High-resolution ultrasonography of the TMJ: helpful diagnostic approach for patients with TMJ disorders ?

Jank, Siegfried; Rudisch, Ansgar; Bodner, Gerd; Brandlmaier, I.; Gerhard, Stefan; Emshoff, Rüdiger

doi:10.1054/jcms.2001.0252

Cited by 58 publications

(76 citation statements)

References 27 publications

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“…Diagnostic accuracy was more in the open mouth rather than closed mouth position, but in both the positions, the results obtained were acceptable. Similar results were found in studies of Landes et al, and Jank et al, [17,30]. In study of Mello Jr CF et al, sensitivity was as high as 83.3% in closed mouth position, but it was low in open mouth position [10].…”

Section: Resultssupporting

confidence: 84%

“…Another variation was seen in the visualization of Disc. Disc was visualized as hyperechoic in studies of Emhoff et al, [28], as hyperechoic with a hypoechoic halo in [17,21,29,30]. This may be attributed to different structural, morphological and positional abnormalities in the patients who were examined.…”

Section: Resultsmentioning

confidence: 96%

“…Also, it can be used to view the joint in a continuum without invasion, discomfort, alteration of the patient's normal head posture, or interference with condylar motion [17,18].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of TMJ Disorders Using Ultrasonography as a Diagnostic Tool: A Review

Kundu¹

2013

JCDR

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Section: Resultssupporting

confidence: 84%

Section: Resultsmentioning

confidence: 96%

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Assessment of TMJ Disorders Using Ultrasonography as a Diagnostic Tool: A Review

Kundu¹

2013

JCDR

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“…The majority of recent studies utilizing high-resolution US for detection of TMJ disease in JIA have been from European centers that have considerable experience with US techniques (14,15,26). In the United States, ultrasonography is frequently used to identify synovial thickening and effusions in joints other than the TMJs, but experience with this technique in assessing the TMJs is limited.…”

Section: Discussionmentioning

confidence: 99%

“…In a prospective study of 66 subjects with TMJ internal derangement, the sensitivity, specificity, and accuracy of detection of chronic changes, effusions, and disk placement were compared between high-resolution US and MRI; with MRI as the gold standard, US had a sensitivity of 81% and a specificity of 100% for detection of effusions (15). A prospective study of 48 patients with JIA showed that 55% had destructive changes that were detected by US; effusions and pannus formation were not evaluated (14).…”

mentioning

confidence: 99%

High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound

Weiss¹,

Arabshahi²,

Johnson³

et al. 2008

Arthritis & Rheumatism

241

250

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Objective. To determine the prevalence of temporomandibular joint (TMJ) disease in a cohort of children with new-onset juvenile idiopathic arthritis (JIA), and to compare magnetic resonance imaging (MRI) with ultrasound (US) for the detection of acute and chronic changes of TMJ arthritis.Methods. Between January 2005 and April 2007, children with newly diagnosed JIA were prospectively evaluated for TMJ arthritis. Prior to imaging, jaw pain and disability were assessed with questionnaires and physical examination. The TMJs of all patients were imaged with MRI and US within 8 weeks of diagnosis.Results. Of the 32 patients enrolled, 78% were female, and the median age was 8.6 years (range 1.5-17.2 years). Acute TMJ arthritis was diagnosed in 75% of the children by MRI and in none by US; chronic arthritis was diagnosed in 69% by MRI and in 28% by US. Findings of both acute and chronic TMJ disease were detected by MRI in 53% of the patients. Of those with acute TMJ arthritis, 71% were asymptomatic, and 63% had normal findings on jaw examination. Fifty-six percent of patients with acute disease had an improved maximal incisal opening after corticosteroid injection. Among these responders, 56% had been asymptomatic and had normal jaw examination findings.Conclusion. TMJ arthritis was present in the majority of patients with new-onset JIA. Findings on MRI along with responses to treatment among asymptomatic patients with normal jaw examination findings suggest that a history review and physical examination are not sufficient to screen for TMJ disease. Our results also suggest that MRI and US findings are not well correlated, and that MRI is preferable for the detection of TMJ disease in new-onset JIA.

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Sonographic investigation of the temporomandibular joint in patients with juvenile idiopathic arthritis: A pilot study

Jank¹,

Haase²,

Strobl³

et al. 2007

Arthritis & Rheumatism

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Results. Patients with >5 peripheral affected joints showed significantly more sonographically diagnosed destructive changes in the TMJ than did patients with <5 affected joints. There was no significance between the number of affected peripheral joints and disc dislocation in the closed-mouth position. In the maximum open-mouth position, there was a significant correlation between the number of affected peripheral joints and disc dislocation. Patients with a JIA duration >23 months had a significantly higher rate of disc dislocation and destructive changes. Patients with a JIA duration >60 months had a significantly higher rate of destructive changes of the TMJ than patients with a disease duration <60 months, but no statistical significance was found concerning disc dislocation. Conclusion. The significant correlation between pathologic sonographic findings, duration of JIA, and the number of affected peripheral joints make the technique interesting for use as a diagnostic screening method.

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High-resolution ultrasonography of the TMJ: helpful diagnostic approach for patients with TMJ disorders ?

Cited by 58 publications

References 27 publications

Assessment of TMJ Disorders Using Ultrasonography as a Diagnostic Tool: A Review

Assessment of TMJ Disorders Using Ultrasonography as a Diagnostic Tool: A Review

High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound

Sonographic investigation of the temporomandibular joint in patients with juvenile idiopathic arthritis: A pilot study

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