title: How accurate is arthroscopy of the temporomandibular joint? A comparison of findings in patients who had open operations after arthroscopic management failed.
abstract: We examined the accuracy of arthroscopy to diagnose disease in the temporomandibular joint (TMJ) and to allocate an appropriate Wilkes' stage. We compared findings made during arthroscopy with those at subsequent open operation in the same patient. Overall, arthroscopy had 87% sensitivity and 99% specificity in diagnosing disease in the TMJ, and it also accurately allocated the Wilkes' stage (sensitivity 94%, specificity 98%).
authors.affiliation: Department of Oral and Maxillofacial Surgery, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham NG7 2UH, United Kingdom. Electronic address: ktzanid@hotmail.com.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Tzanidakis
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Sidebottom
mesh_terms: D001182:Arthroscopy / Q000706:statistics & numerical data*; D005355:Fibrosis; D006801:Humans; D010003:Osteoarthritis / Q000175:diagnosis / Q000601:surgery; D054850:Osteophyte / Q000175:diagnosis / Q000601:surgery; D012680:Sensitivity and Specificity; D013701:Temporal Bone / Q000473:pathology / Q000601:surgery; D019224:Temporomandibular Joint Disc / Q000473:pathology / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000601:surgery*; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery
keywords: Arthroscopy; Open TMJ surgery; TMJ arthroscopy; TMJ discectomy