Redlund-Johnell I
Department of Diagnostic Radiology, University of Lund, General Hospital, Malmö, Sweden.
Scand J Rheumatol. 1987;16(5):347-53. doi: 10.3109/03009748709102506.
The degree of arthritis of the cervical spine was retrospectively studied in cervical spine radiographs from 400 patients with rheumatoid arthritis. In the same cervical radiographs the arthritic destruction of the temporomandibular joints was measured as diminished ramal height from the mandibular angle to the palato-occipital line. Reduced ramal height was found in 76 patients, 69 women and 7 men, and in 33 patients the reduction in height was severe enough to be compatible with a total destruction of the mandibular head. An arthritic destruction of the temporomandibular joints occurred significantly more often in patients with a severe cervical arthritis than in those without cervical affection, and vice versa. Of the 76 patients with a reduced ramal height, 66% had a severe arthritis of the cervical spine and of the 100 patients with severe arthritic changes of the cervical spine, 50% had severe destructive arthritis of the temporomandibular joints.
对400例类风湿性关节炎患者的颈椎X光片进行回顾性研究，以评估颈椎关节炎的程度。在同一颈椎X光片中，颞下颌关节的关节炎性破坏通过测量下颌角至腭枕线的下颌支高度降低来评估。发现76例患者下颌支高度降低，其中69例为女性，7例为男性，33例患者的高度降低严重到足以与下颌头完全破坏相符。颞下颌关节的关节炎性破坏在重度颈椎关节炎患者中比无颈椎病变的患者更常见，反之亦然。在76例下颌支高度降低的患者中，66%患有重度颈椎关节炎，在100例颈椎有严重关节炎改变的患者中，50%患有颞下颌关节重度破坏性关节炎。
