Harinstein D, Buckingham R B, Braun T, Oral K, Bauman D H, Killian P J, Bidula L P
Western Pennsylvania Hospital, Pittsburgh.
Arthritis Rheum. 1988 Oct;31(10):1259-64. doi: 10.1002/art.1780311007.
A consecutive series of 37 individuals admitted to the hospital for elective temporomandibular joint (TMJ) reconstructive surgery and 3 seen as outpatients with TMJ disease were evaluated for rheumatic disease or for another etiologic factor that might account for this problem. These 40 patients were screened by history, physical examination, and laboratory study. We soon noticed that many patients had generalized joint laxity. Eighteen of the first 40 individuals satisfied established criteria for the hypermobile joint syndrome. An additional 3 were found to have Ehlers-Danlos syndrome or a forme fruste of this disorder. Many were markedly hypermobile and could perform a number of flexible maneuvers. Although excessive joint laxity is known to be associated with a variety of rheumatic conditions, TMJ disease has not been recognized as one of them. No patient in this series had a systemic inflammatory disorder or any other apparent etiologic factor for TMJ disease. We suggest that there is a cause-and-effect relationship between generalized joint laxity and TMJ disease.
对连续收治入院接受择期颞下颌关节（TMJ）重建手术的37例患者以及3例因TMJ疾病前来门诊就诊的患者进行了评估，以确定是否患有风湿性疾病或其他可能导致该问题的病因。通过病史、体格检查和实验室检查对这40例患者进行了筛查。我们很快注意到许多患者存在全身关节松弛。前40例患者中有18例符合活动度过高关节综合征的既定标准。另外3例被发现患有埃勒斯-当洛综合征或该疾病的顿挫型。许多患者关节活动度明显过高，能够进行一些灵活的动作。虽然已知关节过度松弛与多种风湿性疾病有关，但TMJ疾病尚未被视为其中之一。该系列中没有患者患有全身性炎症性疾病或TMJ疾病的任何其他明显病因。我们认为全身关节松弛与TMJ疾病之间存在因果关系。
