Method and apparatus for the acoustic detection and analysis of joint disorders

• US 4,836,218 A
• Filed: 03/04/1988
• Issued: 06/06/1989
• Est. Priority Date: 04/09/1984
• Status: Expired due to Fees

• Current Assignee: Alfred Haemer, Charles Bertolami, John S. Hall, Thomas Gay, Zaccheo T. Scott
• Original Assignee: Arthrotek Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Gay, Thomas, Solonche, David J., Bertolami, Charles N.
• Primary Examiner(s): Hindenburg, Max
• Application Number:
  US07/164,358
• Time in Patent Office: 459 Days
• Field of Search: 128/80 F, 128/80 G, 128/773, 128/774, 128/782, 128/790, 346/33 A
• US Class Current: 600/586
• CPC Class Codes: A61B 7/006 Detecting skeletal, cartilage or muscle noise A61B7/003 and A61B7/008 take precedence
• CPC Class Codes: G01H 1/00 Measuring characteristics of vibrations in solids by using direct conduction to the detector G01H9/00, G01H11/00 take precedence

Abstract

A noninvasive method and apparatus is presented for detecting and analyzing joint disorders utilizing an acoustic signal processing technique. The diagnostic procedure and apparatus graphically correlates joint induced sound patterns relative to the joint position in time and space thereby providing a quantitative approach for the diagnosis of specific joint disorders. The present invention, termed Arthrophonometry, is particularly well suited for differential diagnosis of the temporomandibular (TMJ) joint.

Claims

1. A procedure for diagnosing temporomandibular joint (TMJ) disorders, including the steps of:

detecting in timed sequence sound patterns propagated at the temporomandibular joint and defined as TMJ propagated sound patterns;

detecting in corresponding timed sequence time varying mandibular bone displacement in three dimensions with respect to the detected TMJ propagated sound patterns; and

correlating the TMJ propagated sound patterns and the occurrence and duration thereof to the duration and displacement of the corresponding mandibular bone movement whereby joint disorders are diagnosed.

2. The diagnositc procedure of claim 1 wherein said correlating step comprises graphical correlation.

3. The diagnostic procedure of claim 2 wherein said graphical correlation includes a computer.

4. A procedure for diagnosing arthrodial, spheroid and ginglymo-arthrodial bone joint disorders, including the steps of:

detecting in timed sequence sound patterns propagated at the bone joint and defined as bone joint propagated sound patterns;

detecting in corresponding timed sequence time varying bone displacement in three dimensions with respect to the detected bone joint propagated sound patterns; and

correlating the bone joint propagated sound patterns and the occurrence and duration thereof to the duration and displacement of the corresponding bone movement whereby bone joint disorders are diagnosed.

5. The diagnostic procedure of claim 4 wherein said correlating step comprises graphical correlation.

6. The diagnostic procedure of claim 5 wherein said graphical correlation includes a computer.

7. And apparatus for diagnosing temporomandibular joint (TMJ) disorders comprising:

means for detecting in timed sequence sound patterns propagated at the temporomandibular joint and defined as TMJ propagated sound patterns;

means for detecting in corresponding timed sequence time varying mandibular bone displacement in three dimensions with respect to the detected TMJ propagated sound patterns; and

means for correlating the TMJ propagated sound patterns and the occurrence and duration thereof to the duration and displacement of the corresponding mandibular bone movement whereby joint disorders are diagnosed.

8. The diagnostic apparatus of claim 7 including:

means for amplifying said detected joint propagated sound pattern.

9. The diagnostic apparatus of claim 8 including:

means for filtering said amplified detected joint propagated sound pattern.

10. The diagnostic apparatus of claim 7 including:

means for amplifying said detected time varying mandibular bone displacement.

11. The diagnostic apparatus of claim 10 including:

means for integrating said amplified detected time varying mandibular bone displacement.

12. The diagnostic apparatus of claim 7 wherein said three dimensions comprise an X, Y and Z plane and including:

means for detecting time varying mandibular displacement in either an X, Y or Z plane.

13. The diagnostic apparatus of claim 12 including:

means for switching between an X, Y or Z plane during detecting of time varying mandibular bone displacement.

14. The diagnostic apparatus of claim 7 wherein said correlating means comprises graphical correlation means.

15. The diagnostic apparatus of claim 14 wherein said graphical correlation means includes a computer.

16. An apparatus for diagnosing arthroidal, speroid and gingylmo-arthrodial bone disorders comprising:

means for detecting in timed sequence sound patterns propagated at the joint and defined as bone joint propagated sound patterns;

means for detecting in corresponding timed sequence time varying bone displacement in three dimensions with respect to the detected bone joint propagated sound patterns; and

means for correlating bone joint propagated sound patterns and the occurrence and duration thereof to the duration and displacement of the corresponding bone movement whereby bone joint disorders are diagnosed.

17. The diagnostic apparatus of claim 16 including:

means for amplifying said detected joint propagated sound pattern.

18. The diagnostic apparatus of claim 17 including:

means for filtering said amplified detected joint propagated sound pattern.

19. The diagnostic apparatus of claim 16 including:

means for amplifying said detected time varying bone displacement.

20. The diagnostic apparatus of claim 19 including:

means for integrating said amplified detected time varying bone displacement.

21. The diagnostic apparatus of claim 16 wherein said three dimensions comprise an X, Y and Z plane and including:

means for detecting time varying bone displacement in either an X, Y or Z plane.

22. The diagnostic apparatus of claim 21 including:

means for switching between an X, Y or Z plane during detecting of time varying bone displacement.

23. The diagnostic apparatus of claim 16 wherein said correlating means comprises graphical correlation means.

24. The diagnostic apparatus of claim 23 wherein said graphical correlation means includes a computer.

25. An apparatus for diagnosing bone joint disorders comprising:

means for detecting the presence or absence of sound patterns propagated at a juncture or joint between bones and defined as bone joint propagated sound patterns;

means for detecting time varying bone displacement with respect to the detected bone joint propagated sound patterns; and

means for correlating the bone joint propagated sound patterns to the duration and displacement of the corresponding bone movement wherein joint disorders are diagnosed.

26. The diagnostic apparatus of claim 25 including:

means for amplifying said detected joint propagated sound pattern.

27. The diagnostic apparatus of claim 26 including:

means for filtering said amplified detected joint propagated sound pattern.

28. The diagnostic apparatus of claim 25 including:

means for amplifying said detected time varying bone displacement.

29. The diagnostic apparatus of claim 28 including:

means for integrating said amplified detected time varying bone displacement.

30. The diagnostic apparatus of claim 25 including:

means for detecting time varying bone displacement in either an X, Y or Z plane.

31. The diagnostic apparatus of claim 30 including:

means for switching between an X, Y or Z plane during detecting of time varying bone displacement.

32. The diagnostic apparatus of claim 25 wherein said correlating means comprises graphical correllation means.

33. The diagnostic apparatus of claim 32 wherein said graphical correllation means includes a computer.

34. The diagnostic apparatus of claim 25 wherein said detecting is of the temporomandibular joint (TMJ).

35. The diagnostic apparatus of claim 34 wherein said means for detecting time varying bone displacement is of the mandibular bone and wherein;

said corresponding bone movement is mandibular bone movement.

36. An apparatus for diagnosing temporomandibular joint (TMJ) disorders comprising:

means for detecting the presence or absence of sound patterns propagated at the temporomandibular joint and defined as TMJ propagated sound patterns;

means for detecting time varying mandibular bone displacement with respect to the detected TMJ propagated sound patterns; and

means for correlating the TMJ propagated sound patterns to the duration and displacement of the corresponding mandibular bone movement wherein joint disorders are diagnosed.

37. A method for diagnosing bone joint disorders comprising the steps of:

detecting the presence of absence of sound patterns propagated at a juncture or joint between bones and defined as bone joint propagated sound patterns;

detecting time varying bone displacement with respect to the detected bone joint propagated sound patterns; and

correlating the bone joint propagated sound patterns to the duration and displacement of the corresponding bone movement wherein joint disorders are diagnosed.

38. The diagnostic method of claim 37 including:

amplifying said detected joint propagated sound pattern.

39. The diagnostic method of claim 38 including:

filtering said amplified detected joint propagated sound pattern.

40. The diagnostic method of claim 37 including:

amplifying said detected time varying bone displacement.

41. The diagnostic method of claim 40 including:

integrating said amplified detected time varying bone displacement.

42. The diagnostic method of claim 37 including:

detecting time varying bone displacement in either an X, Y or Z plane.

43. The diagnostic method of claim 42 including:

switching between an X, Y or Z plane during detecting of time varying bone displacement.

44. The diagnostic method of claim 37 wherein said correlating step comprises graphical correllation.

45. The diagnostic method of claim 44 wherein said graphical correllation includes a computer.

46. The diagnostic method of claim 37 wherein said detecting step is of the temporomandibular joint (TMJ).

47. The diagnostic method of claim 46 wherein said step of detecting time varying bone displacement is of the mandibular bone and wherein;

said corresponding bone movement is mandibular bone movement.

48. A method for diagnosing temporomandibular joint (TMJ) disorders comprising:

detecting the presence or absence of sound patterns propagated at the temporomandibular joint and defined as TMJ propagated sound patterns;

detecting time varying mandibular bone displacement with respect to the detected TMJ propagated sound patterns;

And

correlating the TMJ propagated sound patterns to the duration and displacement of the corresponding mandibular bone movement wherein joint disorders are diagnosed.