Incidence of temporomandibular joint symptoms following whiplash injury
| Autor: | Alfred S. Gervin, Andrew P. Heise, Daniel M. Laskin |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Radiography Poison control stomatognathic system Facial Pain Injury prevention Epidemiology Whiplash medicine Humans Whiplash Injuries Aged business.industry Incidence (epidemiology) Accidents Traffic Headache Middle Aged Temporomandibular Joint Dysfunction Syndrome medicine.disease Surgery Temporomandibular joint Whiplash injury medicine.anatomical_structure Sound Otorhinolaryngology Physical therapy Cervical Vertebrae Female Oral Surgery business human activities Follow-Up Studies |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 50(8) |
| ISSN: | 0278-2391 |
| Popis: | Recently there has been considerable litigation involving the development of temporomandibular joint (TMJ) pain and dysfunction following cervical musculo-skeletal injury (whiplash). The purpose of this investigation was to interview, examine, and follow up patients with a diagnosis of whiplash injury to determine the incidence of associated temporomandibular disorders. Patients were divided into two categories: those with and those without radiologic evidence of cervical skeletal injury. In the 63 patients with radiographic evidence of cervical skeletal injury (group 1), none had clicking at the time of initial examination. In the 92 patients without positive radiographs (group 2), only one had clicking. At 1 month follow-up by telephone, 2 of 51 available patients in group 1 had developed clicking, but no new TMJ symptoms were reported by the 78 patients in group 2 contacted by phone. Seventy percent of the initial follow-up group (44 patients) with radiographic evidence of injury were contacted by telephone at 1 year and none reported new symptoms of TMJ pain or clicking. Sixty-five percent of the initial follow-up group without radiographic evidence of injury (60 patients) were interviewed and also reported no new TMJ symptoms. These data indicate that the incidence of TMJ pain and clicking following whiplash injury is extremely low, and that patients who do not have clicking on resolution of their initial pain/dysfunction subsequently do not develop this problem. |
| Databáze: | OpenAIRE |
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