Nishioka G J, Van Sickels J E, Tilson H B
Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center.
Oral Surg Oral Med Oral Pathol. 1988 Feb;65(2):145-50. doi: 10.1016/0030-4220(88)90155-7.
Hemarthrosis of extremity joints in patients with hemophilia has been well documented. However, hemarthrosis of the temporomandibular joint in patients with coagulopathies appears to be rare. Consequently, management of a temporomandibular joint hemarthrosis is difficult because of the lack of treatment guidelines. The purpose of this article is to review the pathophysiology of hemophilic arthropathy and its management. A case of temporomandibular joint hemophilic arthropathy in a patient with a factor XI deficiency will be presented. A brief review of factor XI deficiency and a hypothetical pathophysiological mechanism for internal derangement induced by myofascial pain dysfunction are included.
血友病患者四肢关节的关节积血已有充分记载。然而，凝血障碍患者颞下颌关节的关节积血似乎很少见。因此，由于缺乏治疗指南，颞下颌关节积血的处理很困难。本文旨在综述血友病性关节病的病理生理学及其处理方法。将介绍1例患有Ⅺ因子缺乏症患者的颞下颌关节血友病性关节病。文中还将简要回顾Ⅺ因子缺乏症，并提出一种由肌筋膜疼痛功能障碍引起颞下颌关节内紊乱的假设病理生理机制。
