Internal derangement of the temporomandibular joint: is there still a place for ultrasound?

Dupuy-Bonafé, Isabelle; Picot, Marie‐Christine; Maldonado, Igor Lima; Lachiche, Virginie; Granier, I.; Bonafé, Alain

doi:10.1016/j.oooo.2011.11.017

Cited by 24 publications

(26 citation statements)

References 44 publications

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“…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%

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

Kundu¹

2013

JCDR

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Section: Resultsmentioning

confidence: 96%

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

Kundu¹

2013

JCDR

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“…Several studies discuses the role of ultrasound in assessment of anterior disc displacement [14][15][16][17][18]. Meta-analysis of diagnosis efficacy of ultrasound in assessment of anterior disc displacement reported that diagnostic efficacy of disc displacement with reduction had a sensitivity of 0.76, a specificity of 0.82, a positive likelihood ratio of 3.80, a negative likelihood ratio of 0.36, a diagnostic odds ratio of 10.95, an area under the curve of 0.83, and a Q* of 0.76.…”

Section: Discussionmentioning

confidence: 99%

“…High-resolution ultrasound was used for assessment of the anterior disc displacement of TMJ [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. All these studies discuss the anterior displacement of the TMJ without assessment of sideway displacement of the disc.…”

Section: Introductionmentioning

confidence: 99%

Assessment of articular disc displacement of temporomandibular joint with ultrasound

et al. 2014

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Purpose To assess pattern of articular disc displacement in patients with internal derangement (ID) of temporomandibular joint (TMJ) with ultrasound. Materials and methods Prospective study was conducted upon 40 TMJ of 20 patients (3 male, 17 female with mean age of 26.1 years) with ID of TMJ. They underwent highresolution ultrasound and MR imaging of TMJ. The MR images were used as the gold standard for calculating sensitivity, specificity, accuracy, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) of ultrasound for diagnosis of anterior or sideway displacement of the disc. Results The anterior displaced disc was seen in 26 joints at MR and 22 joints at ultrasound. The diagnostic efficacy of ultrasound for anterior displacement has sensitivity of 79.3 %, specificity of 72.7 %, accuracy of 77.5 %, PPV of 88.5 %, NPV of 57.1 %, PLR of 2.9 and NLR of 0.34. The sideway displacement of disc was seen in four joints at MR and three joints at ultrasound. The diagnostic efficacy of ultrasound for sideway displacement has a sensitivity of 75 %, specificity of 63.6 %, accuracy of 66.7 %, PPV of 42.8, NPV of 87.5 %, PLR of 2.06, and NLR of 0.39. Conclusion We concluded that ultrasound is a non-invasive imaging modality used for assessment of anterior and sideway displacement of the articular disc in patients with ID of TMJ.Riassunto Scopo Valutare i pattern della dislocazione del disco articolare nei pazienti con squilibrio interno (ID) dell'articolazione temporo-mandibolare (ATM) con l'ecografia. Materiale e metodi E' stato condotto uno studio prospettico su 40 ATM di 20 pazienti (3 maschi, 17 femmine, con età media di 26,1 anni) con ID della TMJ. Tutti sono stati sottoposti ad ecografia ad alta risoluzione e RM della TMJ. La RM è stati utilizzata come il gold standard per il calcolo di sensibilità, specificità, accuratezza, valore predittivo positivo (PPV), valore predittivo negativo (NPV), rapporto di probabilità positivo (PLR) e rapporto di probabilità negativo (NLR) dell'ecografia nella la diagnosi di dislocazione anteriore o lateralmente del disco. Risultati Il disco appariva dislocato anteriormente in 26 ATM con la MR e in 22 con l'ecografia. L'efficacia diagnostica dell'ecografia nella diagnosi di dislocazione anteriore aveva sensibilità del 79,3 %, specificità del 72,7 %, accuratezza del 77,5 %, valore predittivo positivo del 88,5 %, NPV di 57,1 %, PLR di 2,9 e NLR di 0,34. Il dislocamento laterale del disco è stata osservato in 4 casi con MR e 3 con ecografia. L'efficacia diagnostica dell'ecografia per lo spostamento laterale aveva sensibilità del 75 %, specificità del 63,6 %, accuratezza del 66,7 %, PPV di 42,8, NPV di 87,5 %, PLR di 2.06 e NLR di 0,39. Conclusioni Abbiamo concluso che l'ecografia è una metodica di imaging non invasiva che può essere utilizzata per la valutazione delle dislocazioni anteriori e laterali del disco articolare nei pazienti con ID di TMJ.

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“…18 It should be noted that it has been reported that the TMJ is one of the hardest joints in the body to scan, 19 and a standard protocol for diagnosing TMJ derangement has not been agreed upon by ultrasonographers. 20 No prior studies on correlation between TMJ effusion and patient disability have been undertaken. This pilot Ultrasound 2015; 23: 90-96 study was synthesised to indicate whether joint effusion leads to disability.…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint effusion and its relationship with perceived disability assessed using musculoskeletal ultrasound and a patient-reported disability index

Bird

Bright

2015

Ultrasound

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The relationship between effusion of the temporomandibular joint (TMJ) and patient-reported disability is poorly researched. This pilot study explored the link between TMJ inflammation as measured by ultrasound and patient disability assessed by the Steigerwald Maher TMD Disability Index (SMTDI). The study design used a prospective correlational approach involving a sample with TMJ dysfunction (TMD). Twenty-four patients were recruited from the European School of Osteopathy and a Kent dental practice. Participants completed the SMTDI to determine the level of TMD (symptomatic score >20). A SonoSite SLA ''Hockey Stick'' [13-6 MHz] musculo-skeletal transducer was placed over the TMJ in a transverse direction and effusion was calculated indirectly by measuring capsular width. An upper left quadrant protocol was used throughout. A regression analysis was run with participants' gender, age and capsular width as predictor variables modelled against reported SMTDI. Larger capsular widths were found to be significant predictors of SMTDI scores (r ¼ 0.803, p < 0.0001). The patient profile matched with the previous studies and the TMD sufferer population, indicating external validity. Results suggest that the SMTDI could be integrated into practice life as a quick, accessible and easy tool to monitor patients' progress and assess levels of inflammation, without the need for repetitive imaging. The study design proved reproducible and a larger scale study is indicated.

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Internal derangement of the temporomandibular joint: is there still a place for ultrasound?

Cited by 24 publications

References 44 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

Assessment of articular disc displacement of temporomandibular joint with ultrasound

Temporomandibular joint effusion and its relationship with perceived disability assessed using musculoskeletal ultrasound and a patient-reported disability index

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