This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Pathological Variations

Clyde H. Wilkes, MD, PhD

Arch Otolaryngol Head Neck Surg. 1989;115(4):469-477.

Abstract
• A retrospective analysis of 540 operated cases (740 joints) of internal derangements of the temporomandibular joint was carried out. Observations of this patient population provided the basis for describing pathological variations of internal derangements. Radiologic studies, including tomograms and arthrograms or magnetic resonance scans, and surgical/pathological findings were correlated with clinical data in each case. It was found that clinical manifestations varied in a characteristic way and were directly related to the degree of pathological change and time course. Various stages of internal derangements were identified. Pathophysiological mechanisms responsible for the observed changes, as well as clinical signs and symptoms and causal factors, were discussed. Internal derangements are organic lesions that appear to be progressive and are probably of traumatic origin. The view is given that internal derangements represent the basic pathological entity responsible for clinical manifestations of what has been known as the temporomandibular joint pain-dysfunction syndrome or similarly described conditions. Effective clinical management takes on new importance because progression to advanced degenerative states may occur.

(Arch Otolaryngol Head Neck Surg 1989;115:469-477)

Author Affiliations
From the Departments of Surgery, Abbott-Northwestern Hospital and Methodist Hospital, Minneapolis.

Footnotes
Accepted for publication Oct 13, 1988.

Presented at the annual meeting of the American Society of Temporomandibular Joint Surgeons, Miami, Feb 12, 1988.

Reprint requests to 990 Park Place Center, 5775 Wayzata Blvd, St Louis Park, MN 55416 (Dr Wilkes).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Degenerative Disorders of the Temporomandibular Joint: Etiology, Diagnosis, and Treatment
Tanaka et al.
JDR 2008;87:296-307.
ABSTRACT | FULL TEXT  

Scaffold and Growth Factor Selection in Temporomandibular Joint Disc Engineering
Allen and Athanasiou
JDR 2008;87:180-185.
ABSTRACT | FULL TEXT  

Randomized Effectiveness Study of Four Therapeutic Strategies for TMJ Closed Lock
Schiffman et al.
JDR 2007;86:58-63.
ABSTRACT | FULL TEXT  

Relationship between increased horizontal condylar angle and resorption of the posterosuperior region of the lateral pole of the mandibular condyle in temporomandibular joint internal derangement
Kurita et al.
Dentomaxillofac Radiol 2003;32:26-29.
ABSTRACT | FULL TEXT  

Comparing methods for diagnosing temporomandibular joint disk displacement without reduction
EMSHOFF et al.
Journal of the American Dental Association 2002;133:442-451.
ABSTRACT | FULL TEXT  

Natural Course of Untreated Symptomatic Temporomandibular Joint Disc Displacement without Reduction
Kurita et al.
JDR 1998;77:361-365.
ABSTRACT  

Surgical Treatment of Internal Derangements of the Temporomandibular Joint: A Long-term Study
Wilkes
Arch Otolaryngol Head Neck Surg 1991;117:64-72.
ABSTRACT