椎间盘移位患者的颞下颌关节音

Lars Eriksson , Per-Lennart Westesson, Madeleine Rohlin
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引用次数: 78

摘要

颞下颌关节的声音被认为是不同病理改变的标志。然而,关节发音与关节的功能和形态之间的关系并没有很好的文献记载。因此,我们在手术前记录了35个椎间盘移位的手术关节的声音,并研究了关节成像和术中椎间盘的位置、功能和结构以及关节变化。12个关节沉默,12个关节相互发出咔哒声,3个关节发出咔哒声,8个关节发出咔哒声。相互咔嗒关节一致表现为椎间盘移位伴复位,静止和复位关节一致表现为椎间盘移位无复位。具有相互咔嗒声的AU关节以及大多数沉默关节显示非关节关节面,而在关节和非关节关节中都记录了咔嗒声。我们的结果暗示,创口是一个相当不可靠的关节病的迹象。相互的咔嗒声可以被认为是前移位椎间盘复位的准确标志。然而,无论是位移程度还是变形程度,都不能通过声音分析来揭示。这些信息只能通过进一步的检查获得,例如关节断层扫描。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Temporomandibular joint sounds in patients with disc displacement

Temporomandibular joint sounds have been viewed as signs of different pathological changes. However, the correlation between joint sounds on the one hand and function and morphology of the joint on the other, are not well documented. We have therefore presurgically recorded sound from 35 operated joints with disc displacement and have studied arthrographically and during surgery the position, function and configuration of the disc as well as arthrotic changes. 12 joints were silent, 12 elicited reciprocal clicking, 3 single clicking, and 8 crepitation. Joints with reciprocal clicking consistently showed disc displacement with reduction and silent and crepitating joints showed disc displacement without reduction. AU joints with reciprocal clicking as well as most silent joints demonstrated non-arthrotic articular surfaces, whereas crepitation was recorded in both arthrotic and non-arthrotic joints. Our results implied that crepitation is a rather unreliable sign of arthrosis. Reciprocal clicking can be considered as an accurate sign of reduction of anteriorly displaced discs. However, neither the degree of displacement nor the degree of deformation of the disc could be disclosed by analysis of the sound. This information can only be obtained by further examination, such as arthrotomography.

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