Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study

The objective of this study was to assess the association between an increase in the proportion of the superior head of the lateral pterygoid muscle (SHLP) inserted into the temporomandibular joint (TMJ) disc and the presence of anterior disc displacement diagnosed by using MRI. We analyzed 75 image...

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Autores principales: Pompei Filho,Horácio, Suazo Galdames,Iván, Zavando,Daniela, Guimarães,Antonio Sergio
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2010
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022010000200004
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spelling oai:scielo:S0717-950220100002000042010-10-21Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control StudyPompei Filho,HorácioSuazo Galdames,IvánZavando,DanielaGuimarães,Antonio Sergio Temporomandibular joint Lateral pterygoid muscle Articular disc Anterior disc displacement The objective of this study was to assess the association between an increase in the proportion of the superior head of the lateral pterygoid muscle (SHLP) inserted into the temporomandibular joint (TMJ) disc and the presence of anterior disc displacement diagnosed by using MRI. We analyzed 75 images of patients with anterior displacement and 75 controls with normal relationship between the mandibular head and the articular tubercle also diagnosed by MRI. Levels of insertion were measured. Descriptive and analytic statistics were calculated. Analyses of differences were made by Fischer's exact test and also were calculated clinical significance (OR, CI = 95%). The average insertion of SHLP was 71.14% (SD 14.13) in controls and 67.80% (SD.16.23) in cases group. The only relationship that presented a significant association (OR 5.61) was found when comparing subjects with a percentage of inserting the disc into the SHLP at 50% with those who had higher levels of insertion (50%). Our results suggest that the highest percentage of insertion serves as a protective factor for anterior disc displacement, probably due to greater control of neuromuscular activity.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.28 n.2 20102010-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022010000200004en10.4067/S0717-95022010000200004
institution Scielo Chile
collection Scielo Chile
language English
topic Temporomandibular joint
Lateral pterygoid muscle
Articular disc
Anterior disc displacement
spellingShingle Temporomandibular joint
Lateral pterygoid muscle
Articular disc
Anterior disc displacement
Pompei Filho,Horácio
Suazo Galdames,Iván
Zavando,Daniela
Guimarães,Antonio Sergio
Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study
description The objective of this study was to assess the association between an increase in the proportion of the superior head of the lateral pterygoid muscle (SHLP) inserted into the temporomandibular joint (TMJ) disc and the presence of anterior disc displacement diagnosed by using MRI. We analyzed 75 images of patients with anterior displacement and 75 controls with normal relationship between the mandibular head and the articular tubercle also diagnosed by MRI. Levels of insertion were measured. Descriptive and analytic statistics were calculated. Analyses of differences were made by Fischer's exact test and also were calculated clinical significance (OR, CI = 95%). The average insertion of SHLP was 71.14% (SD 14.13) in controls and 67.80% (SD.16.23) in cases group. The only relationship that presented a significant association (OR 5.61) was found when comparing subjects with a percentage of inserting the disc into the SHLP at 50% with those who had higher levels of insertion (50%). Our results suggest that the highest percentage of insertion serves as a protective factor for anterior disc displacement, probably due to greater control of neuromuscular activity.
author Pompei Filho,Horácio
Suazo Galdames,Iván
Zavando,Daniela
Guimarães,Antonio Sergio
author_facet Pompei Filho,Horácio
Suazo Galdames,Iván
Zavando,Daniela
Guimarães,Antonio Sergio
author_sort Pompei Filho,Horácio
title Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study
title_short Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study
title_full Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study
title_fullStr Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study
title_full_unstemmed Anterior Disc Displacement and the Superior Head of Lateral Pterygoid Muscle: A Case-Control Study
title_sort anterior disc displacement and the superior head of lateral pterygoid muscle: a case-control study
publisher Sociedad Chilena de Anatomía
publishDate 2010
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022010000200004
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