Can arthrocentesis release intracapsular adhesions? Arthroscopic findings before and after irrigation under sufficient hydraulic pressure

Relationship between effectiveness of arthrocentesis under sufficient pressure and conditions of the temporomandibular joint

“…In that study [4,5], no significant correlation was found between the effectiveness of the procedure and the pathologic conditions of the TMJ. The result indicates that the application of this procedure is wider than that of arthrocentesis under low pressure.…”

“…We previously reported on a technique and its efficacy in performing arthrocentesis under sufficient pressure [4,5]. Pathologic conditions of the TMJ, such as disc deformity bone changes, synovitis, cartilage changes, and adhesions, did not influence the improvement in MMO and joint pain at mouth opening [5].…”

“…Arthroscopic examination and arthrocentesis were performed by the same specialist within 2 weeks after the magnetic resonance imaging, according to the technique of Yura et al [4,5]. A 1.2-mm diameter ultra-thin arthroscope (DRK-21, Shinko Optical Co., Ltd., Tokyo, Japan) was used in the examination (Figure 1).…”

Adhesión discal de la articulación temporomandibular: revisión de la literatura

“…Por otro lado, la artrocentesis consiste en el lavado de la articulación mediante una técnica de doble punción y el paso de una solución isotónica con una determinada presión (5, 16,17), esta presión debe ser la suficiente para dilatar el espacio articular y poder liberar las adhesiones articulares (21). Es una técni-ca sencilla y al igual que la anterior es mínimamente invasiva (17,18,22,23).…”

Treatment of Temporomandibular Joint Osteoarthritis by Using Arthrocentesis and Hyaluronic Acid Injections: Modified Protocol

“…The signs and symptoms of degenerative joint disease of the temporomandibular joint (TMJ) include pain, stiffness, joint clicking, Crepitation and limitation of movement [2]. Many conservative approaches have been proposed through the years, among which were occlusal splint therapy [3], physiotherapy [4], pharmacotherapy [5], and Arthrocentesis, which is carried out in degenerative joint diseases to remove the inflamed synovial fluid from the joint space, to provide appropriate synovial fluid viscosity, and to remove the adhesions by the application of hydraulic pressure [6]. Now it is recognized as first line surgical intervention in patients who do not respond to conservative management [7].…”