Holmlund A, Hellsing G
Int J Oral Surg. 1985 Apr;14(2):169-75. doi: 10.1016/s0300-9785(85)80089-2.
Arthroscopy of the temporomandibular joint (TMJ) is evaluated on an autopsy material. 2 different types of arthroscope--one with a rod-lens system and one with a so-called Selfoc system--were used and compared regarding diagnostic accuracy. On 54 cadavers, it was found that the upper joint compartment may be punctured with accuracy and without damage to vital tissues. Landmarks on the skin facilitating clinical arthroscopy were defined in relation to a guideline from tragus to lateral canthus. A further 49 TMJ specimens were investigated with arthroscopy. The findings are in good agreement with subsequent observations made during dissection. Regarding arthrotic changes, 100% diagnostic accuracy was achieved with both types of arthroscope. Regarding remodelling changes, the diagnostic accuracy was approximately 57%. No significant difference was noticed between the 2 arthroscopes. Photographic documentation with the rod-lens arthroscope was found to be of superior quality.
在尸体材料上对颞下颌关节（TMJ）进行关节镜检查评估。使用了两种不同类型的关节镜——一种带有棒状透镜系统，另一种带有所谓的自聚焦系统——并就诊断准确性进行了比较。在54具尸体上发现，可以准确穿刺上关节腔且不会损伤重要组织。根据从耳屏到外眦的指导线确定了便于临床关节镜检查的皮肤上的标志。另外对49个颞下颌关节标本进行了关节镜检查。这些发现与解剖过程中随后的观察结果高度一致。关于关节病变，两种类型的关节镜诊断准确率均达到100%。关于重塑改变，诊断准确率约为57%。两种关节镜之间未发现显著差异。发现使用棒状透镜关节镜进行的摄影记录质量更高。
