MR Imaging Assessment of Temporomandibular Joint Soft Tissue Injuries in Dislocated and Nondislocated Mandibular Condylar Fractures

Wang, P.; Yang, J.; Yu, Qing

doi:10.3174/ajnr.a1313

Cited by 21 publications

(24 citation statements)

References 14 publications

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“…For functional evaluation in patients with diacapitular fractures and to establish whether any mechanical impediments occur during functional mandibular movements, electrognatography can be very useful. Additional information regarding soft tissue injuries around the temporomandibular joint (TMJ), such as disc displacement, joint capsule damage and joint effusion, can best be visualised by magnetic resonance imaging (MRI).…”

Section: Diagnosis Of Diacapitular Fracturementioning

confidence: 99%

Diacapitular fracture of the mandibular condyle: the current thinking

Udeabor

Braimoh

2013

Oral Surgery

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Diacapitular fracture of the mandibular condyle occurs quite commonly following trauma to the jaws. However, many surgeons shy away from its surgical treatment because of the technical difficulties involved and would rather manage it conservatively. The difficulties range from surgical access and proper repositioning of the fractured segments to the application of mini‐ or micro‐plates. Inadequate treatment can result in limitations in mouth opening, among other complications. Over the years, no clear‐cut guidelines and common ground have been agreed upon across the surgical world with regard to the treatment of this very challenging fracture. Different surgeons at different times have put forward their experiences in the management of diacapitular fractures, and the controversy seems to linger despite advances in surgical techniques and armamentarium. This review article, therefore, is an overview of current thought on the management of diacapitular fractures of the mandibular condyle that is intended to harmonise some of the views in the literature.

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Section: Diagnosis Of Diacapitular Fracturementioning

confidence: 99%

Diacapitular fracture of the mandibular condyle: the current thinking

Udeabor

Braimoh

2013

Oral Surgery

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“…The facial area is one of the most frequently injured areas of the body, and the mandible is one of the most common maxillofacial bones fractured because of its prominent position on the face, the powerful muscle attachments and the lack of support (Bradley, 1985;Dongas & Hall, 2002;Wang et al, 2008). In a large trauma series of 3578 patients with 7061 facial bone fractures, 24.3% affected the mandible (Gassner et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Fractures of the mandible commonly occur at the point of impact. Indirect fractures arise also in other parts of the mandible as a result of transmission of the contact through the bone to a weak part, such as the neck of the condyle (Bormann et al, 2009;Wang et al, 2008). These indirect fractures frequently occur together and may arise without direct transmission of trauma.…”

Section: Introductionmentioning

confidence: 99%

Mandibular Fracture and Dislocation in a Case Study from the Jewish Cemetery of Lucena (CÓRDOBA), in South Iberian Peninsula (8th–12th ad)

Luca

Viciano

Irurita

et al. 2011

Intl J of Osteoarchaeology

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The skeletal remains of an adult female have been exhumed in an 11th century tomb in the mediaeval Jewish cemetery of Ronda Sur, in the city of Lucena (Córdoba, Spain). Examination of the skull and mandible revealed evidences of bilateral condylar fracture and dislocation. Lesions were observed macroscopically and radiology was used as a complementary method of scrutiny, especially in cases of unclear observation. Irregular morphology of the condyles and coronoid processes, shallow glenoid fossa, altered and abnormal joint surfaces anterior to the glenoid fossa, and reduced height of both ascending rami were observed. Antemortem tooth loss, slight wear of occlusal surface and asymmetrical occlusal deposit of dental calculus were found. Radiologically, degenerative changes in the condyles and reparative bone in both coronoid processes have been identified. Dislocation of the condyles and lack of adequate treatment probably led to disruption of masticatory patterns and related structures, such as muscle attachments, articular disc and ligaments. Bilateral remodelled fracture and the altered appearance of the joint structures could probably mean that the individual survived the injury by several years. This type of fracture could be the consequence of direct blow to the mental or submental region that was transmitted in a direction that raised the mandible, causing the condylar head to collide directly with the mandibular fossa. Very few mandibular fractures in ancient skulls have been described in Spain, and this case is the first example found in a Spanish archaeological skeletal assemblage.

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“…Perforation of the bilaminar tissue and contact between the residual condyle and the fossa promoted osteoarthritic changes and ankylosis. Ó 2015 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg -: [1][2][3][4][5][6][7][8][9][10][11][12]2015 Although there is an implicit understanding that condylar trauma results in both hard and soft tissue injuries, the bony elements have historically been the focus of treatment. A great amount of research has been performed concerning the diagnosis and treatment of condylar fractures.…”

mentioning

confidence: 99%

“…1 Few reports have discussed the use of MRI scans for examination of soft tissue injuries after intracapsular condylar fracture (ICF). [2][3][4][5][6] Additionally, the manner by which condylar trauma affects the soft tissue components of the joint is poorly understood.…”

mentioning

confidence: 99%