颞下颌关节紊乱病的颞下颌关节紊乱病的影像学诊断影像学诊断 一、概述一、概述一、概述一、概述 二、影像学表现二、影像学表现二、影像学表现二、影像学表现 1.1.1.1.咀嚼肌紊乱疾病咀嚼肌紊乱疾病咀嚼肌紊乱疾病咀嚼肌紊乱疾病( ( ( (Diseases of Masticatory MusclesDiseases of Masticatory MusclesDiseases of Masticatory MusclesDiseases of Masticatory Muscles) ) ) ) 2. 2. 2. 2. 关节盘移位关节盘移位关节盘移位关节盘移位( ( ( ( Disc DisplacementDisc DisplacementDisc DisplacementDisc Displacement) ) ) ) 3. 3. 3. 3. 关节盘穿孔关节盘穿孔关节盘穿孔关节盘穿孔( ( ( (Perforation of the DiscPerforation of the DiscPerforation of the DiscPerforation of the Disc) ) ) ) 4. 4. 4. 4.关节囊扩张、撕裂关节囊扩张、撕裂关节囊扩张、撕裂关节囊扩张、撕裂( ( ( (Enlargement or Laceration of Enlargement or Laceration of Enlargement or Laceration of Enlargement or Laceration of Articular Capsule) Articular Capsule) Articular Capsule) Articular Capsule) 5. 5. 5. 5. 滑膜炎及（或）关节囊炎滑膜炎及（或）关节囊炎滑膜炎及（或）关节囊炎滑膜炎及（或）关节囊炎( ( ( (Synovitis or CapsulitisSynovitis or CapsulitisSynovitis or CapsulitisSynovitis or Capsulitis) ) ) ) 6. 6. 6. 6. 骨关节病骨关节病骨关节病骨关节病( ( ( (OsteoarthrosisOsteoarthrosisOsteoarthrosisOsteoarthrosis) ) ) ) 7. 7. 7. 7. 关节间隙改变关节间隙改变关节间隙改变关节间隙改变( ( ( (Changes of Joint SpaceChanges of Joint SpaceChanges of Joint SpaceChanges of Joint Space) ) ) )三、鉴别诊断：关节盘移位，关节盘穿孔，三、鉴别诊断：关节盘移位，关节盘穿孔，三、鉴别诊断：关节盘移位，关节盘穿孔，三、鉴别诊断：关节盘移位，关节盘穿孔， 骨关节病骨关节病骨关节病骨关节病 (RA, Traumatic arthritis, cyst and tumor,(RA, Traumatic arthritis, cyst and tumor, others) others) 一、概述一、概述一、概述一、概述 1.1.1.1.命名命名命名命名: Costen: Costen: Costen: Costen s Syndrome s Syndrome s Syndrome s Syndrome Temporomandibular Dysfunction S. Temporomandibular Dysfunction S. Temporomandibular Dysfunction S. Temporomandibular Dysfunction S. Temporomandibular Pain-Dysfunction S. Temporomandibular Pain-Dysfunction S. Temporomandibular Pain-Dysfunction S. Temporomandibular Pain-Dysfunction S. Myofascial Pain-Dysfunction S. Myofascial Pain-Dysfunction S. Myofascial Pain-Dysfunction S. Myofascial Pain-Dysfunction S. Cranio-Mandibular Disorders Cranio-Mandibular Disorders Cranio-Mandibular Disorders Cranio-Mandibular Disorders Temporomandibular Disturbance S. Temporomandibular Disturbance S. Temporomandibular Disturbance S. Temporomandibular Disturbance S. Temporomandibular Disorders Temporomandibular Disorders Temporomandibular Disorders Temporomandibular Disorders 2. 2. 2. 2.诊断分类诊断分类诊断分类诊断分类 Masticatory Muscular DiseasesMasticatory Muscular DiseasesMasticatory Muscular DiseasesMasticatory Muscular Diseases Internal Derangements Internal Derangements Internal Derangements Internal Derangements Inflammatory Diseases Inflammatory Diseases Inflammatory Diseases Inflammatory Diseases (Synovitis and/or capsulitis)(Synovitis and/or capsulitis)(Synovitis and/or capsulitis)(Synovitis and/or capsulitis) Osteoarthritis or Osteoarthrosis Osteoarthritis or Osteoarthrosis Osteoarthritis or Osteoarthrosis Osteoarthritis or OsteoarthrosisThank you for attention