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The intracapsular therapeutic modalities in conjunction with arthrography: case reports
Journal of Craniomandibular Disorders : Facial & Oral Pain
|January 1, 1989
Summary
Temporomandibular joint (TMJ) arthrography combined with manipulation and lavage offers therapeutic benefits. This approach effectively increased mandibular range of motion and reduced pain for various TMJ conditions.
Area of Science:
- Orthopedics
- Radiology
- Pain Management
Background:
- Temporomandibular joint (TMJ) disorders encompass a range of conditions affecting joint function.
- Arthrography is a diagnostic tool, but its therapeutic potential has been explored.
- Intracapsular TMJ pathology requires effective treatment strategies.
Purpose of the Study:
- To evaluate the therapeutic efficacy of combining temporomandibular joint manipulation and lavage with diagnostic arthrography.
- To assess the impact of these combined modalities on pain and range of motion in TMJ patients.
Main Methods:
- Patients received diagnostic TMJ arthrography concurrently with therapeutic interventions.
- Therapeutic modalities included joint mobilization (Farrar manipulation or distraction).
- Interventions were augmented by increased hydraulic pressure, contrast medium, and/or lavage of the superior joint compartment.
Main Results:
- Significant increase in mandibular range of motion (ROM) observed.
- Marked decrease in pain reported in patients with adhesions and anteriorly displaced disks without reduction.
- Positive outcomes also noted in smaller patient groups with anteriorly displaced disks with reduction, redundant fossa tissue, osteochondritis, and adhesive capsulitis.
- No adverse sequelae were reported.
Conclusions:
- Combining TMJ arthrography with manipulation and lavage provides a valuable therapeutic option.
- This integrated approach enhances treatment for various intracapsular TMJ pathologies.
- It represents an effective addition to the therapeutic armamentarium for TMJ disorders.