Document Detail


Septic arthritis of the temporomandibular joint successfully treated with arthroscopic lysis and lavage: case report and review of the literature.
MedLine Citation:
PMID:  17095265     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Septic arthritis of the temporomandibular joint (TMJ) is infrequently reported. We present a case of septic arthritis of the TMJ following the extraction of the left upper second molar that occurred 1 week before beginning of symptoms. No evident predisposing factors were detected. Arthroscopic diagnosis of septic arthritis, lysis and lavage, and capsular stretch were performed. Cultures taken from the TMJ space grew Streptococcus sp. After 1 month of antimicrobial therapy the patient was asymptomatic and mandibular function was normal. Literature related to septic arthritis of TMJ and its treatment was reviewed. Different surgical procedures are available to treat this condition. Arthroscopy should be preferred as initial treatment on account of the possibility of drainage and accurate lavage under direct visualization of joint space, at the same time allowing confirmation of diagnostic hypotheses. Improving joint mobility with lysis of adhesions and capsular stretch in an early stage of disease may be helpful in stopping the fibrosis process.
Authors:
Salvatore Sembronio; Alberto Maria Albiero; Massimo Robiony; Fabio Costa; Corrado Toro; Massimo Politi
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2006-11-07
Journal Detail:
Title:  Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics     Volume:  103     ISSN:  1528-395X     ISO Abbreviation:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-19     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9508562     Medline TA:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1-6     Citation Subset:  D; IM    
Affiliation:
Department of Maxillofacial Surgery, Faculty of Medicine, University of Udine, Udine, Italy. ssembronio@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Amoxicillin / therapeutic use
Anti-Bacterial Agents / therapeutic use
Arthritis, Infectious / etiology,  microbiology,  surgery*
Arthroscopy
Drainage / methods
Female
Humans
Irrigation
Middle Aged
Ofloxacin / therapeutic use
Streptococcal Infections / etiology,  surgery*
Temporomandibular Joint Disorders / etiology,  microbiology,  surgery*
Tooth Extraction / adverse effects
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 26787-78-0/Amoxicillin; 82419-36-1/Ofloxacin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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