Murphy W A
Radiol Clin North Am. 1981 Jun;19(2):365-78.
The temporomandibular joint is anatomically and functionally complex. Some of its internal secrets may be delineated by careful arthrography. However, the arthrographer must pay as much attention to the dynamic joint as to static images. At the very least, TMJ arthrography has shown that there are anatomic abnormalities which account for many components of the syndrome of TMJ pain and dysfunction. Clicks, locks, perforations, and detachments, as well as their many variations, can be easily documented. As a diagnostic tool, TMJ arthrography is still in its infancy, but it should help in planning rational conservative and surgical intervention. The future for this technique is exciting.
颞下颌关节在解剖学和功能上都很复杂。通过仔细的关节造影可以揭示其一些内在奥秘。然而,关节造影者必须同样关注关节的动态情况和静态图像。至少,颞下颌关节造影已表明存在解剖学异常,这些异常可解释颞下颌关节疼痛和功能障碍综合征的许多症状。弹响、绞锁、穿孔和附着点分离,以及它们的多种变体,都可以很容易地记录下来。作为一种诊断工具,颞下颌关节造影仍处于起步阶段,但它应有助于制定合理的保守治疗和手术干预方案。这项技术的未来令人期待。