Wang M Q
Department of Oral Anatomy and Physiology and Temporomandibular Disorders and Orofacial Pain, School of Stomatology, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Xi'an 710032, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2017 Mar 9;52(3):143-147. doi: 10.3760/cma.j.issn.1002-0098.2017.03.003.
Sounding takes the highest prevalence of the signs of temporomandibular disorders (TMD). The well accepted theory of the mechanism for temporomandibular joint (TMJ) sounding is the internal derangement typically characterized by disc displacement. However, according to literature, there are approximately one third of asymptomatic joints in population had disc displacement, and, on the other hand, there are one fourth of TMJ sounding patients had not signs or very limited signs of disc displacement. Replacing the displaced disc to the normal position via methods like surgical operation did not achieve satisfactory long-term outcomes. In this review, we discuss and analyze the possible remodeling of the joint disc displacement diagnosed with imaging based on the anatomy and pathophysiology.
关节弹响在颞下颌关节紊乱病(TMD)体征中最为常见。目前被广泛接受的颞下颌关节(TMJ)弹响机制理论是关节内紊乱,其典型特征为盘移位。然而,根据文献报道,人群中约有三分之一无症状的关节存在盘移位,另一方面,有四分之一的TMJ弹响患者没有盘移位体征或仅有非常有限的盘移位体征。通过手术等方法将移位的盘复位到正常位置并不能取得令人满意的长期效果。在本综述中,我们基于解剖学和病理生理学,讨论并分析通过影像学诊断的关节盘移位可能的重塑情况。