Suppr超能文献

颞下颌关节内紊乱患者临床症状与磁共振成像表现的相关性

Correlation between clinical symptoms and magnetic resonance imaging findings in patients with temporomandibular joint internal derangement.

作者信息

Jung Young-Wook, Park Sung-Hoon, On Sung-Woon, Song Seung-Il

机构信息

Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ajou University School of Medicine, Suwon, Korea.

Department of Radiology, Ajou University School of Medicine, Suwon, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2015 Jun;41(3):125-32. doi: 10.5125/jkaoms.2015.41.3.125. Epub 2015 Jun 23.

Abstract

OBJECTIVES

The purpose of this study was to clarify which findings in magnetic resonance imaging (MRI) are good predicators of pain and mouth opening limitation in patients with temporomandibular joint (TMJ) internal derangement (ID).

MATERIALS AND METHODS

Clinical examinations for pain and mouth opening limitation were conducted for suspected TMJ ID. MRI scans were taken within a week of clinical examinations. On the oblique-sagittal plane image, readings were obtained in terms of the functional aspect of disc position, degree of displacement, disc deformity, joint effusion, and osteoarthrosis. Multiple logistic regression analyses were conducted to identify the predictors of pain and mouth opening limitation.

RESULTS

A total of 48 patients (96 TMJs) were studied, including 39 female patients and 9 male patients whose ages ranged from 10 to 65 years. The resultant data showed significant correlations between pain and the MR imaging of the degree of disc displacement (P<0.05). The probability of there being pain in moderate to significant cases was 9.69 times higher than in normal cases. No significant correlation was found between mouth opening limitation and MRI findings.

CONCLUSION

We identified a significant correlation between clinical symptoms and MRI findings of ID. The degree of anterior disc displacement may be useful for predicting pain in patients with TMJ ID.

摘要

目的

本研究旨在明确磁共振成像(MRI)中的哪些表现是颞下颌关节(TMJ)内紊乱(ID)患者疼痛和张口受限的良好预测指标。

材料与方法

对疑似TMJ ID患者进行疼痛和张口受限的临床检查。在临床检查后一周内进行MRI扫描。在斜矢状面图像上,从盘位置的功能方面、移位程度、盘畸形、关节积液和骨关节炎方面进行读数。进行多因素逻辑回归分析以确定疼痛和张口受限的预测指标。

结果

共研究了48例患者(96个TMJ),包括39例女性患者和9例男性患者,年龄范围为10至65岁。所得数据显示疼痛与盘移位程度的MR成像之间存在显著相关性(P<0.05)。中度至重度病例出现疼痛的概率比正常病例高9.69倍。未发现张口受限与MRI表现之间存在显著相关性。

结论

我们发现ID的临床症状与MRI表现之间存在显著相关性。盘前移位程度可能有助于预测TMJ ID患者的疼痛。

相似文献

1
Correlation between clinical symptoms and magnetic resonance imaging findings in patients with temporomandibular joint internal derangement.
J Korean Assoc Oral Maxillofac Surg. 2015 Jun;41(3):125-32. doi: 10.5125/jkaoms.2015.41.3.125. Epub 2015 Jun 23.
4
Bone marrow edema of the mandibular condyle related to internal derangement, osteoarthrosis, and joint effusion.
J Oral Maxillofac Surg. 2003 Jan;61(1):35-40. doi: 10.1053/joms.2003.50006.
9
Assessment of MRI findings and clinical symptoms in patients with temporomandibular joint disorders.
Dentomaxillofac Radiol. 2018 May;47(4):20170412. doi: 10.1259/dmfr.20170412. Epub 2018 Feb 22.
10
Hard and soft tissue imaging of the temporomandibular joint 30 years after diagnosis of osteoarthrosis and internal derangement.
J Oral Maxillofac Surg. 1996 Nov;54(11):1270-80; discussion 1280-1. doi: 10.1016/s0278-2391(96)90480-2.

引用本文的文献

2
Association between clinical findings and 3T MRI features in temporomandibular joint disorders.
BMC Oral Health. 2025 Jun 5;25(1):921. doi: 10.1186/s12903-025-06283-w.
3
A Comprehensive Review of Artificial Intelligence Based Algorithms Regarding Temporomandibular Joint Related Diseases.
Diagnostics (Basel). 2023 Aug 18;13(16):2700. doi: 10.3390/diagnostics13162700.
6
Diagnostic value of dynamic magnetic resonance imaging of temporomandibular joint dysfunction.
Eur J Radiol Open. 2021 Dec 3;8:100390. doi: 10.1016/j.ejro.2021.100390. eCollection 2021.
7
An Overview of Anterior Repositioning Splint Therapy for Disc Displacement-related Temporomandibular Disorders.
Curr Med Sci. 2021 Jun;41(3):626-634. doi: 10.1007/s11596-021-2381-7. Epub 2021 Jun 25.
8
Understanding Early-Stage Posttraumatic Osteoarthritis for Future Prospects of Diagnosis: from Knee to Temporomandibular Joint.
Curr Osteoporos Rep. 2021 Apr;19(2):166-174. doi: 10.1007/s11914-021-00661-3. Epub 2021 Feb 1.
9
MRI characteristics of the asymptomatic temporomandibular joint in patients with unilateral temporomandibular joint disorder.
Oral Radiol. 2021 Jul;37(3):469-475. doi: 10.1007/s11282-020-00483-6. Epub 2020 Sep 18.

本文引用的文献

4
Relationships between disk displacement, joint effusion, and degenerative changes of the TMJ in TMD patients based on MRI findings.
J Craniomaxillofac Surg. 2012 Apr;40(3):283-6. doi: 10.1016/j.jcms.2011.04.006. Epub 2011 Jul 13.
6
Analysis of magnetic resonance imaging characteristics and pain in temporomandibular joints with and without degenerative changes of the condyle.
Int J Oral Maxillofac Surg. 2008 Jun;37(6):529-34. doi: 10.1016/j.ijom.2008.02.011. Epub 2008 Apr 28.
7
TMJ disorders and pain: assessment by contrast-enhanced MRI.
Eur J Radiol. 2009 Apr;70(1):25-30. doi: 10.1016/j.ejrad.2008.01.014. Epub 2008 Mar 7.
9
Relationship of condylar position to disc position and morphology.
Eur J Radiol. 2004 Sep;51(3):269-73. doi: 10.1016/S0720-048X(03)00218-3.
10
Magnetic resonance imaging predictors of temporomandibular joint pain.
J Am Dent Assoc. 2003 Jun;134(6):705-14. doi: 10.14219/jada.archive.2003.0256.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验