Synovial Chondromatosis of the Temporomandibular Joint: A clinical and arthroscopic study of 16 cases
| Autor: | Yao Min Zhu, Dan Di Zhang, Lee Mui Lee, Yong Qiang Deng, Ying Gu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Radiography Arthroscopy 03 medical and health sciences 0302 clinical medicine Synovial chondromatosis medicine Humans Upper joint Stage (cooking) Crepitus Temporomandibular Joint medicine.diagnostic_test business.industry Magnetic resonance imaging 030206 dentistry Temporomandibular Joint Disorders medicine.disease Magnetic Resonance Imaging Temporomandibular joint medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Female Surgery Radiology Oral Surgery medicine.symptom business Chondromatosis Synovial |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 47:607-610 |
| ISSN: | 1010-5182 |
| Popis: | Objectives Present and overview the clinical finding, management and arthroscopic study of Synovial Chondromatosis (SC) cases in Temporomandibular Joint (TMJ) treated by our team. Study design During year 2008–2018, 16 TMJ SC cases were treated and reviewed. The clinical manifestations, radiographic data, arthroscopic study and pathologic findings were recorded and analyzed. Results Average age of first visit was 32.68. The ratio of male/female was 2/14, right/left was 7/9. The most common symptoms were pain, continuous crepitus and limited mouth opening (LMO). All cases were examined by computed tomography (CT) and magnetic resonance imaging (MRI) preoperative and proved by pathology postoperative. The diagnostic rates of CT and MRI were 12.5% and 93.75% respectively. 1 case could not be detected by both, but by arthroscopy. Particles in all cases occurred in the upper joint cavity and were all removed by arthroscopic technique. No recurrence was found after 3 years follow-up. Conclusions MRI and arthroscopic technique could be the first choice in the diagnosis and treatment of SC. Most cases were in stage 3 of the disease at the first visit. Low recurrence rate may be attributed to the improvement of intra-articular environment after surgery. Larger sample sizes are needed for further study. |
| Databáze: | OpenAIRE |
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