Temporomandibular arthropathy: correlation between clinical signs and symptoms and arthroscopic findings

• Published in: International journal of oral and maxillofacial surgery Vol. 25; no. 3; pp. 178 - 181
• Main Authors: Holmlund, Anders B., Axelsson, Susanna
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ltd 01.06.1996; Elsevier
• Subjects: Adolescent; Adult; Aged; Arthritis - diagnosis; Arthritis - pathology; Arthritis - physiopathology; arthroscopy; Arthroscopy - statistics & numerical data; Biological and medical sciences; Dentistry; diagnosis; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Female; Humans; Male; Medical sciences; Medicin och hälsovetenskap; Middle Aged; Non tumoral diseases; Osteoarthritis - diagnosis; Osteoarthritis - pathology; Osteoarthritis - physiopathology; Otorhinolaryngology. Stomatology; Predictive Value of Tests; Range of Motion, Articular; Sensitivity and Specificity; Sound; Synovitis - diagnosis; Synovitis - pathology; Synovitis - physiopathology; temporomandibular joint; Temporomandibular Joint - pathology; Temporomandibular Joint - physiopathology; Temporomandibular Joint Disc - pathology; Temporomandibular Joint Disc - physiopathology; Temporomandibular Joint Disorders - diagnosis; Temporomandibular Joint Disorders - pathology; Temporomandibular Joint Disorders - physiopathology; Temporomandibular Joint Dysfunction Syndrome - diagnosis; Temporomandibular Joint Dysfunction Syndrome - pathology; Temporomandibular Joint Dysfunction Syndrome - physiopathology; Tissue Adhesions - diagnosis; Tissue Adhesions - pathology; Tissue Adhesions - physiopathology; temporomandibular joint; diagnosis; arthroscopy; Human; Prospective; Symptomatology; Correlation; Arthroscopy; Stomatology; Diseases of the osteoarticular system; Arthropathy; Temporomandibular joint; Endoscopy; Diagnosis; Maxillary disease
• ISSN: 0901-5027; 1399-0020
• DOI: 10.1016/S0901-5027(96)80024-5

The clinical signs and symptoms of temporomandibular arthropathy were correlated with arthroscopic features of temporomandibular joint disease in 200 consecutive patients. The diagnostic accuracy of the selected clinical signs and symptoms was also tested with arthroscopy as the standard, and sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV) were calculated. Pronounced osteoarthrosis was more frequently associated with joint crepitus ( P<0.001). Adhesions were more frequently associated with reduced maximum protrusion ( P<0.001). Crepitation was the only clinical sign that showed acceptable values for SE, SP, PPV, and NPV, and only in diagnosing advanced osteoarthrosis. The values for mild osteoarthrosis were low.