Читать книгу Temporomandibular Disorders - Robin J. M. Gray - Страница 67

TMJ pain and tenderness are mainly related to the area of the posterior bilaminar zone of the disc and the posterior aspect of the capsule. Examination of this area can be achieved more readily and reliably by intra‐auricular palpation. This involves placing the little finger in the external auditory meatus on one side at a time and applying gentle forward pressure, while asking the patient to open and close the mouth (Figure 3.7).

Figure 3.7 Intra‐auricular palpation of the temporomandibular joint.

(M. Ziad Al‐Ani, Robin J.M. Gray.)

Be aware that, if there is acute disc displacement, this method of examination can be very uncomfortable for the patient.