Intra-articular pressure-volume index (IAPVI) for diagnosis of internal derangement of the temporomandibular joint

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概要

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• We investigated the intra-articular pressure-volume relation and the methodology for measuring intra-articular pressure (IAP) in both the monkey knee joint and the human temporomandibular joint. Two catheters were inserted into the monkey's knee joint with an external transducer on one path through the catheter and a microsyringe on the other. Measurement of the IAP was made by the rapid bolus injection technique, and values for the intra-articular pressure-volume relation were calculated. Measurements included IAP before volume injection (Po), peak IAP caused by volume injection (Pp), and the intra-articular pressure volume index (IAPVI) calculated as ？V/log (Pp/Po). We obtained the pressure-volume (P-V) relationship from changes in IAP after injection of physiological saline into the articular cavity of the monkey knee joint. The parameter ？/log(Pp/Po) seemed to be a useful index for characterization of the internal pressure environment of the articular cavity. We termed this the intra-articular pressure-volume index (IAPVI), and measured its value for the human temporomandibular joint (TMJ). IAPVI was calculated. The IAPVI in the normal human TMJ was constant irrespective of the baseline pressure level (Po). In addition, IAPVI was lower in patients with internal derangement of the TMJ (anterior disk displacement without reduction) than in normal subjects. These results suggest that IAPVI is useful for evaluating the physical characteristics of the TMJ cavity, and for diagnosing internal derangement of the TMJ.

• 大阪歯科学会の論文

著者

• Kakudo Kenji

  Second Department of Oral and Maxillofacial Surgery, Osaka Dental University

• Nakajima Masahiro

  Second Department of Oral and Maxillofacial Surgery, Osaka Dental University

• Morita Shosuke

  First Department of Oral and Maxillofacial Surgery, Osaka Dental University

• Arika Takumi

  Second Department of Oral and Maxillofacial Surgery, Osaka Dental University

• Nakajima Masahiro

  大阪歯科大学 歯科矯正学講座

• Nakajima Masahiro

  Second Department Of Oral And Maxillofacial Surgery Osaka Dental University

• Morita Shosuke

  First Department Of Oral And Maxillofacial Surgery Osaka Dental University

• Morita Shosuke

  大阪歯科大学 大学院歯学研究科口腔外科学

• Morita Shosuke

  大阪歯科大学 第二口腔外科学

• Morita Shosuke

  Second Department Of Oral And Maxillofacial Surgery Osaka Dental University

• Arika Takumi

  Department Of Oral And Maxillofacial Surgery National Hospital Organization Osaka National Hospital

• Arika Takumi

  大阪歯科大学 第二口腔外科学

• Arika Takumi

  Second Department Of Oral And Maxillofacial Surgery Osaka Dental University

• Kakudo Kenji

  大阪歯科大学 大学院歯学研究科口腔外科学第二

• Kakudo Kenji

  Second Department Of Oral And Maxillofacial Surgery Osaka Dental University

• Kakudo Kenji

  Oral And Maxillofacial Surgery (ii) Osaka Dental University

• Kakudo Kenji

  Second Department Of Oral And Maxillofacial Surgery Osaka Dental Universty

• Kotani Junichiro

  Department of Anesthesiology, Osaka Dental University

• Wang Da-Zhang

  Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University

• Zheng Guang-Yong

  Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University

• Ceng Gang

  Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University

• Kotani Junichiro

  Department Of Anesthesiology Osaka Dental University

• Zheng Guang-yong

  Department Of Oral And Maxillofacial Surgery West China College Of Stomatology Sichuan University

• Zheng Guang-yong

  大阪歯科大学 第二口腔外科学

• Ceng Gang

  Department Of Oral And Maxillofacial Surgery West China College Of Stomatology Sichuan University

• Ceng Gang

  大阪歯科大学 第二口腔外科学

• Wang Da-zhang

  Department Of Oral And Maxillofacial Surgery West China College Of Stomatology Sichuan University

• Wang Da-zhang

  大阪歯科大学 第二口腔外科学

• Tanaka Akio

  Osaka Dental Univ. Osaka Jpn

• Morita Shosuke

  Osaka Dental Univ. Osaka Jpn

• Kakudo K

  Second Department Of Oral And Maxillofacial Surgery Osaka Dental University

• Nakajima M

  Osaka Dental Univ. Hirakata‐shi Jpn

• Kakudo Kenji

  Second Department Of Oral And Maxillofacial Surgery Osak Dental University

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