Katzberg R W, Burgener F A
Rofo. 1984 Mar;140(3):317-21. doi: 10.1055/s-2008-1052979.
The findings in 308 TMJ arthrograms (280 patients) with selective contrast injection into the inferior compartment are described. An anteriorly luxated meniscus was diagnosed in 231 cases (75%). In 99 cases (32%) the meniscus returned to a normal position spontaneously during opening of the mouth, whereas in 132 cases (43%) the subluxation was permanent. In 108 patients (6%) with irreducible meniscus luxation, perforation of the meniscus or of the capsule was diagnosed, but in two cases this could not be confirmed at operation. The importance of early diagnosis for optimal treatment is discussed.
本文描述了对280例患者的308个颞下颌关节造影的研究结果,造影剂选择性注入下腔。231例(75%)诊断为半月板前脱位。99例(32%)患者在张口时半月板自发恢复到正常位置,而132例(43%)患者的半脱位是永久性的。108例(6%)患者诊断为不可复性半月板脱位、半月板或关节囊穿孔,但其中2例在手术中未得到证实。文中讨论了早期诊断对最佳治疗的重要性。