A case of synovial osteochondromatosis of the temporomandibular joint

Yoritoshi Nakajima, N. Inoue, S. Kadowaki, Yoshiyuki Nakamura, Mohiuddin Ahmed, M. Shindoh
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Abstract

A case of synovial osteochondromatosis of the temporomandibular joint is presented.A 32-year-old female visited our department complaining of disturbances in mouth opening. On examination, the interincisal opening was 28 mm with pain in the left TMJ. There was no joint noise in the affected joint or preauricular swelling. Conventional radiographic examination showed a normal appearance in the left joint. Arthrography of the left TMJ revealed anterior displacement of the disk without reduction. Arthroscopy of the superior compartment of the left TMJ revealed small nodules on the synovium of the mandibular fossa and a loose body in the anterior recess. The nodules and loose body were removed arthroscopically. Histopathologically, the diagnosis was synovial osteochondromatosis.Arthroscopy was extremely useful in the diagnosis and treatment of this condition.
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颞下颌关节滑膜骨软骨瘤病1例
本文报告一例颞下颌关节滑膜骨软骨瘤病。一名32岁女性到我科就诊,主诉开口障碍。经检查,内开口28mm,左侧TMJ疼痛。受累关节无关节杂音,耳前无肿胀。常规x线检查显示左关节外观正常。左侧TMJ关节造影显示椎间盘前移位无复位。左颞下颌关节上腔室关节镜显示下颌窝滑膜小结节和前隐窝疏松体。关节镜下切除结节和游离体。组织病理学诊断为滑膜骨软骨瘤病。关节镜检查对这种疾病的诊断和治疗非常有用。
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