CT and MR findings in synovial chondromatosis of the temporo-mandibular joint: Our experience and review of literature

Testaverde, Lorenzo; Perrone, Anna Myriam; Caporali, Laura; Ermini, Antonella; Izzo, Luciano; D'Angeli, Ilaria; Impara, Luca; Mazza, D.; Izzo, Paolo; Marini, Mario

doi:10.1016/j.ejrad.2009.11.015

Cited by 30 publications

(21 citation statements)

References 18 publications

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“…It usually affects large joints, mostly the knee, hip and elbow. The TMJ is rarely affected, with about 100 cases reported in literature [2]. Cartilaginous nodules may become pedonculated and detach from the synovial membrane, thus forming ''loose bodies'' within the joint [2].…”

Section: Discussionmentioning

confidence: 99%

Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

Peyrot

Montoriol

Béziat

et al. 2014

Diagnostic and Interventional Imaging

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Section: Discussionmentioning

confidence: 99%

Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

Peyrot

Montoriol

Béziat

et al. 2014

Diagnostic and Interventional Imaging

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“…Females are more likely to be affected by the disease than males (2.5:1) and the mean age of patients is approximately 46 years [7][8][9]. Moreover, the right TMJ joint is affected more than the left (1.1:1), with only one case of bilateral involvement [9].…”

Section: Discussionmentioning

confidence: 99%

A special case of synovial chondromatosis in the temporomandibular joint

2017

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·············································································································································································Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is a rare disorder that affects the synovial membrane of joints. Its nonspecific manifestations, such as orofacial pain or joint sounds upon mouth opening, are difficult to distinguish from the symptoms of conventional temporomandibular joint disorders (TMD). This paper reports a 22-year-old female having primary complaint of pain and mouth opening limitations in the left TMJ. She was referred from local clinics, after two years of treatments for TMD had failed. Computed tomography revealed conglomerated calcified bodies in the superior joint space of the left TMJ. Open surgery was performed successfully under general anesthesia, and a total of 124 calcified masses were removed from the joint. The histopathological findings confirmed synovial chondromatosis. Postoperatively, improvement was observed in the patient's symptoms.

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“…Indeed, in SC without calcified nodules, radiographic examinations are not particularly effective and can lead to misdiagnosis. 10 Therefore, there is an argument for MRI as the first choice examination for TMJ disease in which SC is suspected. A diagnosis of SC of the TMJ should be suspected when MRI shows both the retention of considerable fluid and heterogeneous a b Figure 4 (a) Cone beam CT arthrography of the superior joint cavity showed that all loose bodies were confined to the superior joint cavity, including the loose body at the inner lower surface of the condyle.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, SC must be differentiated from other diseases such as tumours, condylar hyperplasia, arthritides, pseudogout and parotid swellings. 10 Imaging is therefore considered the most important diagnostic modality to differentiate SC from other conditions of the TMJ. Plain X-ray, tomography, arthrography, arthroscopy, CT and MRI are widely used for the diagnosis of TMJ disease including SC.…”

Section: Introductionmentioning

confidence: 99%

“…Plain X-ray, tomography, arthrography, arthroscopy, CT and MRI are widely used for the diagnosis of TMJ disease including SC. 2,6,[7][8][9][10][11][12] The purpose of this report is to present a case of typical SC involving the superior joint cavity in which MRI and CT could not identify the pathological joint cavity. This was determined using TMJ arthrography with cone beam CT (CBCT).…”

Section: Introductionmentioning

confidence: 99%

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The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis

Matsumoto¹,

Sato²,

Iwanari³

et al. 2012

Dentomaxillofacial Radiology

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Synovial chondromatosis (SC) involving the temporomandibular joint (TMJ) is very rare and can occur in either or both cavities. Differentiation of the affected cavity in SC is therefore as important as making the diagnosis. This report presents a case of SC in which both cavities were thought to be affected, but arthrography using cone beam CT (CBCT) allowed us to see that involvement was limited to the superior joint cavity. In addition, we describe the usefulness of arthrographic CBCT for diagnosis and treatment planning in SC of the TMJ.

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CT and MR findings in synovial chondromatosis of the temporo-mandibular joint: Our experience and review of literature

Cited by 30 publications

References 18 publications

Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

A special case of synovial chondromatosis in the temporomandibular joint

The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis

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