Retrospective magnetic resonance imaging study of risk factors associated with sideways disk displacement of the temporomandibular joint

As part of our ongoing investigation of risk and predictive factors associated with temporomandibular disorders, we used magnetic resonance imaging (MRI) to identify risk factors for sideways disk displacement of the temporomandibular joint in 26 patients with MRI-confirmed unilateral pure sideways...

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Veröffentlicht in:Journal of Oral Science 2016, Vol.58(1), pp.29-34
Hauptverfasser: Kohinata, Kiyomi, Matsumoto, Kunihito, Suzuki, Toshihiro, Tsunoda, Mari, Hayashi, Yusuke, Araki, Masao, Hashimoto, Koji, Honda, Kazuya
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container_end_page 34
container_issue 1
container_start_page 29
container_title Journal of Oral Science
container_volume 58
creator Kohinata, Kiyomi
Matsumoto, Kunihito
Suzuki, Toshihiro
Tsunoda, Mari
Hayashi, Yusuke
Araki, Masao
Hashimoto, Koji
Honda, Kazuya
description As part of our ongoing investigation of risk and predictive factors associated with temporomandibular disorders, we used magnetic resonance imaging (MRI) to identify risk factors for sideways disk displacement of the temporomandibular joint in 26 patients with MRI-confirmed unilateral pure sideways disk displacement (medial or lateral disk displacement) and normal positioning of the contralateral temporomandibular joint. Coronal morphologic harmonization between the condyle and fossa, angle between the axis of the ramus and condyle, and angle between the lateral pterygoid muscle (LPM) and condyle were evaluated. Only angle of the LPM related to the condyle was significantly correlated with mediolateral disk position; the angles of joints with medial, normal, and lateral disk positions were 70.2°, 66.7°, and 60.1°, respectively. These results suggest that a greater angle of the inferior head of the LPM to the axis of the condyle on axial MRI images may cause medial disk displacement, while a smaller angle may result in lateral disk displacement. (J Oral Sci 58, 29-34, 2016)
doi_str_mv 10.2334/josnusd.58.29
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Coronal morphologic harmonization between the condyle and fossa, angle between the axis of the ramus and condyle, and angle between the lateral pterygoid muscle (LPM) and condyle were evaluated. Only angle of the LPM related to the condyle was significantly correlated with mediolateral disk position; the angles of joints with medial, normal, and lateral disk positions were 70.2°, 66.7°, and 60.1°, respectively. These results suggest that a greater angle of the inferior head of the LPM to the axis of the condyle on axial MRI images may cause medial disk displacement, while a smaller angle may result in lateral disk displacement. 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Coronal morphologic harmonization between the condyle and fossa, angle between the axis of the ramus and condyle, and angle between the lateral pterygoid muscle (LPM) and condyle were evaluated. Only angle of the LPM related to the condyle was significantly correlated with mediolateral disk position; the angles of joints with medial, normal, and lateral disk positions were 70.2°, 66.7°, and 60.1°, respectively. These results suggest that a greater angle of the inferior head of the LPM to the axis of the condyle on axial MRI images may cause medial disk displacement, while a smaller angle may result in lateral disk displacement. 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source J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Freely Accessible Japanese Titles
subjects Adult
Dentistry
Female
Humans
internal derangement
Magnetic Resonance Imaging - methods
Male
MRI
Retrospective Studies
Risk Factors
sideways disk displacement
temporomandibular joint
Temporomandibular Joint - diagnostic imaging
Temporomandibular Joint - pathology
title Retrospective magnetic resonance imaging study of risk factors associated with sideways disk displacement of the temporomandibular joint
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