Arthroscopic management of septic arthritis of temporomandibular joint
This article reports on 7 patients with septic arthritis of the temporomandibular joint (TMJ) who were managed with arthroscopy between 1998 and 2007. The common symptoms were trismus and pain. A series of imaging studies showed widening of joint space in 1 patient with plain film; MRI demonstrated...
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Published in | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics Vol. 109; no. 1; pp. 24 - 30 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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New York, NY
Mosby, Inc
2010
Elsevier |
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Abstract | This article reports on 7 patients with septic arthritis of the temporomandibular joint (TMJ) who were managed with arthroscopy between 1998 and 2007. The common symptoms were trismus and pain. A series of imaging studies showed widening of joint space in 1 patient with plain film; MRI demonstrated increased joint effusion in 4 patients; accompanying cellulitis in adjacent tissues was discerned by CT in 2 patients. Under the arthroscope, a reddened and swollen synovial membrane was found in 2 patients who were in the acute stage, whereas strong adhesions, destruction of cartilage, and bony defects were discovered in other 5 patients in the chronic stage. Additionally, the disc was ruptured in 3 patients, and fibrosis was confirmed for 2 patients. Lavage, lysis of adhesion, and debridement of articular surface were common procedures for treatments. The average follow-up period was 57.4 months, and no recurrence was found. Arthroscopy has proven to be a useful method for management of septic arthritis of TMJ, especially for patients in the chronic stage. |
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AbstractList | This article reports on 7 patients with septic arthritis of the temporomandibular joint (TMJ) who were managed with arthroscopy between 1998 and 2007. The common symptoms were trismus and pain. A series of imaging studies showed widening of joint space in 1 patient with plain film; MRI demonstrated increased joint effusion in 4 patients; accompanying cellulitis in adjacent tissues was discerned by CT in 2 patients. Under the arthroscope, a reddened and swollen synovial membrane was found in 2 patients who were in the acute stage, whereas strong adhesions, destruction of cartilage, and bony defects were discovered in other 5 patients in the chronic stage. Additionally, the disc was ruptured in 3 patients, and fibrosis was confirmed for 2 patients. Lavage, lysis of adhesion, and debridement of articular surface were common procedures for treatments. The average follow-up period was 57.4 months, and no recurrence was found. Arthroscopy has proven to be a useful method for management of septic arthritis of TMJ, especially for patients in the chronic stage. |
Author | Zhang, Shan-Yong, DDS Chen, Min-Jin, MD Cai, Xie-Yi, PhD Yun, Bai Yang, Chi, PhD |
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Keywords | Infection Arthroscopy Treatment Diseases of the osteoarticular system Temporomandibular joint Arthritis Endoscopy |
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SubjectTerms | Acute Disease Adult Anti-Bacterial Agents - therapeutic use Arthritis, Infectious - pathology Arthritis, Infectious - surgery Arthroscopy Arthroscopy - methods Biological and medical sciences Chronic Disease Dentistry Diseases of the osteoarticular system Endoscopy Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Otorhinolaryngology. Stomatology Retrospective Studies Surgery Synovitis - pathology Temporomandibular Joint - pathology Temporomandibular Joint - surgery Temporomandibular Joint Disorders - pathology Temporomandibular Joint Disorders - surgery Therapeutic Irrigation Tissue Adhesions - surgery Young Adult |
Title | Arthroscopic management of septic arthritis of temporomandibular joint |
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