This paper is only available as a PDF. To read, Please Download here.
Abstract
Internal derangement of the temporomandibular joint has mainly been studied arthrographically
from the standpoint of anterior disk displacement with or without reduction. Frequent
clinical observations of disk deformation in joints with internal derangement implied
the need for a systematic study of morphologic alterations associated with internal
derangement. Therefore, morphology, internal derangement, and joint function were
studied in 58 randomly selected autopsy specimens of the temporomandibular joint.
The results showed that joints with superior disk position rarely demonstrated morphologic
alterations. In joints with partially anterior disk position, disk deformation occurred
somewhat more frequently (31%) and was consistently located in the part of the disk
that was positioned anteriorly. Joints with completely anteriorly positioned disks
showed disk deformation in 77% and irregularities of the articular surfaces in 65%.
It appears that anterior disk position precedes disk deformation. Therefore, early causal
treatment to correct symptomatic internal derangement appears indicated to decrease
the possibility of development of disk deformation. Disk deformation was also closely
associated with disturbed joint function and should therefore be an important consideration
when one is planning treatment of internal derangement of the temporomandibular joint.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Outline of orthopedics.in: ed. 9. Churchill Livingstone, London1981: 70-71
- The surgery of the temporomandibular joint.Surgery. 1939; 5: 697-706
- Condylar movement in the study of internal derangement of the temporomandibular joint.J Bone Joint Surg. 1946; 28: 351-373
- Internal derangement of the temporomandibular joint.J Oral Surg. 1952; 10: 47-57
- Meniscectomy for internal derangement of temporomandibular joint.Am J Surg. 1952; 83: 364-373
- Internal derangements of the temporomandibular joint.J Int Coll Surg. 1953; 19: 704-715
- Clinical approach to derangement of the mandibular joint.J R Coll Surg Edinb. 1972; 17: 287-295
- Arthrotomography of the temporomandibular joint.AJR. 1980; 134: 995-1003
- Internal derangements of the temporomandibular joint: Fact or fiction?.J Prosthet Dent. 1983; 49: 415-418
- Vergleichende röntgenologische und anatomische Untersuchungen am Kiefergelenk.Fortschr Röntgenstr. 1933; 48: 683-708
- Zur Pathologie und Therapie des Gelenkknackens bei Kieferschliessbewegun.Dtsch Zahnarztl Wochenschr. 1934; 37: 1013-1019
- Arthritis of the mandibular joint.Br Dent J. 1963; 115: 317-326
- Pathology of the temporomandibular joint.J Am Dent Assoc. 1969; 79: 118-124
- The temporomandibular joint: a morphologic study on human autopsy material.Acta Odontol Scand. 1971; 29: 349-384
- Structural and functional alterations of the temporomandibular joint.Northw Dent. 1978; 57: 287-294
- Arthrography of the temporomandibular joint in patients with the TMJ pain-dysfunction syndrome.Minn Med. 1978; 61: 645-652
- Inferior joint space arthrography and characteristics of condylar paths in internal derangements of the TMJ.J Prosthet Dent. 1979; 41: 548-555
- Internal derangement related to osteoarthrosis in temporomandibular joint autopsy specimens.Oral Surg Oral Med Oral Pathol. 1984; 57: 17-22
- Diagnostic accuracy of double-contrast arthrotomography of the temporomandibular joint: correlation with postmortem morphology.AJNR. 1984; 5: 463-468
- AJNR. 1984; 143: 655-660
- Movement of disc and condyle in temporomandibular joints with clicking: an arthrographic and cineradiographic study on autopsy specimens.Acta Odontol Scand. 1982; 40: 153-166
- Movement of disc and condyle in temporomandibular joints with and without clicking: a high-speed cinematographic study on autopsy specimens.Acta Odontol Scand. 1982; 40: 167-179
Eriksson L, Rohlin M, Westesson P-L: Temporomandibular joint sounds related to morphology in autopsy specimens. J Oral Maxillofac Surg (in press).
- Double-contrast tomography of the temporomandibular joint: a new technique based on autopsy specimen examinations.Acta Radiol [Diagn] (Stockh). 1980; 21: 777-784
- Double-contrast arthrography of the temporomandibular joint: introduction of an arthrographic technique for visualization of the disc and articular surfaces.J Oral Maxillofac Surg. 1983; 41: 163-172
- Arthrography of the temporomandibular joint.J Prosthet Dent. 1984; 51: 535-543
- Characteristics of the condylar path in internal derangements of the TMJ.J Prosthet Dent. 1978; 39: 319-323
- A clinical outline of temporomandibular joint diagnosis and treatment.ed. 9. Normandie Publications, Montgomery1982
- Arthrographically guided splint therapy for recapturing the temporomandibular joint meniscus.Oral Surg Oral Med Oral Pathol. 1984; 57: 235-240
- Surgery.in: Farrar WB McCarty Jr, WL A clinical outline of temporomandibular joint diagnosis and treatment. ed. 7. Normandie Publication, Montgomery1982: 155-167
- Sagittal anatomy of the human temporomandibular joint spaces: normal and abnormal findings.J Oral Maxillofac Surg. 1983; 41: 86-88
Article info
Footnotes
☆This study was supported by Magnus Bergvalls Foundation and Torsten and Ragnar Söderbergs Foundations, Stockholm, Sweden, the Swedish Society of Medical Sciences, and the Swedish Medical Research Council (project Nos. 6751 and 6960).
Identification
Copyright
© 1985 Published by Elsevier Inc.
