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颞下颌退行性关节疾病患者的临床表现与髁突形态的相关性。

Correlation of clinical manifestations and condylar morphology of patients with temporomandibular degenerative joint diseases.

机构信息

Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Reasearch of Oral Regenerative Medicine, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

出版信息

Cranio. 2024 Sep;42(5):539-546. doi: 10.1080/08869634.2021.2018199. Epub 2022 Jan 5.

Abstract

OBJECTIVE

To study the correlation between condylar morphology and clinical manifestations in patients with degenerative joint disease (DJD) of the temporomandibular joint (TMJ).

METHODS

A total of 175 joints of 131 patients with DJD were included. Data on patients' basic information and symptoms were collected and analyzed. Condylar morphology was evaluated using cone beam computed tomography (CBCT). The correlation between the condylar morphology and clinical manifestations was analyzed.

RESULTS

The prevalence of joint noises, clicks, and crepitus was 93/175 (53%), 73/175 (42%), and 20/175 (11%), respectively. Condylar anteroposterior diameter and condylar height were correlated with pain. There was a correlation between the shape of the condyle in the sagittal plane and joint noise.

CONCLUSION

Condylar morphology and clinical features of DJD were correlated to some extent.

摘要

目的

研究颞下颌关节(TMJ)退行性骨关节病(DJD)患者髁突形态与临床表现之间的相关性。

方法

共纳入 131 例 DJD 患者的 175 个关节。收集并分析患者基本信息和症状数据。采用锥形束 CT(CBCT)评估髁突形态。分析髁突形态与临床表现之间的相关性。

结果

关节弹响、弹响和杂音的发生率分别为 93/175(53%)、73/175(42%)和 20/175(11%)。髁突前后径和髁突高度与疼痛相关。矢状位上髁突的形状与关节噪音有关。

结论

DJD 的髁突形态与临床特征在一定程度上相关。

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