结构化的临床评估,以快速识别关节关闭锁定
W Abboud1, S Reiter2, O Peleg3
1Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Unit of Oral and Maxillofacial Surgery, Bnai Zion Medical Center, Affiliated to Technion Faculty of Medicine, Haifa, Israel; Institute of Movement Disorders, Department of Neurology, Sheba Tel-Hashomer Medical Center, Affiliated to Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
International journal of oral and maxillofacial surgery
|August 14, 2025
概括
诊断关节 (TMJ) 关闭锁,这是口腔开口受限的常见原因,可以通过结构化11个测试的临床评估来实现. 这种方法有助于早期识别和干预关节疾病.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 在口腔外科手术.
背景情况:
- 关节 (TMJ) 关闭锁,被归类为威尔克斯第3阶段的内部乱,经常导致口腔开口受限和功能缺陷.
- 精确和早期诊断关节闭锁是至关重要的,但往往很困难,特别是没有先进的成像.
- 临床评估提供了一个有价值的工具来识别TMJ关闭锁当成像无法访问时.
研究的目的:
- 为了评估标准化11项试验临床评估的有效性,用于诊断关节 (TMJ) 关闭锁.
- 为了确定与TMJ闭锁相关的最常见的临床发现.
- 为了比较受影响和未受影响的TMJ和肌之间的临床发现.
主要方法:
- 对40名连续被诊断患有TMJ闭锁的患者记录的回顾性分析.
- 标准化11个测试评估格式用于评估患者.
- 在受影响和不受影响的关节和肌之间对临床发现的统计比较.
主要成果:
- 受影响的关节的敏感性在被动伸展 (75%),触摸 (67.5%),逆侧运动 (57.5%) 和逆侧负荷 (47.5%) 期间很常见.
- 受影响的关节在11个测试中平均有4.1个阳性测试,明显高于不受影响的关节 (0.2个测试,P < 0.001).
- 被动拉伸改善了口腔开口 (27.1毫米至31.7毫米),85%的患者有硬端的感觉;32.5%的患者注意到肌肉敏感.
结论:
- 一个结构化的11测试临床评估是有效的早期识别关节 (TMJ) 关闭锁.
- 这种诊断方法提高了准确性,并促进了对关节内部乱的及时干预.
- 临床评估结果,包括关节敏感和有限的运动范围,是关节关节闭锁诊断的关键指标.
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