The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis

Matsumoto, K.; Sato, T.; Iwanari, S.; Kameoka, S.; Oki, H.; Komiyama, K.; Honda, K.

doi:10.1259/dmfr.20110010

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…A review of the literature revealed a total of 10 articles [5, [15][16][17][18][19][20][21][22][23] published between 2007 and 2017, with a total of 79 cases (59 female and 20 male patients) ( Table 3). The average age at diagnosis was 44.8 years (range 21-74 yrs).…”

Section: Resultsmentioning

confidence: 99%

Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review

Brabyn

Capote

Muñoz-Guerra

et al. 2018

J. Maxillofac. Oral Surg.

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Aim Synovial chondromatosis (SC) is a benign condition that is characterized by the formation of cartilaginous nodules within the synovial tissue of a joint that may detach and form loose bodies inside the articular space. The purpose of this study is to evaluate the use of surgical arthroscopy for the treatment of SC of the temporomandibular joint (TMJ). Materials and Methods A series of six patients treated with arthroscopy (one patient requiring an open arthrotomy due to the size of the loose bodies) in our centre between 1997 and 2016 is presented and results are discussed. A systematic review of the literature of patients with SC treated with arthroscopy or arthroscopy-assisted open arthrotomy is also carried out. Results Pain, which was the main symptom in our patients, and maximum mouth opening both improved significantly after surgical treatment. Three of the patients were diagnosed with primary SC, and the other 3 had a previous diagnosis of internal derangement. None of the patients showed signs of relapse during the follow-up period. Conclusions Surgical arthroscopy is a minimally invasive procedure that allows the extraction of loose bodies and even partial synovectomy of the affected membrane with good results and without recurrence of the disease. This technique can be useful in cases of SC with loose bodies measuring less than 3 mm or without extra-articular extension.

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Section: Resultsmentioning

confidence: 99%

Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review

Brabyn

Capote

Muñoz-Guerra

et al. 2018

J. Maxillofac. Oral Surg.

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“…Some of these conditions can be asymptomatic, while others are associated with unspecific signs and symptoms, such as joint pain, mouth-opening limitations, swelling, crepitation and clicking, and mandibular deviation to the affected side, poten-tially leading to either misdiagnosis or a delay in making the correct diagnosis. [2][3][4][5][6][7][8][9][10][11][12] Treatment depends on the signs and symptoms present, and surgical removal of the calcified bodies is usually performed in symptomatic patients. [5][6][7]9,13,14 Imaging examinations play a fundamental role for the visualization of calcified bodies, but even when such bodies are not visible on radiography, pathology caused by calcifications cannot be ruled out, since the bodies may not have been sufficiently calcified when the image was acquired.…”

Section: Introductionmentioning

confidence: 99%

“…The most commonly used imaging modalities include computed tomography, magnetic resonance imaging (MRI), and arthroscopy; these techniques both enable calcified bodies to be identified and assist in the differential diagnosis among various TMJ pathologies. 2,5,6,8,[10][11][12]14 Although some evidence of an association between the presence of calcifications and degenerative joint alterations has been reported in the literature, 4,15,16 this relationship requires further clarification. The current literature is limited to case reports or case series, and insufficient scientific evidence is available to assess the association between bone changes and TMJ calcifications.…”

Section: Introductionmentioning

confidence: 99%

Intra-articular calcifications of the temporomandibular joint and associations with degenerative bone alterations

et al. 2020

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Purpose: The purpose of this study was to use cone-beam computed tomography (CBCT) images to determine the prevalence of calcifications in the temporomandibular joint (TMJ) and to evaluate any associations between the presence of such calcifications and degenerative bone alterations of the TMJ, sex, or age. Materials and Methods: In this retrospective study, 1,058 CBCT exams were analyzed, and data regarding the presence and quantity of calcifications, the affected side, any degenerative alterations of the condyle, sex, and age were collected. To evaluate associations between the presence of calcifications and sex or age, the Fisher exact test or the Spearman correlation coefficient, respectively, was used. To assess the association between the presence of calcifications and joint bone alterations, the chi-square and Fisher exact tests were used. The significance level adopted was 5% (P<0.05). Results: Twenty-eight patients (2.7%) presented with TMJ calcifications, including 23 women (82.1%) and 5 men (17.9%). Significant correlations were found between the presence of calcifications and age (P<0.05) and between the presence of calcifications and the presence of condylar alterations (P<0.05), with 73.2% of patients with bone alterations having TMJ calcifications. Conclusion: It may be concluded that, although rare (with a prevalence of only 2.7%), intra-articular calcifications are associated with both degenerative bone alterations and age.

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The use of arthrography in the diagnosis of temporomandibular joint synovial chondromatosis

Cited by 2 publications

References 8 publications

Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review

Arthroscopic Management of Synovial Chondromatosis of the Temporomandibular Joint. Case Series and Systematic Review

Intra-articular calcifications of the temporomandibular joint and associations with degenerative bone alterations

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