Jend-Rossmann I, Jend H H, Siegert R
Department of Maxillofacial Surgery, Nordwestdeutsche Kieferklinik, Hamburg, W-Germany.
J Craniomaxillofac Surg. 1987 Oct;15(5):265-9. doi: 10.1016/s1010-5182(87)80065-3.
Arthrography was performed on 56 joints of 47 patients presenting with symptoms of pain and dysfunction of the temporomandibular joint. The diagnosis could be confirmed in 53 joints. In addition, there was evidence of 13 perforations and 7 joints with adhesions. In 51 of the affected joints, computed tomography (CT) was also performed to compare both methods. The same CT procedure was performed on 12 joints of patients without any joint problem. Almost consistently (88%), an arthrographically anteriorly dislocated disc was detectable in the axial CT scans. 92% of the healthy joints showed normal soft tissue structures. For CT visualization of a displaced disc sagittal reformations or primary sagittal scans are not necessary. Confirmation of possible perforations or adhesions cannot be made by CT. Comparing the advantages and disadvantages, arthrography must still be regarded as superior to CT. In some cases, however, CT is a valuable tool in assessing an internal derangement.
对47例出现颞下颌关节疼痛和功能障碍症状的患者的56个关节进行了关节造影。53个关节能够确诊。此外，有13个穿孔和7个粘连关节的证据。对51个受累关节还进行了计算机断层扫描（CT）以比较两种方法。对12例无任何关节问题患者的关节进行了相同的CT检查。在轴向CT扫描中，几乎始终（88%）能检测到关节造影显示的关节盘前移位。92%的健康关节显示软组织结构正常。对于移位关节盘的CT可视化，矢状面重建或原始矢状面扫描并非必要。CT无法证实可能存在的穿孔或粘连。比较优缺点，关节造影仍应被视为优于CT。然而，在某些情况下，CT是评估内部紊乱的有价值工具。
