Diagnosing TMJ internal derangement and osteoarthritis with magnetic resonance imaging

Bertram, Stefan; Rudisch, Ansgar; Innerhofer, Katharina; Pümpel, Eduard; Grubwieser, Gert; Emshoff, Rüdiger

doi:10.14219/jada.archive.2001.0272

Cited by 128 publications

(91 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The agreement between clinical and imaging-based diagnosis of disc displacement shows a wide variation amongst previous studies, ranging from 59% to 90% 3,6,7 . The results of this study are in accordance with previous reports that show such a disparity.…”

Section: Discussionmentioning

confidence: 83%

Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement

Park

Song

Roh

et al. 2012

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 83%

Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement

Park

Song

Roh

et al. 2012

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…Several studies have found that osteoarthritis was not a significant factor in TMJ pain, 1,3-6 whereas joints with osteoarthritis are quite likely related to it. 5,[10][11][12] Osteo-arthritis is present in a large proportion of older people and is usually completely asymptomatic. Symptoms related to temporomandibular dysfunction decrease with age and are often remitting and self-limiting.…”

Section: Discussionmentioning

confidence: 99%

MR Evidence of Characteristics in Symptomatic Osteoarthritis of the Temporomandibular Joint: Increased Signal Intensity Ratio on Proton Density-Weighted Images of Bone Marrow in the Mandibular Condyle

Yajima¹,

Sano²,

Otonari-Yamamoto³

et al. 2007

CRANIO®

View full text Add to dashboard Cite

The purpose of this study was to clarify the presence of pain and a correlation between pain and characteristics of signal intensity of mandibular bone marrow in temporomandibular joints (TMJ) with osteoarthritis (OA). A total of 196 joints in 98 patients with TMJ disorders were examined using magnetic resonance imaging (MRI). A pain score and signal intensity on mandibular bone marrow were analyzed in the TMJ with OA. TMJ with OA showed a higher degree of pain compared to those without (p<0.05). During opening, the joints in the higher signal intensity group showed a significantly higher degree of pain compared to the joints in the lower signal intensity group in those with OA on proton density weighted images (p<0.05). It was concluded that TMJ with osteoarthritis is related to pain and that a symptomatic osteoarthritic TMJ can accompany bone marrow changes in the condyle, showing an increased signal on proton density weighted images.

show abstract

“…The other seven studies examined the sagittal and coronal views. 1,17,18,[20][21][22][23] Of the eight selected articles, 1,17-23 seven examined ID 1,17-22 (cluster n ¼ 3, single n ¼ 3, both n ¼ 1) and seven examined both IDR and IDnoR 1,17-21,23 (cluster n ¼ 4, single n ¼ 2, both n ¼ 1). All measures within these clusters must be scored positive for the diagnosis to be made, although reporting of the scoring method was not consistently detailed or transparent.…”

Section: Study Descriptionsmentioning

confidence: 99%

“…In addition, clusters of tests did not always refer to the same tests. One study, 21 for example, grouped different tests after a mathematical evaluation of the LR. Other authors followed the RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders) protocol.…”

Section: Limitationsmentioning

confidence: 99%

The Diagnostic Validity of Clinical Tests in Temporomandibular Internal Derangement: A Systematic Review and Meta-analysis

Chaput

Gross

Stewart

et al. 2012

Physiotherapy Canada

View full text Add to dashboard Cite

Purpose: To assess the diagnostic validity of clinical tests for temporomandibular internal derangement relative to magnetic resonance imaging (MRI). Methods: MEDLINE and Embase were searched from 1994 through 2009. Independent reviewers conducted study selection; risk of bias was assessed using Quality Assessment of studies of Diagnostic Accuracy included in Systematic reviews (QUADAS); b9/14) and data abstraction. Overall quality of evidence was profiled using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Agreement was measured using quadratic weighted kappa (kw). Positive (þ) or negative (À) likelihood ratios (LR) with 95% CIs were calculated and pooled using the DerSimonian-Laird method and a random-effects model when homogeneous (I 2 b 0.40, Q-test p a 0.10). Findings of this review will assist clinicians in deciding which diagnostic tests to use when internal derangement is suspected. The literature search revealed a lack of high-quality studies; further research with adequate description of patient populations, blinded assessments, and both sagittal and coronal MRI planes is therefore recommended.Key Words: diagnosis; magnetic resonance imaging; predictive value of tests; temporomandibular joint disorders. RÉ SUMÉObjectif : É valuer la validité du diagnostic ré sultant de tests cliniques en imagerie de ré sonance magné tique (IRM) pour le dé pistage du dé rangement interne de l'articulation temporo-mandibulaire (ATM). Mé thode : Une recherche a é té effectué e dans les bases de donné es MEDLINE et Embase pour les anné es 1994 à 2009. Des examinateurs indé pendants ont procé dé au choix des é tudes ré pertorié es ; les risques de biais ont é té é valué s à l'aide de l'é chelle QUADAS (Quality Assessment of studies of Diagnostic Accuracy included in Systematic reviews ), visant à é valuer la qualité des é tudes sur la fiabilité diagnostique incluses dans les revues systé matiques (le pointage obtenu a é té b9/14) et à l'aide d'abstraction des donné es. Le profil de la qualité globale des preuves a é té é tabli avec l'é chelle GRADE (Grading of Recommendations Assessment, Development, and Evaluation). Le degré d'accord a é té mesuré à l'aide du coefficient quadratique kappa pondé ré (kw). Les rapports de vraisemblance (RV) positifs ( þ ) ou né gatifs ( À ) avec intervalles de confiance de 95 % ont é té calculé s et groupé s suivant la mé thode de DerSimonian-Laird et à l'aide d'un modè le à effets alé atoires lorsque les donné es é taient homogè nes (I 2 b 0,40, test-Q p a 0,10). Ré sultats : Nous avons retenu 8 des 36 é tudes identifié es. Les preuves voulant que les tests individuels de dé viation (RVþ : 6,37 [95 % IC : 2,(13)(14)(15)(16)(17)(18)(19)03]) et de cré pitation ([RV : 5,) soient fiables é taient de trè s faible qualité , alors qu'un ensemble de tests regroupant cré pitation, dé viation, douleur et ouverture limité e de la bouche sont les plus valables au moment de dé terminer s'il y a effectivement dé rangement interne sans ré duction (RVþ : 6,37 [95 % IC :...

show abstract

Diagnosing TMJ internal derangement and osteoarthritis with magnetic resonance imaging

Cited by 128 publications

References 37 publications

Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement

Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement

MR Evidence of Characteristics in Symptomatic Osteoarthritis of the Temporomandibular Joint: Increased Signal Intensity Ratio on Proton Density-Weighted Images of Bone Marrow in the Mandibular Condyle

The Diagnostic Validity of Clinical Tests in Temporomandibular Internal Derangement: A Systematic Review and Meta-analysis

Contact Info

Product

Resources

About