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Research Article| Volume 73, ISSUE 5, P531-536, May 1992

Rehabilitation of the temporomandibular joint after arthroscopic surgery

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      Abstract

      Arthroscopy of the temporomandibular joint (TMJ) is a new, relatively noninvasive surgical procedure for treating patients with TMJ dysfunctions beyond management by nonsurgical means. Ninety-two patients who underwent diagnostic and operative TMJ arthroscopy completed a staged physical therapy regimen, which resulted in functional mobility and mandibular use with little or no pain at 24-month follow-up. This report introduces TMJ arthroscopic diagnostic and surgical procedures and their respective rehabilitative protocols currently used to provide beneficial outcomes in postoperative treatment.
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      References

        • Johnson L
        Arthroscopic surgery, principles and practice.
        in: 3rd ed. CV Mosby, St Louis1986: 732-737
        • Laskin D
        Etiology of the pain-dysfunction syndrome.
        J Am Dent Assoc. 1969; 79: 147
        • McCain JP
        • de la Rua H
        • LeBlanc W
        A correlation of clinical, radiographic and arthroscopic observations in TMJ internal derangement.
        J Oral Maxillofac Surg. 1989; 47: 913-921
        • Ohnishi M
        Arthroscopy of the temporomandibular joint.
        Jpn J Stomatol Soc. 1975; 11: 207
        • Hellsing G
        • Holmlund A
        Temporomandibular joint disorders: a diagnostic challenge [Review].
        J Prosthet Dent. 1986; 6: 610-615
        • Hellsing G
        • Lestrange P
        • Holmlund A
        Temporomandibular joint disorders: a diagnostic challenge.
        J Prosthet Dent. 1986; 6: 600
        • Holmlund A
        • Hellsing G
        Arthroscopy of the tempromandibular joint: an autopsy study.
        Int J Oral Maxillofac Surg. 1985; 14: 169
        • Holmlund A
        • Hellsing G
        • Wredmark T
        Arthroscopy of the temporomandibular joint: a clinical study.
        Int J Oral Maxillofac Surg. 1986; 15: 715
        • Murakami K
        • Hoshino K
        Regional anatomical nomenclature and arthroscopic terminology in human temporomandibular joints.
        Folia Anat Jpn. 1982; 58: 745
        • Murakami K
        • Ito K
        TMJ arthroscopy by inferolateral approach.
        Int J Oral Maxillofac Surg. 1986; 15: 410
        • McCain JP
        Arthroscopy of the human temporomandibular joint.
        J Oral Maxillofac Surg. 1988; 46: 648-655
        • Sanders B
        Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed lock.
        Oral Surg Oral Med Oral Pathol. 1986; 62: 361
        • Sanders B
        • Buoncristiani R
        Diagnostic and surgical arthroscopy of the temporomandibular joint: clinical experience with 137 procedures over a 2-year period.
        J Craniomandib Disord. 1987; 1: 202
        • McCain JP
        Puncture technique and portals of entry for diagnostic and operative arthroscopy of the temporomandibular joint.
        Arthroscopy. 1991; 7: 221-232
      1. Friedman M Weisberg J Temporomandibular joint disorders: diagnosis and treatment. Quintessence, Chicago1985: 45-69
        • Kendall F
        Muscles: testing and function.
        in: 3rd ed. Williams & Wilkins, Baltimore1983: 235-265
      2. Travell J Simons D Myofascial pain and dysfunction: the trigger point manual. Williams & Wilkins, Baltimore1983: 165-181
        • Widner CG
        Evaluation of temporomandibular disorders.
        in: Kraus S TMJ disorders: management of the craniomandibular complex. Churchill Livingstone, New York1988: 79-112
        • Fearson D
        • Auslen K
        Acute inflammatory response.
        in: McCarty D Arthritis and allied conditions. Lea & Febiger, Philadelphia1979
        • Kulick M
        • Smith S
        • Hadler K
        Oral ibuprofen: evaluation of its effect on peritendinous adhesions and the breaking strength of tenorraphy.
        J Hand Surg. 1986; 11: 110
        • Dawson P
        Evaluation, diagnosis and treatment of occlusal problems.
        in: 2nd ed. CV Mosby, St Louis1987: 14-17
        • Kraus S
        Physical therapy management of TMJ dysfunctions.
        in: TMJ disorders: management of the craniomandibular complex. Churchill Livingstone, New York1988
        • McCain JP
        • de la Rua H
        Principles and practices of operative arthroscopy of the human temporomandibular joint.
        Oral Maxillofac Surg Clin North Am. 1989; 1: 145-148
        • Ohnishi M
        Gakukansetukyousihou no kaihatu sono rinshououyou.
        Jpn J Stomatol Soc. 1982; 31 (in Japanese): 487
        • Pruzanski W
        Serum and synovial fluid proteins in rheumatoid arthritis and degenerative joint disease.
        Am J Med Sci. 1973; 265: 483
        • de Bont L
        • Boering G
        • Liem R
        • Dulderink F
        • Westesson P
        Osteoarthrosis and internal derangement of the temporomandibular joint: a light microscopic and scanning electron microscopic study of the articular cartilage of the mandibular condyle.
        J Oral Maxillofac Surg. 1985; 43: 481
        • Shahriaree H
        Chondromalacia.
        Cont Orthod. 1985; 11: 27
        • Lotke P
        • Lefkow R
        • Ecker M
        Late results following partial meniscectomy in an older population.
        J Bone Joint Surg [Br]. 1981; 5: 115
        • Whipple T
        Osteoarthritis and chondromalacia.
        in: Parisien J Arthroscopic surgery. McGraw-Hill, New York1988: 137
        • Campbell C
        The healing of cartilage defects.
        Clin Orthop. 1979; 64: 45
        • Lindenbaum B
        Complications of knee joint arthroscopy.
        Clin Orthop. 1981; 160: 158
        • Meachin G
        • Osborn G
        Repair of the femoral articular cartilage surface in osteoarthritis of the hip.
        J Pathol. 1970; 102: 1
        • Meachin G
        • Roberts C
        Repair of the joint surface from subarticular tissue on the rabbit knee.
        J Anat. 1971; 109: 317
        • Salter R
        The biological effect of continuous passive motion on the healing of full thickness defects in articular cartilage: an experimental investigation in the rabbit.
        J Bone Joint Surg [Am]. 1980; 62: 1232
        • Sebastian M
        • Moffett B
        The effects of continuous passive motion on the temporomandibular joint after surgery.
        Oral Surg Oral Med Oral Pathol. 1989; 67: 644-653
        • Riddell R
        Gas arthroscopy of the knee.
        in: Shahriaree H Textbook of arthroscopic surgery. JB Lippincott, Philadelphia1981: 76
        • McCain JP
        Anterior release and retrodiscal cauterization of the displaced articular disc.
        in: Presented at the Second Annual Symposium on Arthroscopy of the Human Temporomandibular Joint, New YorkDec 7–9, 1987