• 제목/요약/키워드: internal derangement

검색결과 134건 처리시간 0.037초

전산화 단층 촬영을 이용한 악관절 내장증에 관한 연구 (A STUDY ON THE INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT BY COMPUTED TOMOGRAM)

  • 조대희;김재덕
    • 치과방사선
    • /
    • 제18권1호
    • /
    • pp.67-73
    • /
    • 1988
  • This study was performed to clarify the mechanism of clicking sound and locking on temporomandibular joint and to determine the radiographic findings of them by using computed tomogram. Through the preliminary study with cadavers, the proper scanning condition and the correlatonship between the anatomy of cadaver and computed tomogram had been determined. The subjects were consisted of 10 controls and 16 patients having clicking sound or locking on temporomandibular joint. By using Hitachi-W500 as computed tomographic device, direct axial views and sagittal views reformed according to the changes in window setting and using the non-linear fraction were taken and analyzed by visual method and measuring the attenuation numbers. The obtained results were as follows: 1. The density of the anterior band of meniscus showed isodense to the surrounding muscles in normal. 2. In patient group, affected side showed increased radiopaque area anterior to condyle and underneath articular eminence as the feature of anteriorly displaced meniscus on axial and sagittal views. 3. In patient group, the condyle was rotated postero-laterally in affected side. 4. Non-linear fraction highlightened the feature of anteriorly displaced meniscus.

  • PDF

악관절 질환 환자에 대한 초기치료의 효과: 상담 및 투약

  • 김영균;김현태;김인수
    • 대한치과의사협회지
    • /
    • 제38권6호통권373호
    • /
    • pp.549-557
    • /
    • 2000
  • ㆍPurpose: This study was performed to investigate the initial conservative treatment for TMD patients using careful counselling and medication prospectively. ㆍMaterials and Methods: Careful counselling and medication were performed in 51 TMD patients and 27 patients had follow-up check 2 months or more. Diagnosis of TMD was based on medical history and, physical and radiographic examination. TMD included masticatory disorder, internal derangement, degenerative joint disease, inflammatory joint disorder. and problems resulting from extrinsic trauma. All patients had chief complaints of TMJ pain, mouth-opening limitation. joint noise, and/or referred pain. We counselled and explained to the patient about the pathogenesis, etiologic factors, diagnosis and treatment plan for abut 10 minutes. We prescribed nonsteroidal anti-inflammatorv analgesic(Somalgen) and amitriptyline 10mg per day for 2 weeks. We informed the patient of the attention sheet and taught self-exercise of jaw. The patient were assessed by answering the questionnaire of subjective evaluation of TMD & maxillofacial pain. Questionnaire of an activity limitation. Questionnaire of a jaw function, and Questionnaire for the evaluation of TMD. ㆍResults: In questionnaire for the evaluation of TMD, 88.5% of 26 patients answered that the treatment was efficacious. 71.4% of 21 patients answered no problem in everyday life. There were significant differences between pretreatment and final follow-up in the evaluation of the subjective pain in the following sections: opening widely, chewing, resting, morning, masticatory muscle, and temporal portion(SAS program, paired T-test, P = 0.05). ㆍConclusions: Considerate counselling and proper medication could be significantly effectve in the initial treatment of TMD.

  • PDF

턱관절 질환환자의 MRI상 원판후 조직의 상대적 신호강도에 대한 연구 (A RESEARCH FOR THE RELATIVE SIGNAL INTENSITY OF THE RETRODISCAL TISSUE IN THE TEMPOROMANDIBULAR JOINT DISORDER PATIENTS ON MRI)

  • 하원석;윤현중;이상화
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제29권3호
    • /
    • pp.211-216
    • /
    • 2007
  • Temporomandibular joint disorders (TMD) often show muscular disorder, internal derangement and degenerative change of articular surface of the condyle. It is important to choose adequate diagnostic method for obtaining data for the diagnosis and treatment. Magnetic Resonance Imaging (MRI) has some advantages, because it shows good resolution image for the soft tissue and it is not invasive to the human body. We have performed serial research about the retrodiscal tissue of the TMJ according to the progress of the disease, using T2 weighted image, since 2002. In this study, we applicated resized observation area to compare signal intensity between the retrodiscal tissue of the TMJ and cerebral gray matter, using T2 weighted image.

측두하악 관절 장애의 평가 (Clinical Assessment of Temporomandibular Joint Dysfunction)

  • 류재관;김종순
    • 대한물리치료과학회지
    • /
    • 제5권4호
    • /
    • pp.717-728
    • /
    • 1998
  • The Temporomandibural joint(TMJ) is one of the most frequently used joint in the body as $1,500{\sim}2,000$ times per day for the activities of chewing, swallowing, talking, yawing and sneezing. The TMJ are formed by condylar process of mandible and mandible fossa of temporal bone, separated by an articular disc. This articular disc divides into two cavities as upper cavity and lower cavity. The gliding movement occurs in the upper cavity of the joint, whereas hinge movement occurs in the lower cavity. The movements that are allowed at the TMJ are opening, closing, protrusion, retraction and lateral movement. A cause of TMJ dysfunction are capsulitis, internal derangement, osteoarthritis, rheumatoid arthritis, infection and inflammation near the joint, trauma on joint, ankylosis, subluxation or dislocation of joint, injury of articular disc, myositis, muscle contracture or spasm, myofascial pain dysfunction syndrome, dyskinesia of masticatory muscles, developmental abnormality, tumor, connective tissue disease, fibrosis, malocclusion, swallowing abnormality, wrong habits such as bite nail or hair, bruxism, psycological stress and Costen syndrome etc. Assessment of TMJ dysfunction consist of interview, observation, functional examination, palpation, reflex test, joint play test, electromyography and radiologic examination and behavioral and psycological assessment etc.

  • PDF

측두하악관절 자기공명영상에서의 삼출에 관한 연구 (Effusion in magnetic resonance imaging of the temporomandibular joint)

  • 나경수
    • Imaging Science in Dentistry
    • /
    • 제33권1호
    • /
    • pp.1-4
    • /
    • 2003
  • Purpose : The purpose of this study was to investigate the distribution and frequency of temporomandibular joint (TMJ) effusion in magnetic resonance (MR) images of patients with disc displacements. Materials and Methods: On T2 weighted MR images of 148 TMJs taken from 74 patients presenting with TMJ pain and dysfunction, we assessed the cases showing TMJ effusion, defined as an amount of fluid that exceeded the maximum amount seen in a control group of asymptomatic volunteers. The amount of TMJ fluid was graded as: I (none or minimal), II (moderate), III (marked), and IV (extensive), according to a standard set by a reference. Disc displacement categories were also recorded. Results: Of the 148 TMJs examined in this study, 52 joints (35.1%) presented with joint effusion, 24 (16.2%) showing bilateral joint effusion. 38 joints showed upper joint space effusion, 3 showed lower joint space effusion, and 11 showed both upper and lower joint space effusion. 96 joints (64.9%) had grade I joint fluid, 27 (18.2%) grade II, 15 (10.1 %) grade III, and 10 (6.8%) grade IV. 80.0% of the joints presenting with grade IV effusion showed disc displacement without reduction. Conclusion: Joint effusion was found not only in upper, but also in lower joint spaces. The higher the effusion grade, the greater the frequency of disc displacement without reduction.

  • PDF

잠정적 Silastic 삽입을 이용한 관절원판 적출술 (CLINICAL STUDY OF MENISCECTOMY USING THE TEMPORARY SILASTIC IMPLANT)

  • 김형곤;박광호;김준배;주재동;배성렬;김영환
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제14권3호
    • /
    • pp.237-244
    • /
    • 1992
  • The author has studied retrospectively the meniscectomy with temporary silastic implant. The study material used was 4 joints that were possible to be followed up in 9 joints of out of all 145 joints who were diagnosed as internal derangement and have been operated in Yongdong Severance hospital from March 1988 to February 1990. We concluded that the use of temporary silastic implant would prevent the complication which would be arised after meniscectomy alone. And we could obtain the results of the relief of clinical symptoms and maintenance or improvement of joint space when preoperative and postoperative clinical and radiographic findings were compared. The larger number of patients and long term follow-up will be needed for further the investigation.

  • PDF

악관절증의 진단을 위한 역동적 자기공명 영상의 이용 및 증례 (Diagnostic Reliability & Case Reports Of The Dynamic MRI For Temporomandibular Joint Disease)

  • 박진호;진병로;변우목
    • Journal of Yeungnam Medical Science
    • /
    • 제12권1호
    • /
    • pp.141-148
    • /
    • 1995
  • 본 교실에서는 측두하악관절주위의 동통, 관절 잡음동의 증상을 주소로 내원한 환자들에 있어서 역동적 자기공명영상의 촬영을 시행하여 관절원판의 전방변위와 형태적 이상 및 주위 구조물들과의 관계를 분석한 결과 근육성 동통기능장애와의 감별뿐만 아니라 환자의 중상에 따른 관절 내부 장애의 정도를 파악할 수 있었으며 악기능시의 구조적 이상, 장애의 원인 등을 판독하여 치료의 방침을 세우는데 있어 매우 유용한 정보를 얻을 수 있었기에 보고 하는 바이다.

  • PDF

Elongated styloid syndrome mimicking temporomandibular joint disorders: a case report and short literature review

  • Abdullah Alsoghier
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제49권3호
    • /
    • pp.157-162
    • /
    • 2023
  • Elongated styloid syndrome (ESS) can present with myriad symptoms that mimic common features of orofacial pain, such as temporomandibular joint disorders (TMJDs), often causing a challenge and delay in diagnosis. We report the case of a 52-year-old male with a three-year history of non-painful clicking during jaw movement initially diagnosed as TMJD-related internal derangement. The patient presented with a history of annoying jaw sounds for three years, described as a popping sound without bilateral clicking or crepitation. Tinnitus and progressive hearing loss were observed in the right ear, and a hearing aid was recommended by an otolaryngologist. The patient was initially diagnosed with TMJD and managed accordingly; nevertheless, his symptoms persisted. Imaging revealed prominent bilateral styloid process elongation that exceeded the recognized cut-off level of >30 mm for elongation. The patient was informed of his diagnosis and its treatment but opted only for further swallowing and auditory assessments of his ear and nose symptoms. Clinicians should consider including ESS as a differential diagnosis in patients presenting with non-specific chronic orofacial symptoms for timely diagnosis and favorable clinical outcomes.

2D Single-legged Dynamic Knee Valgus assessments Methods: Evaluating Risk Factor for Internal Derangement of the Knee; Literature Review

  • Hyun Lee;Jihye Jung;Seungwon Lee
    • Physical Therapy Rehabilitation Science
    • /
    • 제13권2호
    • /
    • pp.240-249
    • /
    • 2024
  • Objective: The objective of this study is to evaluate various research that have examined dynamic knee valgus and to pinpoint a straightforward, clinically practical 2D assessment method for dynamic knee valgus that is user-friendly. Design: A literature review Methods: This literature review was conducted in Pubmed, MEDLINE® and Google Scholar with the following key words: Knee valgus angle, Knee valgus evaluation, Knee valgus assessment, Dynamic knee valgus. After removing duplicate studies, 53 articles were initially chosen using this method, with 17 studies ultimately meeting the selection criteria. Results: Based on the comprehensive review of various studies, the Single Leg Squat (SLS) was identified as the most popular test method, followed by the Single Leg Landing (SLL) as the next most common test method. The Frontal Plane Projection Angle (FPPA) method was the most representative method for measuring dynamic knee valgus (DKV) during these tests. SLS was found in a total of 10 studies, while SLL was found in 7 studies. Conclusions: The most commonly proposed test for assessing DKV is measuring the SLS using the FPPA method. However, when applied to individuals without knee pathology, the discriminative power of this method may be limited. This suggests the need for further research to explore alternative methods for assessing DKV in this population.

MAGNETIC RESONANCE IMAGING을 이용한 악관절 원판 천공 진단 (PERFORATION OF THE TEMPOROMANDIBULAR JOINT MENISCUS: DIAGNOSED BY MAGNETIC RESONANCE IMAGING)

  • Kim, Houng-Gon;Dolan, Eward;Vogler, James B.;Nokes, Steven R.
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제11권2호
    • /
    • pp.11-18
    • /
    • 1989
  • 최근의 악관절(TMJ) 방사선학적 진단에 있어 많은 발전과 진단방법이 고안돼어 왔다. 또한 새로운 외과적 술식의 발달로 인하여 악관절내장증(Internal Derangement)의 보다 정확한 진단을 요하게 되었다. 가장 새로운 진단방법으로 핵자기공명촬영법(Magnetic Resonance Imaging:MRI)이 악관절내장증 진단 평가하는데 사용되어지고 있다. 핵자기공명촬영법은 surface coil을 이용하여 관절원판(meniscus)의 비정상적 변화를 효과적으로 진달할 수 있으며, 지금까지 이용되어오던 악관절조영술(arthrography)이나 컴퓨터 단층촬영법(C-T scan)의 단점인, 관절내 조영제 주입이나 방사선 노출둥의 문제점을 배제할 수 있다. 본 연구는 악관절 핵자기공명촬영을 한 92명(184 joints)중 천공(perforation)으로 진단된 31 명 (39 joints)를 대상으로 하였으며, 핵자기공명촬영법의 취약점으로 지적되고 있는 악관절원판 천공 진단의 정확도를 측정하기 위하여 가역적 조사를 통해, 악관절원판 천공으로 진단되어 수술받은 15명(20 joints)에서 65%(13 joints)의 정확성을 확인하였다. 또한 핵자기공명촬영법을 통한 악관절원판 진단의 정확도를 높이기 위하여 condyle head의 퇴행성 변화, articular eminence의 변화, condyle spurring, bone to bone contact등의 경조직 변화와 meniscus의 discontinuity, meniscal deformity, loss of joint space, alternated bilaminar zone 등이 악관절원판 천공진단의 중요한 findings 임을 증명 하였다.

  • PDF