[半月板源性疼痛的外科治疗]
[Surgical treatment of pain of meniscal origin].
作者信息
Chausse J M
出版信息
SSO Schweiz Monatsschr Zahnheilkd. 1979 Feb;89(2):114-7.
PMID:293022
Abstract
Meniscal blocking of the TMJ is encountered by first trying to reduce it manually, if necessary under general anesthesia and curarization. Otherwise surgery is indicated. Meniscectomy is not recommended because of the danger of arthrosis. An arthroplasty is performed, the fibrocartilage removed and the condyle remodeled. The fibrocartilage regenerated totally, as could be shown experimentally. This intervention eliminates painful blocking of the joint and clicking during the first half of opening movements.
摘要
如果有必要，在全身麻醉和使用肌肉松弛剂的情况下，首先尝试手动复位颞下颌关节的半月板阻挡，若无法复位则需手术治疗。由于存在关节病的风险，不建议进行半月板切除术。需进行关节成形术，切除纤维软骨并重塑髁突。实验表明，纤维软骨能够完全再生。这种干预措施可消除关节的疼痛性阻挡以及开口运动前半程的弹响。
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SSO Schweiz Monatsschr Zahnheilkd. 1979 Feb;89(2):114-7.
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