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측두하악관절 장애 환자의 자기공명영상에서 관찰되는 악관절 삼출

Other Titles
 Magnetic resonance evidence of joint effusion in patients with temporomandibular joint disorders 
Authors
 고지영  ;  김기덕  ;  박창서 
Citation
 Korean Journal of Oral and Maxillofacial Radiology (대한구강악안면방사선학회지), Vol.31(2) : 73-84, 2001 
Journal Title
 Korean Journal of Oral and Maxillofacial Radiology  (대한구강악안면방사선학회지) 
ISSN
 1229-8212 
Issue Date
2001
Abstract
Purpose: The purpose of this study was to find the relationship among the joint status, pain and effusion in patients with temporomandibular joint disorders. Materials and Methods: Materials included 406 patients (812 joints) with clinical records and bilateral TMJ MRIs in TMJ clinic, Yongdong Severance Hospital. All joints were classified in 4 groups in MR images according to the disc status of joint; normal disc position, disc displacement with reduction (DDcR), early and late stage of disc displacement without reduction (DDsR), and also 2 groups according to the bony status of joint; normal bony structure and osteoarthrosis. MR evidence of joint effusion was categorized in 4 groups according to its amount. To determine the relationship between joint pain and joint effusion, 289 patients with unilateral TMJ symptoms were selected from total materials. Result: Joint effusion was found 8.0% in normal disc position, 32.6% in DDcR, and 59.2% in DDsR (83.1 % in early state and 23.1 % in late stage). Joint effusion was found 39.7% in osteoarthrosis and 35.0% in normal bony structure. Joint effusion was more found in the painful joints (49.8%) than in the painless joints (22.4% )(p<0.001). Joint effusion in the early stage of DDsR only was more found significantly in painful joints (91.9%) than in painless joints (62.1 %) (p<0.001). Conclusion : MR evidence of joint effusion might be related to disc displacement regardless of the presence of osteoarthrosis, and the early stage of DDsR was found more frequently combined with joint effusion and joint pain.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142534
Appears in Collections:
1. Journal Papers (연구논문) > 2. College of Dentistry (치과대학) > Dept. of Advanced General Dentistry (통합치의학과)
Yonsei Authors
김기덕(Kim, Kee Deog)
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