Jend H H, Jend-Rossmann I, Triebel H J
Rofo. 1987 Apr;146(4):386-90. doi: 10.1055/s-2008-1048506.
In a prospective study, the findings on arthrography and CT in 51 TMJs with anterior meniscus dislocation were compared. The CT diagnosis of anterior dislocation was made by a standardised method which we have developed and which depends upon evaluating axial sections. Sensitivity of the CT methods was 87%. In the absence of arthrography, a negative diagnosis in the asymptomatic contralateral side was made in 81%. Ruptures and adhesions could not be demonstrated by CT. For these reasons, arthrography is to be preferred to CT for making the initial diagnosis. CT should be carried out for special indications, such as contrast sensitivity, the documentation of a clinically confirmed diagnosis and for follow-up of treatment. Currently an attempt is being made to stage the disease by computed tomography.
在一项前瞻性研究中，对51例存在半月板前脱位的颞下颌关节的关节造影和CT检查结果进行了比较。前脱位的CT诊断采用我们开发的标准化方法，该方法依赖于对轴位图像的评估。CT检查方法的敏感性为87%。在没有关节造影的情况下，81%的无症状对侧做出了阴性诊断。CT无法显示破裂和粘连情况。基于这些原因，在进行初步诊断时，关节造影比CT更可取。对于特殊指征，如造影剂敏感性、临床确诊诊断的记录以及治疗随访等，应进行CT检查。目前正在尝试通过计算机断层扫描对该疾病进行分期。
