ArticleRadiologie (Heidelberg, Germany)2025
Diagnostic significance and evaluation of alterations in the superior joint space for temporomandibular joint fracture detection.
Article in Radiologie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo comprehensively assess the diagnostic significance of variations in the superior joint space (SJS) of the temporomandibular joint (TMJ) for the detection of TMJ fractures through spiral computed tomography (CT) scans.
methodsA retrospective analysis was conducted of CT scans of 32 patients with clinically confirmed TMJ fractures and 30 controls without fractures. The SJS was meticulously measured using the Kamelchuk method. Statistical analyses, including the Wilcoxon signed-rank test for paired comparisons, the Mann-Whitney U test for comparisons between groups, and ROC curve analysis for evaluating diagnostic performance, were performed to rigorously quantify the diagnostic importance of SJS changes. Binary logistic regression modeling was also applied to validate the accuracy of the assessment and determine the odds ratio (OR).
resultsIn the fracture group, statistically significant differences were observed in the SJS of bilateral TMJs (p < 0.05), whereas no significant difference was noted in the control group. The mean SJS on the fractured side was 3.75 mm, notably greater than the bilateral mean of 3.03 mm in the control group (p < 0.001). The discrepancy in SJS between sides in the fracture group (0.82 mm) significantly surpassed that of the control group (0.19 mm, p < 0.001). Utilizing an optimal threshold SJS difference of 0.62 mm, the diagnostic sensitivity was 63.30%, specificity was 86.70%, and accuracy was 76.70%, with an OR of 21.00 (95% CI: 4.198-105.038).
conclusionThis study found that changes in the SJS caused by TMJ fractures have significant diagnostic value in fracture detection, serving as a reliable tool for early and accurate diagnosis. By utilizing early identification and diagnosis via spiral CT, the study evaluated the changes in the SJS induced by fractures, providing crucial diagnostic information for clinical practice. This discovery emphasizes the pivotal role of SJS changes in identifying TMJ fractures and offers new diagnostic methods and insights for clinical practice.
Indexed as
Identifiers
40281327What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.