자기공명영상에서의 temporomandibular joint effusion과 증상 및 수술소견과의 연관성에 대한 후향적 연구

• 영문명: A RETROSPECTIVE STUDY ON THE RELATIONSHIP BETWEEN MRI EVIDENCE OF TEMPOROMANDIBULAR JOINT EFFUSION AND CLINICO-SURGICAL FINDINGS
• 발행기관: 대한구강악안면외과학회
• 저자명: 김형곤(Hyung Gon Kim) 허종기(Jong Ki Huh) 박광호(Kwang Ho Park) 윤현중(Hyun Joong Yoon) 김일수(Il Soo Kim) 남광현(Kwng Hyun Nam) 최희수(Hee Soo Choi)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제25권 제2호, 133~140쪽, 전체 8쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 1999.04.30

영문 초록

Purpose: Although joint effusion caused by the inflammatory changes of synovium has been known to be associated with joint pain, it is still controversial. This study is to clarify the relationship between the evidence of joint effusion seen high signal intensity in T2-weighted magnetic resonance imaging and clinico-surgical findings. Materials and Methods: All of the patients were diagnosed as temporomandibular joint internal derangement and received unilateral open surgery. The authors classified the joint effusion as four categories by size and shape: degree O-no evidence; degree 1a-a line of high signal along articular surface in unfolded disc; degree 1b-high signal spot in the folded disc; degree 2-pooling in the anterior recess and folded disc; degree 3-pooling in the glenoid fossa and along articular eminence. The authors evaluated clinical and surgical findings. Results: Two-hundred eighty-nine patients(242 females) with mean age of 30.2 years(range: 14 to 74) were included. High signal intensity was seen in 166 joints(57.4%): degree 1 in 82 joints, degree 2 in 69 joints(23.9%), degree 3 in 15 joints(5.2%). Maximal mouth opening of degree 0 group was 38.07㎜, degree 1: 36.34㎜, degree 3: 33.47㎜. Mean TMJ pain score of the joint effusion groups was 1.58 no evidence group was 1.41. Click of degree 0 group was 44.7%, degree 3 was 43.4%. Crepitus of degree 0 group was 17.1%, degree 3 was 26.7%. Mean pain score of headache of degree 0 group was 1.80, degree 2 was 1.22. Neck and shoulder pain of degree 0 group was 50.4%, degree 1 was 39.0%. Perforation, adhesion, hyperemia of degree 0 was 27.6%, 35.8%, 18.7%, degree 2: 23.2%, 29.0%, 29.3%(degree 1). Conclusions: TMJ pain, TMJ sound and surgical findings did not relate significantly to the joint effusion of TMJ, but referred symptoms such as headache, neck and shoulder pain were less severe in the joint effusion groups.

목차

Abstract

Ⅰ. 서론

Ⅱ. 연구대상 및 방법

Ⅲ. 연구결과

Ⅳ. 총괄 및 고찰

Ⅴ. 결론

참고문헌

키워드

joint effusion magnetic resonance image temporomadibular joint