Temporomandibular joint internal derangement: relationship between joint pain and MR grading of effusion and total protein concentration in the joint fluid

Güler, Nurhan.; Uçkan, Sina; İmirzalıoğlu, Pervin; Açıkgözoğlu, Saim

doi:10.1259/dmfr/49181266

Cited by 41 publications

(40 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present study, the proportion of erosion and osteophytosis in the condyle was high, which is in agreement with the findings of Campos et al, 9 Gü ler et al 17 and Yamada et al 21 who also reported a high proportion of osteophytosis and erosion in the condyle.…”

Section: Discussionsupporting

confidence: 93%

“…The aetiology of TMJ pain has yet to be fully understood; however, TMJ pain is a rather common finding in cases of internal derangement. 3,5,9,11,12,[14][15][16][17][18][19] Nevertheless, the absence of TMD signs has been associated with high rates of internal derangement, which confirms that a clinical diagnosis of internal derangement is not a reliable tool to predict an imaging diagnosis of internal derangement. 6 From the 148 TMJs studied, 94 (63.5%) presented N, 34 (23%) presented DDwoR, 19 (12.8%) presented DDwR and 1 (0.7%) presented PD (Table 1).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

MRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients

Gil¹,

Santos²,

Dutra³

et al. 2012

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

Objectives: The aim of this study was to investigate bone changes in the condyle, articular eminence and glenoid fossa in relation to the position of the articular disc. Methods: 148 temporomandibular joints (TMJs) of 74 symptomatic patients who underwent MRI were evaluated. The position of the disc was classified as either normal (N), disc displacement with reduction (DDwR), disc displacement without reduction (DDwoR) and posterior displacement (PD). Bone changes were investigated in the condyle and temporal components of the TMJ and classified as osteophytosis, sclerosis or erosion. Results: There were no bone changes in the glenoid fossa of the temporal bone. Of the total number of TMJs studied, 94 (63.5%) were N, 34 (23%) presented DDwoR, 19 (12.8%) presented DDwR and 1 (0.7%) presented PD. The bone changes in the condyle and posterior aspect of the articular eminence were associated with the position of the disc. The bone changes in the anterior aspect of the articular eminence were not associated with the position of the disc. Conclusion: In cases of DDwoR, bone changes in the condyles were more common. The combination of erosion and osteophytosis in the condyle and the bone changes of the posterior aspect of the articular eminence were associated with disc position.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

MRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients

Gil¹,

Santos²,

Dutra³

et al. 2012

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

show abstract

“…31 However, in a study by Larheim et al 32 the amount of joint fluid differed between the patients in the study, and the presence of a large amount of fluid was associated with internal derangement. In our study, we did not attempt to evaluate the amount of joint fluid and, in contrast with a study of Gü ler et al, 33 the incidence of joint effusion was not significantly associated with TMJ osseous abnormalities. This could be due to the presence of joint effusion in TMJs without osseous abnormalities or because of differences in the underlying mechanisms involved in the formation of joint effusion and osseous abnormalities.…”

Section: Discussioncontrasting

confidence: 64%

Usefulness of cone beam computed tomography in temporomandibular joints with soft tissue pathology

Alkhader¹,

Kuribayashi²,

Ohbayashi³

et al. 2010

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

Objective: The aim of the study was to evaluate the usefulness of cone beam CT (CBCT) in temporomandibular joints (TMJs) with soft tissue pathology. Methods: 106 TMJs of 55 patients with temporomandibular disorder (TMD) were examined by MRI and CBCT. MR images were used for the evaluation of disc displacement, disc deformity, joint effusion and obscurity of temporal posterior attachment (TPA). CBCT images were evaluated for the presence or absence of osseous abnormalities. The x 2 test was used to analyse the association between MRI and CBCT findings. Results: MRI of 106 TMJs revealed disc displacement, disc deformity, joint effusion and obscurity of the TPA in 68, 73, 28 and 27 joints, respectively. Of the 68 TMJs with disc displacement, anterior disc displacement without reduction (ADDWR) was seen most frequently (47/68). CBCT imaging found 65 TMJs were characterized by the presence of osseous abnormalities and were significantly associated with disc deformity and ADDWR (P , 0.05). There was no statistically significant association between the presence of joint effusion and obscurity of TPA and TMJ osseous abnormalities. Conclusions: TMD patients with confirmed ADDWR or disc deformity on MRI are at risk of having osseous abnormalities in the TMJ and further examination with CBCT is recommended.

show abstract

“…Many studies have supported the idea that joint effusion, defined as a large collection of fluid in the articular space, is generally associated with TMJ pain and inflammatory responses [10,[48][49][50][51][52]. However, other investigators failed to find correlations between TMJ pain and effusion [53][54][55]. In the present study, joint effusion was fairly common (60.5 %) in the painful TMJ group.…”

Section: Discussionsupporting

confidence: 58%

Evaluation of the relationships between contrast-enhanced magnetic resonance characteristics and joint pain in patients with temporomandibular disorders

et al. 2015

View full text Add to dashboard Cite

Objectives To evaluate the correlations between temporomandibular joint (TMJ) pain and both conventional and gadolinium-enhanced magnetic resonance (MR) imaging characteristics in patients with temporomandibular disorders (TMDs). Methods T1-weighted, T2-weighted, and fat-suppressed contrast-enhanced T1-weighted MR imaging were performed in 80 TMD patients with the main complaint of TMJ pain. A kappa statistical analysis was performed to calculate the interobserver agreement between two of three radiologists. The relationships between TMJ pain and various MR findings were analyzed by multiple comparison test, Spearman's rank correlation test, Chi-square test, Student's t test, and multivariate logistic regression analysis. Results Significant correlations were observed between anterior disk displacement without reduction, joint effusion, and TMJ pain (p \ 0.01). The degree of contrast enhancement of the posterior disk attachment was correlated with the severity of TMJ pain, especially spontaneous pain (r = 0.725, p \ 0.01), while no correlation was observed in the masticatory muscle pain group. The correlation tended to be higher in the latero-central portions than in the medial portion of the mandibular condyle, although no significant difference was seen. Conclusions It has been suggested that fat-suppressed contrast-enhanced MR imaging techniques facilitate better understanding of the sources of TMJ pain, but not masticatory muscle pain, and could reflect TMJ synovial inflammation. The severity of TMJ pain was closely correlated with the degree of contrast enhancement. The above-mentioned correlation had a tendency to be higher in the latero-central portions of the mandibular condyle.

show abstract

Temporomandibular joint internal derangement: relationship between joint pain and MR grading of effusion and total protein concentration in the joint fluid

Cited by 41 publications

References 44 publications

MRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients

MRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients

Usefulness of cone beam computed tomography in temporomandibular joints with soft tissue pathology

Evaluation of the relationships between contrast-enhanced magnetic resonance characteristics and joint pain in patients with temporomandibular disorders

Contact Info

Product

Resources

About