• Title/Summary/Keyword: Disk displacement

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Magnetic resonance imaging signal intensity of temporomandibular joint disk and posterior attachment in patients with internal derangement (측두하악관절 내장 환자의 관절원판과 관절원판 후조직의 자기공명영상 신호강도)

  • Jeong Yeon-Hwa;Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.31 no.2
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    • pp.93-99
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    • 2001
  • Purpose: To analyze the possible association between magnetic resonance imaging signal intensity of temporomandibular joint disk and posterior attachment, and the type and extent of disk displacement, disk configuration, effusion and clinical signs in patients with internal derangement. Materials and Methods: Magnetic resonance images of the 132 temporomandibular joints of 66 patients with temporomandibular joint displacement were analyzed. The clinical findings were obtained by retrospective review of the patients' records. The type and extent of disk displacement, disk configuration and effusion were evaluated on the proton density MR images. The signal intensity from the anterior band, posterior band and posterior attachment were measured on MR images. The associations between the type and extent of disk displacement, disk configuration, effusion and clinical signs and the MR signal intensity of disk and posterior attachment were statistically analyzed by student's t-test. Results: Of 132 joints, 87 (65.9%) showed anterior disk displacement with reduction (ADR) and 45 (34.1%) showed anterior disk displacement without reduction (ADnR). The signals from posterior attachments were lower in joints with ADnR than those of ADR (p<0.05). The results showed statistically significant (p<0.05) association between the type and extent of disk displacement and disk configuration, and decreased signal intensity of posterior attachment. There were no statistical associations between pain, noise and limited mouth opening, and signal intensity of disk and posterior attachment. Conclusions: The average signal from posterior attachment was lower in joints with ADnR than that of ADR. The type and extent of disk displacement and disk configuration appeared to be correlated with the signal intensity from posterior attachment.

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Posterior Disk Displacement in the Temporomandibular Joint: A Report of Two Cases

  • Kim, Jihoon;Kim, Moon-Jong;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.41 no.3
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    • pp.137-143
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    • 2016
  • Posterior disk displacement (PDD) of the temporomandibular joint (TMJ) is a rare condition and most descriptions of TMJ PDD are about the adhesion of superior TMJ in which the position of disk is relatively posterior to anteriorly translated condyle in open mouth position. However, there have been reports about truly posteriorly positioned disk to the condyle in closed mouth position. This type of PDD has been classified into three subtypes-thin flat disk type, grossly posterior displaced disk type, and perforated disk type. Here, we report two rare cases of TMJ PDD, one with thin flat disk and one with perforated disk. Its possible etiology, pathogenetic mechanisms, related signs and symptoms, differential diagnoses, and treatments were reviewed and discussed.

Condylar position on the lateral individualized corrected tomography in internal derangement of temporomandibular joint (측두하악관절 내장증시 측방 개별화 보정단층방사선사진에서의 하악과두의 위치)

  • Kim Keun-Min;Hwang Eui-Hwan;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • v.32 no.2
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    • pp.67-73
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    • 2002
  • Purpose: To examine the possible relationship between condylar position and disk displacement in the temporomandibular joint. Materials and Methods: 79 temporomandibular joints in 40 patients having temporomandibular disorders were classified into three categories: no disk displacement (NDD) , disk displacement with reduction (DDWR), and disk displacement without reduction (DDWOR). Disk positions were assessed from clinical and MRI findings. The relationship between the three categories and condylar positions was evaluated using lateral individualized corrected tomography. Results: Clinical findings regarding the relationship between condyle and disk positions having anterior, centric, and posterior positions were 27%, 27%, and 46%, respectively, in NDD, 43%, 17%, and 40%, respectively, in DDWR, and 44%, 22%, and 34%, respectively, in DDWOR. There were no significant differences in condylar positions between each of the groups (P>0.05). In the relationship between condyle and disk positions with MRI findings, anterior, centric, and posterior positions were 38%, 38%, and 24%, respectively, in NDD, 29%, 21%, and 50%, respectively, in DDWR, and 44%, 9%, and 47% respectively, in DDWOR. There were significant differences in the condylar positions when MRI was utilized (P<0.05) Conclusion: There was a significant correlation between the condyle and disk positions with MRI findings on lateral individualized corrected tomography.

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A Driver Design of Disk Type LOA for Decrease Displacement Pulsatory Motion (변위 맥동 저감을 위한 Disk Type LOA의 구동드라이버 설계)

  • Jang Seok-Myeong;Choi Byung-Heon;Kwon Jeong-Ki;Cho Han-Wook;Jeong Sang-Sub
    • Proceedings of the KIEE Conference
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    • summer
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    • pp.1094-1096
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    • 2004
  • This paper deals with driver design for displacement pulsation reduction of disk type LOA. Manufactured disk type LOA consists of iron cored disk as a mover and coil wrapped stator which is located at two sides with respect to mover origin.

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THE STUDY ON ANTERIOR DISPLACEMENT OF DISK IN PATIENTS OF TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT IN MAGNETIC RESONACE IMAGING (측두하악관절 내장증 환자의 자기공명영상에서 관절 원판의 전방 이동에 관한 연구)

  • Moon, Chang-Soo;Cho, Byoung-Ouck;Lee, Yong-Chan;Lee, Han-Ouck;You, Han-Shick;Lee, Yul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.3
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    • pp.189-197
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    • 1993
  • Tempormandibular Joint pain and dysfunction is a common and important clinical problem. With the recent advances in imaging technology, radiologists have made major contribution to the understanding of TMJ disease. The MRI has several advantages over the conventional imaging methods. It is possible to obtain surprisingly precise images of internal hard and soft tissues with MRI. It is not invasive without ionizing radiation. The abnormal disk position has been thought as the cause of TMJ internal derangement. But there are few methods to relate disk position to TMJ internal derangement quantatively. The object of our study is to determine the amount of anterior displacement fo articular disk in symptomatic patients related each symptoms. Using the method of Dr. Drace, we studied the 38 joints of 22 persons with susceptable TMJ internal derangement. 1. In determining the anterior displacement of TMJ articular disk, the junction between the posterior band and bilaminar zone was useful. 2. The mean anterior displacement of disk in reduction group and without reduction group were $51.0^{\circ}C$ and $81.1^{\circ}C$ respectively. The difference was significant. 3. In the mean anterior displacement of disk, the pain without clicking group showed $84.8^{\circ}C$ and the clicking and pain group $70.8^{\circ}C$, the clicking group respectively.

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A Study on the Torsional Vibration Measurement of the Horizontal Shaft with Disks (단을 가진 수평축의 비틀림진동 측정에 관한 연구)

  • 박일수;안찬우;김중완
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.04a
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    • pp.3-8
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    • 1997
  • This parer was presented for the experimental results of torsional vibrations of the horizontal rotating shaft with three disks. The torsional vibrations meter used is a laser system for non-contact measurement of torsional angular vibration velocity and torsional angular vibration displacement. The distance between the disks war changed; the one that had 76mm of disk distance war called basic model, and another that had 106mm of disk distance wide model, and other that had 46mm of disk distance narrow model. In each model, outer diameter of disk was 40mm. And 45mm, or 50mm was also used to extend the effective range of frequencies. The angula vibration displacement and the angular vibration velocity in its torsional vibration were measured to obtain the stable and the unstable regions.

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A STUDY ON THE CHANGES OF MR SIGNAL INTENSITY OF POSTERIOR ATTACHMENT OF THE TEMPOROMANDIBULAR JOINT (악관절 후방부착부에 있어서 MRI 신호변화에 대한 고찰)

  • Jung, Joo-Sung;Huh, Won-Shil;Chung, Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.1
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    • pp.93-107
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    • 1997
  • Magnetic resonance imaging has been used in the temporomandibular joint(TMJ) primarily to define morphology and positional relationship of associating structures. This report examines signal intensity characteristics of the posterior attachment as they related to the severity of internal derangement. Fifty six joints in 35 patients with a history of TMJ dysfunction were imaged writ MR using $T_1$-weighted spin echo sequence. According to disk position, ability to reduction, and the presence of osteoarthritis, the joints were categorized into three groups. A group 1 was anterior disk displacement with reduction; a group 2 was anterior disk displacement without reduction; a group 3 was anterior disk displacement without reduction and condyle had osteoarthritic change. The control group was determined by the clinical absence of any signs or symptoms of current or past TMJ pain and dysfunction. Calculated the relative value of MR signal intensity in posterior attachment and disk to cerebral cortex of temporal lobe by means of computer program, we have compared them with each groups. The result showed statistically little significant difference of disk signal intensity among each groups. but, signal intensity from posterior attachment in group 2 and 3 were significantly(p<0.05) decreased than control group. this might reflect an fibrosis or hyalinization of posterior attachment, which was part of remodeling process that occurs in disk displacement without reduction. However, this study could not demonstrate histologic confirmation of the decreased signal intensity in the posterior attachment. So, further investigation could be needed to understand the association between them.

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Magnetic resonance imaging findings of the retrodiskal tissue in TMJ internal derangement (측두하악관절 내장증에서의 관절원판 후조직의 자기공명영상)

  • Cho Bong-Rae
    • Imaging Science in Dentistry
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    • v.33 no.2
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    • pp.63-70
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    • 2003
  • Purpose: To describe the MRI findings of the retrodiskal tissue in patients presenting with TMJ internal derangement and to correlate these findings with clinical and other MRI manifestations. Materials and Methods: One hundred eighteen joints of 63 patients with TMJ internal derangement were examined by MRI. Tl-weighted sagittal MR images taken in both closed- and open-mouth were evaluated for the presence of demarcation between disk and retrodiskal tissue, the presence of low signal intensity, and the depiction of the temporal part of the posterior attachment. The results were correlated with the duration of TMJ internal derangement, the presence of pain, and other MRI findings, including the type of internal derangement, the extent of disk displacement, the degree of disc deformation, and the presence of osteoarthrosis. Results: A significant relationship between the presence of low signal intensity in the retrodiskal tissue and other MRI findings was determined. Low signal intensity on the open-mouth view was observed more frequently in patients with disc displacement without reduction, severe disc displacement and deformation, and osteoarthrosis (p<0.05). The demarcation between disk and retrodiskal tissue, and the depiction of the temporal part of the posterior attachment(TPA) were correlated neither with clinical, nor with other MRI findings. Conclusion: This study suggests that low signal intensity in the retrodiskal tissue on open-mouth MR image can be indicative of advanced stages of disk displacement.

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Variation of Natural Frequency and Dynamic Behavior of Railway Open-Steel-Plate-Girder Bridge with Installing Disk Bearings (디스크 받침에 의한 철도 판형교의 고유진동수 및 동적 거동 변화)

  • Choi, Eun Soo;Lee, Hee Up;Kim, Sung Il;Kim, Lee Hyeon
    • Journal of Korean Society of Steel Construction
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    • v.18 no.4
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    • pp.437-446
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    • 2006
  • Open-steel-plate-girder(OSPG) bridges are one of the most prevalent bridge types among Korean railway bridges. They account for about 40% of all Korean railway bridges. However, the line-type bearings used for OSPG bridges generate several problems with respect to the bridges' dynamic behavior and maintenance. The replacement of the existing bearings with polyurethane disk bearings could be a possible solution to this problem. This type of disk bearing is an elastic bearing using a polyurethane disk. This study estimated the variations in the natural frequency of a bridge when disk bearings were installed and the bridge's dynamic behavior with a running locomotive and running trains. The first natural frequency of the bridge was 3% lower than that of the as-built bridge after the installation of the disk lower, respectively. Also, the second and third frequencies were 7 and 15% lower, respectively. The disk bearings increased the vertical displacement of the bridge, but the pure displacement, excluding the disk deformation, did not vary. The vertical acceleration did not increase when the disk bearing was installed, with trains running. The shear pin in the disk bearing reduced the lateral displacement and the acceleration of the bridge.

Morphologic and positional assessment of temporomandibular joint disk in facial asymmetric patients by magnetic resonance imaging (자기 공명 영상을 이용한 안면비대칭환자의 측두하악관절원반의 형태와 위치에 관한 연구)

  • Zou, Bingshuang;Kim, Tae-Woo;Choi, Soon-Chul
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.398-407
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    • 2005
  • The present study was conducted to examine the morphometrics and function of the disk on both sides among patients with facial asymmetry (FA) and to elucidate plausible correlations between internal derangement (ID) and FA. The sample was composed of 10 males and 27 females with FA. The disk status of all subjects was evaluated by bilateral high resolution magnetic resonance scans in the sagittal (closed and open) and coronal (closed) planes. Five types of disk displacement were identified accordingly. The disk function was diagnosed as normal disk function, disk displacement with reduction, and disk displacement without reduction. The disk shape on sagittal MRI in closed position was classified as bi-concave, biplanar, funnel/hemiconvex, and deformed. The disk position, translation and rotation were also measured. The difference between the shifted side and non-shifted side was analyzed by statistical analysis. Approximately $70\%$ of the patients in the present study showed unilateral or bilateral ID. It was found that anterior disk displacements (ADD), especially rotational ADD, occurred more frequently in the shifted side, while normal disk position was observed mainly in the non-shifted side (p<0.01). The disk of the shifted side showed significantly deformed configuration and inferior-anterior disk position. However, the disk of the non-deviated side showed hyper-mobility during jaw opening movement. These results demonstrate that in FA patients, the disks status of the shifted side is different from that of the non-shifted side, a phenomenon that could be correlated to facial asymmetry.