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Dual joint space arthrography in temporomandibular joint disorders: Comparison with single inferior joint space arthrography

Abstract

The temporomandibular joint(TMJ) is really a complex of two synovial space separated by fibrocartilaginous disc. Single inferior joint space arthrography is commonly performed for evaluation of TMJ disorders, which is known to be superior in demonstrating joint dynamics. But it reveals only the inferior surface of the disc. Therefore, dual space arthrography is superior to demonstrate the soft tissue anatomic feature of the joint such as disc position and shape. Authors performed 83 TMJ arthrograms in TMJ problems. Initially, the inferior joint space was done and then the superior space was sequentially contrasted. The follow results were noted: 1. In all cases, dual space arthrography revealed accurate disc shape and positions. 2. Concordant findings between the two techniques: 68 cases (82%). Discordance between the two techniques: 15 cases (18%) 3. Possible causes of discordance between inferior and dual space arthrography. a) Normal varians of anterior recess: 3 cases b) Posterior disc displacement: 4 cases c) Influence of the patient's head position change :4 cases d) False perforation: 2 cases e) Reduction change: 2 cases 4. In 5 cases with anterior displacement, dual space arthrography gave additional findings such as adhesion within the superior space, which could not be evaluated by  More>>
Authors:
Choi, Hyung Sik; Chang, Duk Soo; Lee, Kyung Soo; Kim, Woo Sun; Sung, Jung Ho; Jun, Young Hwan [1] 
  1. Capital Armed Forces General Hospital, Seoul (Korea, Republic of)
Publication Date:
Feb 15, 1989
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 25; Journal Issue: 1; Other Information: 21 refs, 4 figs, 3 tabs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANATOMY; ANIMAL TISSUES; MEDICAL EXAMINATIONS; PATIENTS; PERFORATION; VERTEBRAE
OSTI ID:
21158581
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 1738-2637; DBSHAH; TRN: KR0901186035838
Submitting Site:
KRN
Size:
page(s) 86-92
Announcement Date:
May 28, 2009

Citation Formats

Choi, Hyung Sik, Chang, Duk Soo, Lee, Kyung Soo, Kim, Woo Sun, Sung, Jung Ho, and Jun, Young Hwan. Dual joint space arthrography in temporomandibular joint disorders: Comparison with single inferior joint space arthrography. Korea, Republic of: N. p., 1989. Web.
Choi, Hyung Sik, Chang, Duk Soo, Lee, Kyung Soo, Kim, Woo Sun, Sung, Jung Ho, & Jun, Young Hwan. Dual joint space arthrography in temporomandibular joint disorders: Comparison with single inferior joint space arthrography. Korea, Republic of.
Choi, Hyung Sik, Chang, Duk Soo, Lee, Kyung Soo, Kim, Woo Sun, Sung, Jung Ho, and Jun, Young Hwan. 1989. "Dual joint space arthrography in temporomandibular joint disorders: Comparison with single inferior joint space arthrography." Korea, Republic of.
@misc{etde_21158581,
title = {Dual joint space arthrography in temporomandibular joint disorders: Comparison with single inferior joint space arthrography}
author = {Choi, Hyung Sik, Chang, Duk Soo, Lee, Kyung Soo, Kim, Woo Sun, Sung, Jung Ho, and Jun, Young Hwan}
abstractNote = {The temporomandibular joint(TMJ) is really a complex of two synovial space separated by fibrocartilaginous disc. Single inferior joint space arthrography is commonly performed for evaluation of TMJ disorders, which is known to be superior in demonstrating joint dynamics. But it reveals only the inferior surface of the disc. Therefore, dual space arthrography is superior to demonstrate the soft tissue anatomic feature of the joint such as disc position and shape. Authors performed 83 TMJ arthrograms in TMJ problems. Initially, the inferior joint space was done and then the superior space was sequentially contrasted. The follow results were noted: 1. In all cases, dual space arthrography revealed accurate disc shape and positions. 2. Concordant findings between the two techniques: 68 cases (82%). Discordance between the two techniques: 15 cases (18%) 3. Possible causes of discordance between inferior and dual space arthrography. a) Normal varians of anterior recess: 3 cases b) Posterior disc displacement: 4 cases c) Influence of the patient's head position change :4 cases d) False perforation: 2 cases e) Reduction change: 2 cases 4. In 5 cases with anterior displacement, dual space arthrography gave additional findings such as adhesion within the superior space, which could not be evaluated by single inferior space.}
journal = []
issue = {1}
volume = {25}
place = {Korea, Republic of}
year = {1989}
month = {Feb}
}