The association of temporomandibular joint pain with abnormal bone marrow in the mandibular condyle
The association of temporomandibular joint pain with abnormal bone marrow in the mandibular condyle
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DOI：
10.1016/s0278-2391(00)90141-1
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发表时间：
2000-03-01
影响因子：
1.9
通讯作者：
Takagi, R
中科院分区：
文献类型：
--
作者：
Sano, T;Westesson, PL;Takagi, R
目的：探讨下颌关节盘移位患者关节盘移位患者112个关节的MRI表现，探讨其与关节疼痛的关系。对34例骨髓MRI异常患者和78例正常骨髓患者进行对照研究。分析基于倾斜矢状面和冠状面的质子密度和T2加权磁共振图像。结果：MRI上骨髓信号异常的关节疼痛程度明显高于骨髓信号正常的关节(P=.0045)。结论：由于两组关节内病变程度相似，疼痛程度越重可能与骨髓病变有关。
Purpose: This study investigated the association between temporomandibular joint pain and bone marrow alterations in the mandibular condyle seen on magnetic resonance (MR) images.Patients and Methods: The study was based on 112 temporomandibular joints in 112 patients with disc displacement without reduction. Thirty-four patients with abnormal bone marrow on MR images were compared with a control group of 78 patients with normal bone marrow. The analysis was based on proton density and T2-weighted MR images in the oblique sagittal and coronal planes. The degree of pain was correlated to the status of the bone marrow using statistical methods.Results: The degree of pain in joints with abnormal bone marrow was higher than in joints with normal bone marrow signal on MR images (P = .0045).Conclusion: Because the stage of internal derangement was similar in both groups, more intensive pain appears to be associated with bone marrow alterations.