Correlation of arthroscopic findings with clinical-radiological signs and symptoms of temporomandibular joint dysfunction: retrospective study of 829 joints.

Temporomandibular joint (TMJ) arthroscopic findings are difficult to predict based on clinical criteria. Few studies have attempted to correlate signs, symptoms, and characteristics of patients with the final arthroscopic findings. The aim of this study was to assess the correlation between clinical-radiological signs and symptoms and arthroscopic findings in patients with TMJ dysfunction undergoing arthroscopy. A retrospective study was performed involving 487 patients (829 joints) with TMJ dysfunction who underwent TMJ arthroscopy between 2000 and 2019. The clinical-radiological variables recorded were pain, maximum mouth opening, joint noises, Wilkes classification, and disc displacement. The arthroscopic findings evaluated were synovitis, chondromalacia, adhesions, disc perforation, disc displacement, and roofing. Pain symptoms were significantly associated with the intensity of synovitis (P = 0.005) and disc displacement evaluated arthroscopically (P < 0.001). A statistically significant relationship was observed between Wilkes stage and the level of synovitis (P < 0.001) and chondromalacia (P < 0.001). Mouth opening was negatively correlated with adhesions (P < 0.001). Based on this study, pain symptomatology was associated with the intensity of synovitis and disc displacement evaluated arthroscopically, the Wilkes stage was a good predictor of the severity of synovitis and chondromalacia, and mouth opening was negatively correlated with adhesions.

Cold stress does not induce stress proteins SP 25 and SP 72 in rat skeletal muscle.

Cryotherapy is a common treatment for musculoskeletal injuries, yet the mechanism(s) underlying its effects remain unclear. Since cryotherapeutic treatment often involves temperatures that are known to induce the protective stress proteins (SPs), we determined whether SP 25 and SP 72 expression was altered following a 20-min cold stress to the hindlimb muscles of Sprague-Dawley rats. The right hindlimb of anesthetized animals was placed in an ice bath until muscle temperature decreased to either 8.4 +/- 0.4 degrees C or 19.7 +/- 0.3 degrees C for 20 min. After a 24-h recovery, the white and red gastrocnemius, plantaris, soleus, extensor digitorum longus, and tibialis anterior muscles from both legs were removed and rapidly frozen in liquid nitrogen. Portions of the muscles were homogenized and SP 25 and SP 72 content was assessed by SDS-PAGE/Western blot analyses. Quantification of SP 25 and SP 72 by densitometric scanning of blots demonstrated no significant increases in SP 25 or SP 72 content in any of the muscles exposed to either the 8 or the 20 degrees C cold stress compared to muscles from the unstressed contralateral limbs. These results suggest that a 20-min cold stress of 8 degrees C or 20 degrees C does not increase muscle SP 25 or SP 72 content.