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    
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.
Salvatore Sembronio; Alberto Maria Albiero; Massimo Robiony; Fabio Costa; Corrado Toro; Massimo Politi
Related Documents :
23576655 - Infantile hypertrophic pyloric stenosis in twins.
11361225 - Lessons from an international survey of paper cases of 10 real patients from an early a...
22903955 - Evaluation of icd-9-cm codes for craniofacial microsomia.
17449955 - Spontaneous bacterial peritonitis due to ochrobactrum anthropi: a case report.
12522625 - Complex bilateral polysyndactyly featuring a triplet of delta phalanges in a syndactyli...
19682885 - Postcoital hemoptysis: our experience and review of the literature.
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    
Department of Maxillofacial Surgery, Faculty of Medicine, University of Udine, Udine, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Amoxicillin / therapeutic use
Anti-Bacterial Agents / therapeutic use
Arthritis, Infectious / etiology,  microbiology,  surgery*
Drainage / methods
Middle Aged
Ofloxacin / therapeutic use
Streptococcal Infections / etiology,  surgery*
Temporomandibular Joint Disorders / etiology,  microbiology,  surgery*
Tooth Extraction / adverse effects
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

Previous Document:  Necrotizing sialometaplasia associated with bulimia: case report and literature review.
Next Document:  Management of a young patient with combined autoimmunity: Evans syndrome: a case report.