TMJ inflammation
Temporomandibular joint (TMJ) inflammation may occur as a result of an inflammatory arthropathy or secondary to TMJ dysfunction. Since the TMJ is a synovial joint, it is susceptible to inflammatory arthropathies that affect other joints.
- rheumatoid arthritis (RA) : is by far the most common
- ankylosing spondylitis
- calcium pyrophosphate deposition disease (CPPD)
- gout
- psoriatic arthritis
- systemic lupus erythematosus (SLE)
It is important to realize that active periods of TMJ dysfunction may also produce inflammatory signs.
Radiographic features
Imaging of choice is MRI, which unfortunately is unable to distinguish between them, as all share the same spectrum of imaging findings.
- synovitis and pannus formation (distinguished from TMJ effusion by administration of contrast)
- soft tissue swelling and edema (best seen on STIR): this is most pronounced in the retrodiscal zone
- bone marrow edema
- effusion
- marginal erosions
- joint space narrowing
Complications
Eventually, secondary degenerative osteoarthritic changes of develop (see TMJ OA), with joint space narrowing, cortical erosions, condylar flattening and marginal osteophytes
Siehe auch:
- Morbus Bechterew
- Gicht
- Rheumatoide Arthritis
- Gelenkerguss
- systemischer Lupus Erythematodes
- Psoriasisarthritis
- STIR - short tau inversion recovery
- Kalziumpyrophosphat-Ablagerungskrankheit
- retrodiscal zone
- Kiefergelenk
- Gelenkerguss Kiefergelenk
- Kraniomandibuläre Dysfunktion
und weiter:
Assoziationen und Differentialdiagnosen zu TMJ inflammation:
Kalziumpyrophosphat-Ablagerungskrankheit