AI Article Synopsis
- Overview of a study on Synovial Chondromatosis (SC) in the Temporomandibular Joint (TMJ) from 2008 to 2018, focusing on clinical findings and management.
- The study involved 16 cases, mainly affecting females, with common symptoms like pain and limited mouth opening; MRI proved more effective for diagnosis than CT.
- Arthroscopic surgery successfully removed joint particles with no recurrences reported after 3 years, highlighting the effectiveness of MRI and arthroscopy in treating SC.
Article Abstract
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.
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| http://dx.doi.org/10.1016/j.jcms.2019.02.003 | DOI Listing |
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