細径顎関節鏡(ファイバースコープシステム)を用いた上関節腔鏡視法とその鏡視像 Arthroscopic examination and arthroscopic findings of the upper joint space with an ultra-thin arthroscope

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著者

    • 由良 晋也 YURA Shinya
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 戸塚 靖則 TOTSUKA Yasunori
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 馬渕 亜希子 MABUCHI Akiko
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 出山 文子 DEYAMA Ayako
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 由川 哲也 YOSHIKAWA Tetsuya
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University
    • 大廣 洋一 OHIRO Yoichi
    • 北海道大学大学院歯学研究科口腔病態学講座・口腔顎顔面外科学 Oral and Maxillofacial Surgery, Department of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University

抄録

Arthroscopic examination with an ultra-thin arthroscope is an easy, minimally invasive procedure for examination of the inside of joints. However, one disadvantage of arthroscopy is the risk of scope breakage in narrow joint spaces. We describe an improved procedure for arthroscopic examination of the upper joint space and describe the findings thus obtained.<BR>Arthroscopic examination is done with the patient under local anesthesia in the outpatient clinic. To observe the synovium in the posterior compartment, an 18-gauge needle and a trocar for a 0.8mm rod-lens fiberscope are inserted into the anterior and posterior compartments of the upper joint space, respectively. The articular cartilage of the glenoid fossa and eminence is also observed. Finally, the presence or absence of adhesion in the anterior compartment is examined. In narrowed joint spaces with severe adhesions, injection of normal saline under sufficient pressure is performed to widen the upper joint space. The fiberscope is then advanced from the posterior compartment to the anterior compartment via the lateral paradiscal groove.<BR>This procedure enables us to observe synovitis with capillary hyperemia or hyperplasia of the synovium, cartilage changes with fibrillation or exposure of subchondral bone, and the distribution and degree of adhesion.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(1), 43-46, 2003-01-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  15件中 1-15件 を表示

被引用文献:  3件中 1-3件 を表示

各種コード

  • NII論文ID(NAID)
    10012628510
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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