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人体颞下颌关节在开口位和闭口位时盘后组织的组织学研究。

A histologic study of retrodiscal tissues of the human temporomandibular joint in the open and closed position.

作者信息

Wilkinson T M, Crowley C M

机构信息

Department of Dentistry, University of Adelaide, South Australia.

出版信息

J Orofac Pain. 1994 Winter;8(1):7-17.

PMID:8032333
Abstract

Specialized roles for the different components of the retrodiscal tissues have been previously postulated. This study compared the histologic features of the retrodiscal tissues of temporomandibular joints, taken from human cadavers, in the open and closed position; it was concluded that the primary role of these components was to provide a volumetric compensatory mechanism for pressure equilibration. This mechanism was still active in joints that demonstrated disc displacement and degenerative changes. Elastin was found in the upper and lower strata of the retrodiscal tissues, as well as in the central zone. The concept of an elastic upper stratum that has a recoil mechanism to control disc movement was not supported by this study, as the upper stratum was folded on itself in the closed position and only became stretched near maximal opening.

摘要

先前曾推测盘后组织不同成分具有特定作用。本研究比较了取自人类尸体的颞下颌关节在开口位和闭口位时盘后组织的组织学特征;得出的结论是,这些组织成分的主要作用是提供一种容积性补偿机制以实现压力平衡。在出现盘移位和退行性改变的关节中,该机制仍然有效。在盘后组织的上层和下层以及中央区均发现了弹性蛋白。本研究不支持弹性上层具有控制盘运动的回弹机制这一概念,因为上层在闭口位时自身折叠,仅在接近最大开口时才被拉伸。

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