Can arthrocentesis release intracapsular adhesions? Arthroscopic findings before and after irrigation under sufficient hydraulic pressure.
OBJECTIVE
To investigate the effect of release of intra-articular adhesions of arthrocentesis, we examined patients with closed lock of the temporomandibular joint by arthroscopy before and after irrigation.


METHODS
In 6 closed lock cases in which adhesions in the upper joint space were observed by arthroscopy before arthrocentesis, arthroscopic examination was performed again to confirm whether the adhesion was released after the procedure. Range of mouth opening and joint pain were examined to determine the clinical efficiency of the procedure.


RESULTS
Adhesion was not released by irrigation under low pressure but could be released by irrigation under high pressure. After irrigation under low and high pressure, the maximum mouth opening of the patients improved from 0 to 1 mm (average, 0.3 mm) and 2 to 6 mm (average, 3.7 mm), respectively.


CONCLUSIONS
The results indicate that arthrocentesis with sufficient pressure could be effective for closed lock cases with adhesions in the upper joint compartment.
Yura
Shinya
S
Oral and Maxillofacial Surgery, Tonami General Hospital, 1-6 Shintomi-cho, Tonami-city, Toyama-ken 939-1395, Japan. yura@p1.coralnet.or.jp
Totsuka
Yasunori
Y
Yoshikawa
Tetsuya
T
Inoue
Nobuo
N
D000328:Adult; D000368:Aged; D018771:Arthralgia / Q000601:surgery; D001182:Arthroscopy; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008875:Middle Aged; D019152:Paracentesis; D011312:Pressure; D016059:Range of Motion, Articular / Q000502:physiology; D019224:Temporomandibular Joint Disc / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D007507:Therapeutic Irrigation / Q000379:methods; D000267:Tissue Adhesions / Q000601:surgery; D016896:Treatment Outcome