Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

Peyrot, H.; Montoriol, P.F.; Béziat, Julien; Barthélémy, Isabelle

doi:10.1016/j.diii.2013.12.002

Cited by 11 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If there is no extension to the cranial base and only intra-capsular loose calcifications are present, then arthroscopy could be a less invasive method of surgical intervention for symptomatic improvement. 6,7 F I G U R E 4 3D reconstruction of axial view. Condyles highlighted in green and extent of TMJSC coloured purple.…”

Section: Discussionmentioning

confidence: 99%

“…Aggressive cases of TMJ SC have been documented in the literature, with intracranial extension and in this case open surgery is the therapeutic modality of choice. If there is no extension to the cranial base and only intra‐capsular loose calcifications are present, then arthroscopy could be a less invasive method of surgical intervention for symptomatic improvement 6,7 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Three dimensional reconstruction imaging of temporomandibular joint synovial chondromatosis

Cameron¹,

Richards

Keating³

et al. 2021

Oral Surgery

View full text Add to dashboard Cite

Aim:We have completed the first documented three dimensional (3D) reconstruction of temporomandibular joint synovial chondromatosis from computed tomography and discuss the application of this technique in diagnosis and treatment of this condition with particular relevance to its surgical management.We describe our case of a 52-year-old woman who was admitted to the medical assessment unit with an acute exacerbation of headaches; diagnostic head imaging revealed left TMJ calcification most suggestive of synovial osteochondromatosis.Methods and materials: Materialise Mimics inPrint 3.0 is an advanced tool that allows for the import of medical image data from either CT or magnetic resonance imaging (MRI) as DICOM files. The data is analysed by the user and then an image is segmented in an accessible environment resulting in an accurate 3D anatomical model that can be 3D printed or visualised in either augmented reality or virtual reality (AR/VR). Results:We demonstrate our novel 3D reconstruction of this florid appearance of TMJ SC from an incidental finding on CT. Conclusion:This is an unusual presentation of a rare condition; despite the florid appearance on imaging, the patient's function was entirely normal. TMJ SC is a benign condition but can require surgical management. We present our novel 3D imaging technique for diagnosis and to aid surgical management. K E Y W O R D S 3D reconstruction, synovial chondromatosis, temporomandibular jointHow to cite this article: Cameron A, Richards CA, Keating C, Colbert SD. Three dimensional reconstruction imaging of temporomandibular joint synovial chondromatosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Three dimensional reconstruction imaging of temporomandibular joint synovial chondromatosis

Cameron¹,

Richards

Keating³

et al. 2021

Oral Surgery

View full text Add to dashboard Cite

show abstract

“…Although the pathogenesis and etiology are still unknown, SC is known to be a benign and chronic disease that usually affects the large synovial joints, such as the elbow and the knee [5,6]. 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].…”

Section: Discussionmentioning

confidence: 99%

“…In a systematic literature review of 155 cases of SC in the TMJ, the three cardinal signs and symptoms of SC of the TMJ were preauricular pain, swelling, and limited mouth opening [9]. Because calcified masses cause problems, radiological measurements using CT are essential for diagnosing the osseous neoplastic disease of the TMJ [5].…”

Section: Discussionmentioning

confidence: 99%

A special case of synovial chondromatosis in the temporomandibular joint

2017

View full text Add to dashboard Cite

·············································································································································································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.

show abstract

“…It typically affects the large joints, like the knee, hip, elbow, wrist, ankle, and shoulder, while it is relatively uncommon in the TMJ. When it occurs in the TMJ, it usually affects the upper articular space, which could lead to expansion of the joint space or capsule and intrajoint fluid collection [6]. However, involvement of the inferior joint compartment, and even extraarticular extension to the infratemporal space, the parotid region, or to the middle cranial fossa, has also been described [7,8].…”

Section: Introductionmentioning

confidence: 99%

The Role of Temporomandibular Joint Arthroscopy for Diagnosis and Surgical Management of Synovial Chondromatosis

Sembronio,

Raccampo,

Tel

et al. 2023

Diagnostics

View full text Add to dashboard Cite

Objective: We report the experience of our maxillo-facial surgery unit into the diagnostic and the therapeutic role of arthroscopy of temporomandibular joint (TMJ) synovial chondromatosis (SC). Materials and Methods: A series of sixteen patients with an imaging, arthroscopical, and histological diagnosis of SC treated with arthroscopy was selected. The surgeries were conducted in the Department of Maxillo-facial surgery, Academic hospital of Udine, from January 2016 to December 2022. Medical history, clinical examination, imaging, arthroscopical, and histological characteristics were recorded and then reviewed and discussed. Results: Clinical improvement, both in pain and in maximum incisal opening (MIO), were noticed in whole patients. Histologically, according to Milgram’s classification, the sample was fairly homogeneous. Arthroscopic treatment was successful in 87.5% of the patients. Only two cases of SC relapse were registered and were then submitted to open surgery to perform a total sinovectomy. The data collected were used to develop an SC classification proposal based on clinical, radiological (magnetic resonance imaging), arthroscopical, and histopathological characteristics. Conclusions: TMJ arthroscopy must be considered the first line of treatment for SC, leaving open surgery to relapses cases and those cases with extraarticular extension. A univocal classification is essential to best stage and prognostically characterise this pathology.

show abstract

Synovial chondromatosis of the temporomandibular joint: CT and MRI findings

Cited by 11 publications

References 6 publications

Three dimensional reconstruction imaging of temporomandibular joint synovial chondromatosis

Three dimensional reconstruction imaging of temporomandibular joint synovial chondromatosis

A special case of synovial chondromatosis in the temporomandibular joint

The Role of Temporomandibular Joint Arthroscopy for Diagnosis and Surgical Management of Synovial Chondromatosis

Contact Info

Product

Resources

About