MUSCULOSKELETAL PAIN IN PREADOLESCENTS - PREVALENCE AND ONE-YEAR PERSISTENCE
Marja Mikkelsson (Rheumatism Foundation Hospital, Heinola, Finland),
Jouko J. Salminen (University Hospital of Turku, Turku, Finland),
Hannu Kautiainen (Rheumatism Foundation Hospital, Heinola, Finland)
The purpose was to study the prevalence and one-year persistence of musculoskeletal pain symptoms in 1756 preadolescents.
A one-year follow-up was conducted with a structured pain questionnaire. At follow-up, 1626 (92.7%) children participated in the study.
Pain at least once a week persisted in 270 (52.4%) of the 564 children who reported musculoskeletal pain at least once a week in at least one part of the body at baseline. Widespread pain was found in 132 children (7.5%) and persisted in 35 children (29.7%, 95% C.I. 21.9 to 38.4) at follow-up. Disability was more severe in children with pain symptoms in more than one area.
This study showed that about half of the preadolescents complaining of musculoskeletal pain at least once a week at baseline had persistent pain symptoms at follow-up. The prognosis of widespread pain in preadolescents was almost the same as the previous findings in adults.
THE EVALUATION OF CONDYLE AND FOSSA ARTICULARIS IN INTERNAL DERANGEMENT WITH TEMPOROMAND1BULAR DISORDERS
Cihan Aksoy, Halim Issever, Ayse Karan, Aysen Azak, Aysun Deger, Hamit Abbaszade (Istanbul University, Istanbul Medical Faculty, Istanbul-Turkey)
Temporomandibular disorders are the most universal term used today to represent a host of problems associated with the temporomandibular joint and the surrounding masticator and related musculature and other contiguous tissue components. Because of uniqueness of the joint and variation of related signs and symptoms, this entity is recognized by different disciplines of medicine. The aim of this study is to investigate the efficiency of the condylar morphology to the prevalence internal derangement. Thirty-three patients with internal derangement were seek the relation of condyle and fossa by using MR1 at the University of Istanbul, Istanbul Medical Faculty the institute of diagnosis and treatment temporomandibular disorders.
Our findings had to show a smooth surfaced condyla head in a population without any complaints. However, 28.8% had the this characteristic. 22.7 % of the cases had flattened surfaced contour, 19.7% of the cases had degenerative changes. 22.7% of the cases had condylar hypoplasia.
There was no statistically significant changes in depth of the fossa. Condyle-fossa relationship had on statistically significant difference from on normal population.
We showed that changes in anatomic form and position the condyle was important in TMJ pathologies. It is advised that structural and functional disorders of the TMJ are treated with exercises or occlusal therapies in order to prevent irreversible changes. This study is carried out on a longitudinal basis.