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Many papers about intra-articular pressure within joints such as knee joint, glenohumeral joint and others in body could be found in the literature, but less about tempromandibular joint .

关节内压力在膝、肩等身体大关节有比较多的开展和深入研究,但是在颞下颌关节较少。

METHODS From January 1998 to February 2001, 4 ml of sodium hyaluronate injection was injected into the knee joint of the 134 cases at the end of arthroscope operation, or the 91 cases undergoing open operation of the knee at the time when the drain tube was removed. Five days after operation, the hydrarthrosis was removed and 2 ml of sodium hyaluronate was injected into the knee joint. According to the patient's condition, injection of sodium hyaluronate was performed once a week for several weeks. Clinical evaluation was made by evaluating pain visual analog scale and painless range of movement of the joint at every definite point of time.

1998年 1月~ 2 0 0 1年 2月,对关节镜手术 134例于手术结束时,以及膝关节开放手术 91例于术后 2 4小时拔引流管时,分别在关节腔内注射透明质酸钠 4ml ;术后第 5天抽出关节积液,再注入透明质酸钠注射液 2 ml;每周 1次,连续 5周为一个疗程,根据病情注射1~ 2个疗程,观察各时间点疼痛 VAS评分和达到最大无痛活动度的时间。

There are more than two dozen reported cases of lumbar facet dislocation after rapid deceleration injuries (e.g., traffic accidents), most involving L5 S1.61,112 115 The mechanism of injury in these cases is purported to be a combination of hyperflexion, distraction, and rotation.61,112,116 In a posthumous study conducted in 31 lumbar spines of subjects who died of traumatic injuries,Twomey et al.117 found occult bony fractures in the superior articular process or subchondral bone plate in 35% of victims, and z-joint capsular and/or articular cartilage damage in 77% of cases.

多项研究报道了急性减速伤后发生腰椎小关节分离,多数发生于L5-S1,其机制可能为过度屈曲,分离和旋转。在一项对死亡病例的研究中,Twomey 等发现,31例因交通事故死亡的人中有35%的腰椎上关节突或软骨下骨性终板存在隐匿骨折,77%存在小关节囊和/或关节软骨损伤。作者总结创伤后隐匿性股和软组织损伤也许是腰痛的来源。

Results:Conventional MR showed infraspinatus abnormalities were four cases,Mrarthrography showed infraspinatus abnormalities were seven cases.

回顾性分析经关节镜证实的8例肩关节内在撞击综合征常规MR成像和MR关节造影检查资料。

Results: For normal living body. extensor hallucis longus was about (44±4.26)mm lateral to tibialis anterior muscle at the transverse striation of ankle,(2.00±2.22)mm lateral to the middle point of tarsometatarsal joint,(1.32±1.46)mm lateral to the middle point of metatarsophalangeal joint, and it inserted into the center of the base of distal phalanx with the range of (2.22±2.42) mm.

结果:正常长伸肌腱的位置在踝横纹处位于胫骨前肌外侧(9.44±4.26)mm,在跖附关节中点外侧(2.00±2.22)mm,跖趾关节中点外侧(1.32±1.46)mm,止点位于末节趾骨基底中点(2.22±2.42)mm范围内,长屈肌腱在跖趾关节中点外侧(0.44±2.42)mm。

Flexor pollicis longus muscle tendon was about (0.44±2.42)mm lateral to the center of metatarsophalangeal joint. For cases of HV, extensor hallucis longus was about (9.32±3.46)mm lateral to tibialis anterior muscle at ankle transverse striation,(3.00±2.22)mm lateral to the center of tarsometatarsal joint.

在外翻的患者中,长伸肌腱在踝横纹处位于胫骨前肌外侧(9.32±3.46)mm,在跗跖关节中点外侧(3.00±2.22)mm,跖趾关节中点外侧(4.22±2.26)mm,止点位于末节趾骨基底中点(2.02±2.32)mm范围内,长屈肌腱在跖趾关节中点外侧(3.24±2.32)mm。

Series of bone scintigraphy from 1997 to 2003 showed progressive uptake at right sternoclavicular junction, spine, sacroiliac joint and the left sternoclavicular junction.

再从1997到2003年,一系列的核医检查中,可发现在右胸锁关节,腰椎,骶骼关节与左边胸锁关节都有渐进性异常之核医摄取。

Methods: Three out of eight pelvic specimens of cadavers were measured as normal group. then vertically unstable pelvic fractures were produced, and the biomechanical stiffness of internal fixation by sacroiliac screws with four hole LCDC symphyseal plates was tested and compared in the different reductions placement (low displace group and high displace group), the vertical and horizontal displacements of the sacroiliac joint and pubic symphysis were measured.

将8具尸体骨盆随机取3具做压力测试设为正常组,然后制成垂直不稳定骨盆骨折模型,骶髂关节和耻骨联合在移位0~4mm及移位8~12mm行后环骶髂关节螺钉和前环钢板螺钉固定,测量骶髂关节和耻骨联合的垂直和水平移位。

Estrogen deficiency can increase the mRNA expression of MMP-1、MMP-3 and IL-1β in OA synovia tissue. Estrogen could inhibit the mRNA expression of MMP-1、 MMP-3 and IL-1β in OA synovia tissue. Progestin could even decrease this expression. Estrogen could slightly increase the mRNA expression of TIMP-1. It is suggested that low dose of estrogen supplement play a protective effect on OA cartilage, and progestin could increase this protective effect.

雌激素缺乏可使OA关节滑膜中MMP-1、MMP-3和IL-1β mRNA表达增加,雌激素对关节滑膜组织中MMP-1、MMP-3和IL-1β mRNA表达有抑制作用,孕激素可增强雌激素的这一抑制作用,雌激素对TIMP-1有轻度升高作用,提示低剂量雌激素对OA关节软骨有一定保护作用,而加用孕激素这一保护作用增强。

Objective:To evaluate the pathologic changes in the patients of anterior disc displacement and perforation of temporomandibular joint.

目的:探讨颞下颌关节内窥镜下颞下颌关节盘移位和关节盘穿孔的病理改变特征。

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