Grinin V M, Smirnov A V
Stomatologiia (Mosk). 1997;76(1):18-21.
Temporomandibular joints are involved in Bechterew's diseases in 59.6% of cases, more often in the peripheral form of the disease. Involvement at the debut of the disease was observed in 33.3%, including monoarthritis in 28.6%. The incidence of these lesions correlated with involvement of the hip, knee, and ankle joints. Unstable symmetrical arthritides with early rigidity predominate in the clinical picture. Extraarticular symptoms, such as defiguration, tenosynovitis, are typical. X-ray examination reveals pseudodilatation of the joint fissure, periarticular osteosclerosis, ossification of the ligaments, early ankylosis without predestruction. Erosive changes of the temporomandibular joint are not typical. Scintigraphy with pertechnephore is an informative method for ruling out other diseases of the temporomandibular joint.
颞下颌关节在59.6%的别赫捷列夫病病例中受累，在疾病的外周型中更为常见。在疾病初发时观察到33.3%的病例出现受累，其中28.6%为单关节炎。这些病变的发生率与髋、膝和踝关节的受累情况相关。临床症状以不稳定的对称性关节炎伴早期僵硬为主。关节外症状，如毁形性、腱鞘炎，较为典型。X线检查显示关节间隙假性增宽、关节周围骨质硬化、韧带骨化、早期关节强直且无骨质破坏。颞下颌关节的侵蚀性改变并不典型。锝骨闪烁扫描是排除颞下颌关节其他疾病的一种有价值的方法。
