{"id":89930,"date":"2018-03-10T00:15:14","date_gmt":"2018-03-10T00:15:14","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/concordia-entre-la-semiologia-clinica-y-la-artroscopia-en-el-diagnostico-de-los-trastornos-temporomandibulares\/"},"modified":"2018-03-10T00:15:14","modified_gmt":"2018-03-10T00:15:14","slug":"concordia-entre-la-semiologia-clinica-y-la-artroscopia-en-el-diagnostico-de-los-trastornos-temporomandibulares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/concordia-entre-la-semiologia-clinica-y-la-artroscopia-en-el-diagnostico-de-los-trastornos-temporomandibulares\/","title":{"rendered":"Concordia entre la semiolog\u00eda clinica y la artroscopia en el diagnostico de los trastornos temporomandibulares"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jose Ferreras Granado <\/strong><\/h2>\n<p>Objetivos: 1. Determinar el grado de concordia entre el diagnostico clinico y el artroscopico en el diagnostico de la disfunci\u00f3n temporomandibular(dtm). 2. Determinar la sensibilidad y especificidad de la exploraci\u00f3n clinica en el diagnostico de los desordenes internos de la articulaci\u00f3n temporomandibular(atm).  dise\u00f1o: se ha realizado un estudio no randomizado, de eficiencia a simple ciego. La muestra estaba constituida por 30 enfermos diagnosticados de dtm, y sometidos a una artroscopia. Los diagnosticos clinicos y artroscopicos se emitieron seg\u00fan criteros internacionalmente consensuados. La concordia entre los diagnosticos se evalu\u00f3 mediante el indice kappa de cohen. La relaci\u00f3n entre las variables investigadas (cualitativas) se analiz\u00f3 mediante la prueba de chi-cuadrado. Se consideraron diferencias significativas aquella en las que el valor de p&lt;0,05.  resultados: la edad media de los enfermos fue de 34,7 a\u00f1os. El 86,1% de los pacientes eran mujeres. El diangostico clinico y artroscopico de desplazamiento discal con reducci\u00f3n, presento una concordancia importante (kappa=0,645), mostrando el diagnostico clinico una sensibilidad de 0,71, y una especificidad de 0,93. La concordancia observada entre el diagnostico clinico de desplazamiento discal sin reduccion y elartroscopico fue casi completa (kappa=0,833) con una sensibilidad de 0,83 y una espicificidad de 1.  conclusiones: en pacientes con dtm subsidiarios de tratamiento artroscopico, el diagnostico clinico es concordante con el artroscopico en la filiaci\u00f3n de los desplazamientos discales(con o sin reduccion). La presencia de hasquidos y el tipo de trayecto de abertura oral, son los dos mejores parametros clinicos para el diagnostico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Concordia entre la semiolog\u00eda clinica y la artroscopia en el diagnostico de los trastornos temporomandibulares<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Concordia entre la semiolog\u00eda clinica y la artroscopia en el diagnostico de los trastornos temporomandibulares <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jose Ferreras Granado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/04\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Sebastian Lopez Arranz Arranz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: angel Alvarez arenal <\/li>\n<li> Jimenez fernandez-blanco Juan  ramon (vocal)<\/li>\n<li>enrique Barbosa yucar (vocal)<\/li>\n<li>florencio Monie gil (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jose Ferreras Granado Objetivos: 1. Determinar el grado de concordia entre el diagnostico clinico y el artroscopico [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,7472,140,8846],"tags":[3009,186885,186886,150729,186884,37900],"class_list":["post-89930","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-maxilofacial","category-estomatologia-y-ortodoncia","category-oviedo","tag-angel-alvarez-arenal","tag-enrique-barbosa-yucar","tag-florencio-monie-gil","tag-jimenez-fernandez-blanco-juan-ramon","tag-jose-ferreras-granado","tag-juan-sebastian-lopez-arranz-arranz"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89930","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=89930"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89930\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=89930"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=89930"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=89930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}