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Synovial chondromatosis of the temporomandibular joint: a case report and literature review.
MedLine Citation:
PMID:  24308105     Owner:  NLM     Status:  In-Process    
Synovial chondromatosis (SC) is a pathologic condition in which mesenchymal tissue rests in a given synovial membrane undergo a metaplastic process, ultimately producing and secreting cartilaginous bodies into the joint space. It is more commonly discussed in the orthopedic literature, since the axial skeleton is the most frequently affected. Although rare, it does occur within the temporomandibular joint (TMJ), with approximately 100 cases previously being described. Within the TMJ, its presentation can be variable, though most cases will show it to be unilateral with fixed and/or loose cartilaginous bodies confined to the superior joint space. Clinically, patients may present with symptoms similar to that of an internal derangement disorder, including pain, clicking, tenderness, functional limitations, and swelling. A thorough history and physical examination, along with proper radiographic examination, are paramount in properly diagnosing SC. Treatment options consist of arthroscopy, arthrotomy with synovectomy, excision of cartilaginous bodies, and possible discectomy. In the current paper, the authors describe the presentation, diagnosis, and surgical management of a SC case involving the right TMJ in a 31-year-old Caucasian female.
Lucas S Reed; Michael D Foster; John W Hudson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cranio : the journal of craniomandibular practice     Volume:  31     ISSN:  0886-9634     ISO Abbreviation:  Cranio     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-12-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8609491     Medline TA:  Cranio     Country:  United States    
Other Details:
Languages:  eng     Pagination:  309-13     Citation Subset:  D    
University of Tennessee Medical Center, Dept. of Oral and Maxillofacial Surgery, 1924 Alcoa Highway, Building A, Suite 335, Knoxville, TN 37920, USA.
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