Synovial chondromatosis of the temporomandibular joint

A case report and literature review

Lucas S. Reed, Michael D. Foster, John Hudson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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 temporo-mandibular 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.

Original languageEnglish (US)
Pages (from-to)309-313
Number of pages5
JournalCranio - Journal of Craniomandibular Practice
Volume31
Issue number4
DOIs
StatePublished - Jan 1 2013

Fingerprint

Synovial Chondromatosis
Temporomandibular Joint
Joints
Diskectomy
Somatoform Disorders
Synovial Membrane
Arthroscopy
Skeleton
Physical Examination
Orthopedics
History

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology
  • Dentistry(all)

Cite this

Synovial chondromatosis of the temporomandibular joint : A case report and literature review. / Reed, Lucas S.; Foster, Michael D.; Hudson, John.

In: Cranio - Journal of Craniomandibular Practice, Vol. 31, No. 4, 01.01.2013, p. 309-313.

Research output: Contribution to journalArticle

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