
Predmet istraživanja bio je utvrditi kvantitativni odnos između položaja kondila i diska u glenoidnoj jamici između dva različita sloja istog temporomandibularnog zgloba (TMZ-a) s djelomičnim anteriornim pomakom diska. Istraživanje je provedeno na 40 bolesnika s pomakom diska TMZ-a (prosječna dob 35,5 godina). Klinička dijagnoza pomaka diska potvrđena je magnetskom rezonancijom. Lijevi i desni zglob pojedinog pacijenta bio je predstavljen kao kao dva entiteta (ukupno 80 zglobova). Usporedba je učinjena između dva različita sloja 9 zglobova s djelomičnim pomakom diska s redukcijom: djelomični pomak diska analiziran je u reprezentativnom centrolateralnom ili centromedijalnom sloju TMZ-a (“TMZ djelomični pomak diska – sloj s pomakom”). Kontralateralni sloj istoga zgloba bio je bez pomaka diska (“TMZ djelomični pomak diska – sloj bez pomaka”). Također, analiza je uključila 34 zdrava zgloba bez pomaka diska istih bolesnika. Položaj kondila i diska izračunat je metodom po Kuriti i sur. na parasagitalnom prikazu TMZ-a. Utvrđena je statistički značajna razlika za različite slojeve istoga TMZ-a s djelomičnim pomakom diska (“TMZ djelomični pomak diska – sloj s pomakom”, “TMZ djelomični pomak diska – sloj bez pomaka”) (p0,05). Uspoređene vrijednosti između sloja “TMZ djelomični pomak diska – sloj bez pomaka” sa skupinom zdravih zglobova bez pomaka diska pokazale su da nema značajne razlike ni za položaj diska niti za položaj kondila (p>0,05). Postoje razlike u položaju diska u različitim slojevima istoga zgloba kod kojih je vizualno potvrđen djelomični pomak diska. Dorzokranijalni položaj kondila ne ukazuje na djelomični anteriorni pomak diska.
The objective was to determine the quantitative relationship between the condyle and disc position in the glenoid fossa between two different slices of the same temporomandibular joints (TMJs) with partial anterior disc displacement (DD ). The study was conducted on 40 patients with DD of TMJs (mean age, 35.5 years). The clinical diagnosis of DD was confirmed by magnetic resonance imaging. Joints from the patient groups were analyzed according to the laterality and depending on disc displacement (a total of 80 joints). Comparison was made between two different slices of 9 joints with partial DD with reduction: partial DD was analyzed in the representative centrolateral or centromedial parasagittal slice of the TMJ (TMJ partial DD – slice DD ). The contralateral slice of the same joint was without DD (TMJ partial DD – slice NDD ). The analysis also included 34 healthy joints without DD (TMJ NDD ) of the same patients. The position of the condyle and disc was calculated using the Kurita et al. method on the parasagittal view of the TMJ. A statistically significant difference was recorded for different slices of the same TMJs with partial DD (TMJ partial DD – slice DD and TMJ partial DD – slice NDD ) (p0.05). The compared values between slice TMJ partial DD – slice NDD with the group of TMJ NDD showed no significant difference in either disc position or condyle position (p>0.05). There were differences of disc position in various slices of the same joint with visually confirmed partial DD . The dorsocranial condyle position could not indicate partial anterior DD .
Adult, Male, Dislokacije - patologija, Adolescent, Temporomandibular joint disc – pathology, magnetic resonance imaging ; temporomandibular joint, Joint Dislocations, Temporomandibularni disk – patologija, Magnetic resonance imaging, Reference Values, Temporomandibular Joint Disc, Image Processing, Computer-Assisted, magnetic resonance imaging, Humans, temporomandibular joint, Temporomandibularni zglob, poremećaji – patologija, Aged, Reproducibility of Results, Middle Aged, Temporomandibular Joint Disorders, Magnetic Resonance Imaging, Magnetska rezonancija, Dislocations – pathology, Temporomandibular joint disorders – pathology, Female
Adult, Male, Dislokacije - patologija, Adolescent, Temporomandibular joint disc – pathology, magnetic resonance imaging ; temporomandibular joint, Joint Dislocations, Temporomandibularni disk – patologija, Magnetic resonance imaging, Reference Values, Temporomandibular Joint Disc, Image Processing, Computer-Assisted, magnetic resonance imaging, Humans, temporomandibular joint, Temporomandibularni zglob, poremećaji – patologija, Aged, Reproducibility of Results, Middle Aged, Temporomandibular Joint Disorders, Magnetic Resonance Imaging, Magnetska rezonancija, Dislocations – pathology, Temporomandibular joint disorders – pathology, Female
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