Document Detail


Synovial chondromatosis of the temporomandibular joint: a case description with systematic literature review.
MedLine Citation:
PMID:  20434884     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is a rare disease characterized by the presence of calcified loose bodies within the joint, and few systematically gathered data are available about its epidemiology. The aim of this paper was to describe a case of SC of the TMJ, and to carry out a systematic review of the literature on epidemiology over the past decade. A case of a 53-year-old female with the classical triad of signs and symptoms of SC (pain, swelling, restricted mouth opening) is described. A systematic search in the National Library of Medicine's PubMed Database was performed. 155 cases were described in 103 publications. Most dealt with single case reports. Females are affected more than males with a 2.5:1 ratio and the mean age of patients was about 46 years. Late diagnosis is common and in most cases more than 2 years elapsed between symptom onset and surgical intervention. Open TMJ surgery is the treatment of choice, since less invasive techniques, such as arthroscopy, allowed complete removal of the loose bodies only in about half of cases. A single recurrence was described, confirming the benign nature of the disease.
Authors:
L Guarda-Nardini; F Piccotti; G Ferronato; D Manfredini
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  39     ISSN:  1399-0020     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  745-55     Citation Subset:  D; IM    
Copyright Information:
Copyright 2010 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Affiliation:
TMD Clinic, University of Padova, Italy.
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Chondromatosis, Synovial / complications,  pathology*,  surgery
Female
Humans
Joint Loose Bodies / etiology,  pathology,  surgery*
Male
Middle Aged
Sex Distribution
Temporomandibular Joint / pathology*,  surgery
Temporomandibular Joint Disorders / complications,  pathology*,  surgery
Tomography, X-Ray Computed
Treatment Outcome

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


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