Diagnostico clínico de artrosis en la articulación temporomandibular asociado a un síndrome de dolor miofascial: Análisis de un caso

• Autores: R. La Touche
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, Vol. 14, Nº. 7, 2007, págs. 490-493
• Idioma: español
• Títulos paralelos:
  • Clinical diagnosis of osteoarthrosis in the Temporomandibular Joint Associated with Myofascial Pain Syndrome: Analysis of a case report
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Se presenta un caso de una paciente de 70 años que presenta dolor orofacial simétrico y dolor local a nivel de la articulación temporomandibular (ATM) derecha. La exploración clínica muestra disminución del rango de movimiento articular, un end feel blando, crepitación a la auscultación, y puntos gatillos miofasciales (PGMs) a nivel de la musculatura masticatoria y del cuello. El estudio radiológico confirma artrosis en la ATM y se termina concluyendo que la sintomatología es provocada, principalmente, por el síndrome de dolor miofascial. Se reafirma la importancia de realizar un diagnóstico diferencial preciso para orientar adecuadamente las pautas del tratamiento.

  • English

    A case report of a 70 year-old patient with bilateral orofacial pain and local pain in the right temporomandibular joint (TMJ). The physical examination shows a decrease in the articular range of motion, a soft end feel, crepitation and trigger points activated at the jaw and neck muscles. The image study confirmed TMJ osteoarthrosis and it was concluded that the symptoms were primarily produced by myofascial pain syndrome. A precise differential diagnoses is important in order to orientate the treatment stages.

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