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The Differential Diagnosis of Temporomandibular Joint Pain

The Differential Diagnosis of Temporomandibular Joint Pain Abstract Certainly temporomandibular joint pain has a long history, for Ruffer1 found evidences of temporomandibular joint pathology in the skulls of early modern man. In 3,000 B.C., the surgeon of the Old Kingdom in Egypt had a sound working knowledge of the anatomy of this joint. The earliest known surgical text, the Edwin Smith Papyrus,2 reports a case of "dislocation of the mandible" with a diagnosis and method of reduction that is still used today. Bellinger3 quotes Cooper, in 1842, as calling attention to snapping in the temporomandibular joint, and Annandale, in 1887, for opening into the joint, repositioning the articular disk, and suturing it with gut to the outer side of the joint. He names Lang as the surgeon who, in 1909, introduced disk extirpation. Costen,4 in 1934, first described his syndrome and stirred the interest of modern medicine in the temporomandibular joint. For the purposes References 1. Ruffer, A.: Study of Abnormalities and Pathology of Ancient Egyptian Teeth , Am. J. Phys. Anthropol. 3:335, 1920.Crossref 2. Breasted, J. H., Editor: Edwin Smith Surgical Papyrus , Chicago, The University of Chicago Press, 1930. 3. Bellinger, D. H.: Present Status of Arthrosis of the Temporomandibular Joint , J. Oral Surg. 6:9, 1948. 4. Costen, J. B.: A Syndrome of Ear and Sinus Symptoms Dependent upon Disturbed Function of the Temporomandibular Joint , Ann. Otol. Rhin. & Laryng. 43:1, 1934. 5. Freese, A. S.: Etiology and Symptomatology of Temporomandibular Joint Disturbances , New York J. Med. 57:2837, 1957. 6. Freese, A. S.: Degenerative Joint Disease of the Temporomandibular Joint , J. Pros. Dent. 7:663, 1957. 7. Freese, A. S.: Mandibular Muscle Spasms and Temporomandibular Joint Disturbances , J. Pros. Dent. 8:831, 1958. 8. Sicher, H.: Oral Anatomy , Ed. 2, St. Louis, The C. V. Mosby Company, 1952. 9. Sarnat, B. G., Editor: The Temporomandibular Joint , Springfield, Ill. Charles C Thomas, Publisher, 1951. 10. Freese, A. S.: Head and Neck Pain in Temporomandibular Joint Disease and Muscle Spasm , A.M.A. Arch. Otolaryng. 67:410, 1958. 11. Freese, A. S.: Mandibular Muscle Spasms: Their Role in Head and Neck Pain and Mandibular Dysfunction , New York J. Med. 58:2533, 1958. 12. Schwarz, L. L.: Temporomandibular Joint Syndromes , J. Pros. Dent. 7:489, 1957. 13. Bonica, J. J.: The Management of Pain , Philadelphia, Lea & Febiger, 1953. 14. Wolff, H. G.: Headache and Other Head Pain , New York, Oxford University Press, 1948. 15. Travell, J., and Rinzler, S. H.: The Myofascial Genesis of Pain (Scientific Exhibit) , Postgrad. Med. 11:425, 1952. 16. Travell, J.: Basis for the Multiple Uses of Local Block of Somatic Trigger Areas (Procaine Infiltration and Ethyl Chloride Spray) , Mississippi Valley M.J. 71:13, 1949. 17. Travell, J.: Referred Pain from Skeletal Muscles , New York J. Med. 55:331, 1955. 18. Travell, J.: Pain Mechanisms in Connective Tissues , in Transactions of Second Conference on Connective Tissues, New York, Josiah Macy, Jr. Foundation, 1952, p. 86. 19. Freese, A. S.: Myofascial Trigger Mechanisms and Temporomandibular Joint Disturbances in Head and Neck Pain: Differential Diagnosis , New York J. Med. 59:2554, 1959. 20. Freese, A. S.: The Temporomandibular Joint and Myofascial Trigger Areas in the Dental Diagnosis of Pain , J.A.D.A. 59:448, 1959. 21. Freese, A. S.: The Occurrence of Temporomandibular Joint Arthroses in Arthritic Patients: A Preliminary Report, presented before the Annual Clinical Research Meeting, Beth Israel Hospital, 1958. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

The Differential Diagnosis of Temporomandibular Joint Pain

A.M.A. Archives of Otolaryngology , Volume 71 (5) – May 1, 1960

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1960.03770050049007
Publisher site
See Article on Publisher Site

Abstract

Abstract Certainly temporomandibular joint pain has a long history, for Ruffer1 found evidences of temporomandibular joint pathology in the skulls of early modern man. In 3,000 B.C., the surgeon of the Old Kingdom in Egypt had a sound working knowledge of the anatomy of this joint. The earliest known surgical text, the Edwin Smith Papyrus,2 reports a case of "dislocation of the mandible" with a diagnosis and method of reduction that is still used today. Bellinger3 quotes Cooper, in 1842, as calling attention to snapping in the temporomandibular joint, and Annandale, in 1887, for opening into the joint, repositioning the articular disk, and suturing it with gut to the outer side of the joint. He names Lang as the surgeon who, in 1909, introduced disk extirpation. Costen,4 in 1934, first described his syndrome and stirred the interest of modern medicine in the temporomandibular joint. For the purposes References 1. Ruffer, A.: Study of Abnormalities and Pathology of Ancient Egyptian Teeth , Am. J. Phys. Anthropol. 3:335, 1920.Crossref 2. Breasted, J. H., Editor: Edwin Smith Surgical Papyrus , Chicago, The University of Chicago Press, 1930. 3. Bellinger, D. H.: Present Status of Arthrosis of the Temporomandibular Joint , J. Oral Surg. 6:9, 1948. 4. Costen, J. B.: A Syndrome of Ear and Sinus Symptoms Dependent upon Disturbed Function of the Temporomandibular Joint , Ann. Otol. Rhin. & Laryng. 43:1, 1934. 5. Freese, A. S.: Etiology and Symptomatology of Temporomandibular Joint Disturbances , New York J. Med. 57:2837, 1957. 6. Freese, A. S.: Degenerative Joint Disease of the Temporomandibular Joint , J. Pros. Dent. 7:663, 1957. 7. Freese, A. S.: Mandibular Muscle Spasms and Temporomandibular Joint Disturbances , J. Pros. Dent. 8:831, 1958. 8. Sicher, H.: Oral Anatomy , Ed. 2, St. Louis, The C. V. Mosby Company, 1952. 9. Sarnat, B. G., Editor: The Temporomandibular Joint , Springfield, Ill. Charles C Thomas, Publisher, 1951. 10. Freese, A. S.: Head and Neck Pain in Temporomandibular Joint Disease and Muscle Spasm , A.M.A. Arch. Otolaryng. 67:410, 1958. 11. Freese, A. S.: Mandibular Muscle Spasms: Their Role in Head and Neck Pain and Mandibular Dysfunction , New York J. Med. 58:2533, 1958. 12. Schwarz, L. L.: Temporomandibular Joint Syndromes , J. Pros. Dent. 7:489, 1957. 13. Bonica, J. J.: The Management of Pain , Philadelphia, Lea & Febiger, 1953. 14. Wolff, H. G.: Headache and Other Head Pain , New York, Oxford University Press, 1948. 15. Travell, J., and Rinzler, S. H.: The Myofascial Genesis of Pain (Scientific Exhibit) , Postgrad. Med. 11:425, 1952. 16. Travell, J.: Basis for the Multiple Uses of Local Block of Somatic Trigger Areas (Procaine Infiltration and Ethyl Chloride Spray) , Mississippi Valley M.J. 71:13, 1949. 17. Travell, J.: Referred Pain from Skeletal Muscles , New York J. Med. 55:331, 1955. 18. Travell, J.: Pain Mechanisms in Connective Tissues , in Transactions of Second Conference on Connective Tissues, New York, Josiah Macy, Jr. Foundation, 1952, p. 86. 19. Freese, A. S.: Myofascial Trigger Mechanisms and Temporomandibular Joint Disturbances in Head and Neck Pain: Differential Diagnosis , New York J. Med. 59:2554, 1959. 20. Freese, A. S.: The Temporomandibular Joint and Myofascial Trigger Areas in the Dental Diagnosis of Pain , J.A.D.A. 59:448, 1959. 21. Freese, A. S.: The Occurrence of Temporomandibular Joint Arthroses in Arthritic Patients: A Preliminary Report, presented before the Annual Clinical Research Meeting, Beth Israel Hospital, 1958.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1960

References