these groups was statistically significant (p less than 0.001). General joint laxity should therefore be taken into consideration in diagnosis and treatment of CMG.

摘要

该调查的目的是研究颅下颌疾病(CMD)患者的全身关节活动度与功能障碍之间的关系。采用对卡特和威尔金森关节活动过度评分进行的贝顿改良法,对74例女性患者和73例对照者的关节活动度进行了评估。在30例评分大于或等于3(关节松弛)的患者中,有25例(83%)存在颞下颌关节(TMJ)受累。在44例评分0 - 2(无关节松弛)的患者中,有18例(41%)存在TMJ受累。这些组之间的差异具有统计学意义(p小于0.001)。因此,在CMG的诊断和治疗中应考虑全身关节松弛情况。

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