[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100566587":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":30,"centralContacts":34,"locations":25,"responsibleParty":44,"collaborators":25,"id":48,"slug":49,"hasResults":50,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":25,"eligibilityCriteria":54,"healthyVolunteers":50,"sex":55,"minAge":56,"maxAge":57,"enrollmentInfo":58,"targetDuration":25,"studyType":61,"phases":62,"briefSummary":64,"conditions":65,"keywords":25,"overallStatus":67,"whyStopped":25,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":25},{"fullName":5,"class":6},"Cairo University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Conventional arthrocentesis","ACTIVE_COMPARATOR","* Scrubbing and draping of the patient will be carried out in a standard fashion using betadine surgical scrub.\n* Head turned to the affected side.\n* External auditory meatus will be blocked with a cotton plug.\n* A line will be drawn from tragus of the ear to the outer canthus of the eye with ink.\n* Double needled canula is inserted into superior compartment of the joint space 2mm below and 10 mm ahead of mid-tragal end of Holmund Hellsing's line.\n\nIntra-operative procedures - continued in both groups:\n\n* Lavage is performed with 100 ml of saline solution.\n* 1 ml of Hyaluronic acid is injected into the superior joint space.\n* Puncture point is covered with sterile dressing for 24 hours",[13],"Procedure: Conventional anatomically guided arthrocentesis of tempromandibular joint",{"label":15,"type":10,"description":16,"interventionNames":17},"Ultrasound guided arthrocentesis","Scrubbing and draping of the patient will be carried out in a standard fashion using betadine surgical scrub.\n\n* Head turned to the affected side.\n* External auditory meatus will be blocked with a cotton plug.\n* Transducer is placed over TMJ, parallel to the long axis of mandibular ramus. • Transducer is tilted until the optimal visualization is obtained.\n* Disc is visualized as a thin homogenous, hypo-to-iso-echoic band lying adjacent to the inferior relation. The bony landmarks of the mandibular condyle and the articular eminence are visualized as hyperdense lines.\n* Superior joint space located between the disc and articular eminence is the targeted point of the needle.\n\nIntra-operative procedures - continued in both groups:\n\n* Lavage is performed with 100 ml of saline solution.\n* 1 ml of Hyaluronic acid is injected into the superior joint space.\n* Puncture point is covered with sterile dressing for 24 hours",[18],"Procedure: Ultrasound guided arthrocentesis of tempromandibular joint",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Ultrasound guided arthrocentesis of tempromandibular joint","* Scrubbing and draping of the patient will be carried out in a standard fashion using betadine surgical scrub.\n* Head turned to the affected side. • External auditory meatus will be blocked with a cotton plug.\n* Transducer is placed over TMJ, parallel to the long axis of mandibular ramus. • Transducer is tilted until the optimal visualization is obtained.\n* Disc is visualized as a thin homogenous, hypo-to-iso-echoic band lying adjacent to the inferior relation. The bony landmarks of the mandibular condyle and the articular eminence are visualized as hyperdense lines.\n* Superior joint space located between the disc and articular eminence is the targeted point of the needle.\n\nIntra-operative procedures - continued in both groups:\n\n* Lavage is performed with 100 ml of saline solution.\n* 1 ml of Hyaluronic acid is injected into the superior joint space.\n* Puncture point is covered with sterile dressing for 24 hours",[15],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Conventional anatomically guided arthrocentesis of tempromandibular joint","* Scrubbing and draping of the patient will be carried out in a standard fashion using betadine surgical scrub.\n* Head turned to the affected side. • External auditory meatus will be blocked with a cotton plug.\n* A line will be drawn from tragus of the ear to the outer canthus of the eye with ink.\n* Double needled canula is inserted into superior compartment of the joint space 2mm below and 10 mm ahead of mid-tragal end of Holmund Hellsing's line.\n\nIntra-operative procedures - continued in both groups:\n\n* Lavage is performed with 100 ml of saline solution.\n* 1 ml of Hyaluronic acid is injected into the superior joint space.\n* Puncture point is covered with sterile dressing for 24 hours",[9],[31],{"name":32,"affiliation":5,"role":33},"Gamal Moutaed, Professor","STUDY_DIRECTOR",[35,40],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},"Samiha Abdelsalam Abdelaziz","CONTACT","+201100791990","samiha.abdelaziz@dentistry.cu.edu.eg",{"name":41,"role":37,"phone":42,"phoneExt":25,"email":43},"Moataz Bahaa, Lecturer","+201005609359","moataz.bahaa@bue.edu.eg",{"type":45,"investigatorFullName":46,"investigatorTitle":47,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"SPONSOR_INVESTIGATOR","Samiha Abdelsalam Abdelaziz Abdelaziz","Principal investigator","100566587","ultrasound-guided-versus-conventional-arthrocentesis-in-treatment-of-temporomandibular-joint-internal-derangement-100566587",false,"NCT06657118","Ultrasound Guided Versus Conventional Arthrocentesis in Treatment of Temporomandibular Joint Internal Derangement.","Ultrasound Guided Versus Conventional Arthrocentesis in Treatment of Temporomandibular Joint Internal Derangement: A Randomized Clinical Trial","Inclusion Criteria:\n\n* Adult patients aged 16 to 45 years of age having temporomandibular joint internal derangement.\n* Patients free from any systemic conditions and bone metabolic diseases that might interfere with the surgical intervention, soft tissue or hard tissue healing.\n* ASA 1-2 patients with no contraindications for GA\n* Patients who did not respond to conservative treatment.\n\nExclusion Criteria:\n\n* Patient with uncontrolled systemic diseases precluding administration of general anesthesia.\n* Handicaps and special needs patients.\n* Prisoners.","ALL","16 Years","45 Years",{"count":59,"type":60},34,"ESTIMATED","INTERVENTIONAL",[63],"NA","The use of Ultrasound as a guide in arthrocentesis of tempromandibular joint versus conventional anatomically guided arthrocentesis in treatment of temporomandibular joint internal derangement: A randomized clinical trial.",[66],"Internal Derangement of the Tempromandibular Joint","NOT_YET_RECRUITING","2025-08-02",{"date":70,"type":71},"2025-08-06","ACTUAL",{"date":73,"type":60},"2025-10",{"date":75,"type":60},"2026-11",{"name":46,"class":6}]