Temporomandibular joint synovial chondromatosis: An analysis of 7 cases and literature review

Zhiqiang Song; Shanshan Yuan; Junjie Liu; Astrid D. Bakker; Jenneke Klein-Nulend; Janak L. Pathak; Qingbin Zhang

doi:10.1177/00368504221115232

Temporomandibular joint synovial chondromatosis: An analysis of 7 cases and literature review

Zhiqiang Song, Shanshan Yuan, Junjie Liu, Astrid D. Bakker, Jenneke Klein-Nulend, Janak L. Pathak^*, Qingbin Zhang

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objective: To investigate the diagnosis and treatment procedure of synovial chondromatosis (SC) of the temporomandibular joint (TMJ). Methods: Clinical features, imaging features, surgical methods, and prognosis of 7 patients with SC of the TMJ were analyzed. We also reviewed and analyzed surgery-relevant literature included in the Pubmed database in the past decade using the search terms “synovial chondromatosis” and “temporomandibular joint”, and found 181 cases. Results: There was no specific difference in the symptoms of SC in the TMJ in different Milgram’s stages in our cases and the cases mentioned in the literature. The main symptoms of SC in the TMJ were pain (100%, 7/7; 64.64%, 117/181), limited mouth opening (57.14%, 4/7; 53.59%, 97/181), swelling (14.29%, 1/7; 28.18%, 51/181), crepitus (28.57%, 2/7; 19.34%, 35/181), and clicking (14.29%, 1/7; 9.94%, 18/181) in our cases and cases from literature separately. The imaging features of SC were occupying lesions (including loose bodies or masses) (71.42%, 5/7; 37.57%, 68/181), bone change in condyle or glenoid fossa (1/7, 14.29%; 34.81%, 63/181), effusion (42.86%, 3/7; 20.99%, 38/181), joint space changes (42.86%, 3/7; 11.05%, 20/181) in our cases and cases from literature separately. The surgical procedures seem to depend mainly on the involved structures and the extension of the lesion rather than the Milgram’s stage. Conclusions: The clinical features of SC in the TMJ are nonspecific and easy to be misdiagnosed. MRI is helpful in the diagnosis of SC in the TMJ. The surgical procedures mainly depend on the involved structures and the extension of the lesion.

Original language	English
Pages (from-to)	1-12
Number of pages	12
Journal	Science Progress
Volume	105
Issue number	3
DOIs	https://doi.org/10.1177/00368504221115232
Publication status	Published - 1 Jul 2022

Bibliographical note

Funding Information:
The authors thank Zhongcheng Gong for critically revising the manuscript for important intellectual content. This study was supported by 2019 Featured Clinical Technique of Guangzhou (No. 2019TS42) and Guangzhou Health Commission General Project (No. 20191A010067).

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Guangzhou Health Commission General Project, 2019 Featured Clinical Technique of Guangzhou, (grant number No. 20191A010067, No. 2019TS42).

Publisher Copyright:
© The Author(s) 2022.

Funding

The authors thank Zhongcheng Gong for critically revising the manuscript for important intellectual content. This study was supported by 2019 Featured Clinical Technique of Guangzhou (No. 2019TS42) and Guangzhou Health Commission General Project (No. 20191A010067). The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Guangzhou Health Commission General Project, 2019 Featured Clinical Technique of Guangzhou, (grant number No. 20191A010067, No. 2019TS42).

Keywords

imaging
surgery
Synovial chondromatosis
temporomandibular joint
treatment

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Temporomandibular joint synovial chondromatosis: An analysis of 7 cases and literature review",

abstract = "Objective: To investigate the diagnosis and treatment procedure of synovial chondromatosis (SC) of the temporomandibular joint (TMJ). Methods: Clinical features, imaging features, surgical methods, and prognosis of 7 patients with SC of the TMJ were analyzed. We also reviewed and analyzed surgery-relevant literature included in the Pubmed database in the past decade using the search terms “synovial chondromatosis” and “temporomandibular joint”, and found 181 cases. Results: There was no specific difference in the symptoms of SC in the TMJ in different Milgram{\textquoteright}s stages in our cases and the cases mentioned in the literature. The main symptoms of SC in the TMJ were pain (100%, 7/7; 64.64%, 117/181), limited mouth opening (57.14%, 4/7; 53.59%, 97/181), swelling (14.29%, 1/7; 28.18%, 51/181), crepitus (28.57%, 2/7; 19.34%, 35/181), and clicking (14.29%, 1/7; 9.94%, 18/181) in our cases and cases from literature separately. The imaging features of SC were occupying lesions (including loose bodies or masses) (71.42%, 5/7; 37.57%, 68/181), bone change in condyle or glenoid fossa (1/7, 14.29%; 34.81%, 63/181), effusion (42.86%, 3/7; 20.99%, 38/181), joint space changes (42.86%, 3/7; 11.05%, 20/181) in our cases and cases from literature separately. The surgical procedures seem to depend mainly on the involved structures and the extension of the lesion rather than the Milgram{\textquoteright}s stage. Conclusions: The clinical features of SC in the TMJ are nonspecific and easy to be misdiagnosed. MRI is helpful in the diagnosis of SC in the TMJ. The surgical procedures mainly depend on the involved structures and the extension of the lesion.",

keywords = "imaging, surgery, Synovial chondromatosis, temporomandibular joint, treatment",

author = "Zhiqiang Song and Shanshan Yuan and Junjie Liu and Bakker, {Astrid D.} and Jenneke Klein-Nulend and Pathak, {Janak L.} and Qingbin Zhang",

note = "Funding Information: The authors thank Zhongcheng Gong for critically revising the manuscript for important intellectual content. This study was supported by 2019 Featured Clinical Technique of Guangzhou (No. 2019TS42) and Guangzhou Health Commission General Project (No. 20191A010067). Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Guangzhou Health Commission General Project, 2019 Featured Clinical Technique of Guangzhou, (grant number No. 20191A010067, No. 2019TS42). Publisher Copyright: {\textcopyright} The Author(s) 2022.",

year = "2022",

month = jul,

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doi = "10.1177/00368504221115232",

language = "English",

volume = "105",

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T1 - Temporomandibular joint synovial chondromatosis

T2 - An analysis of 7 cases and literature review

AU - Song, Zhiqiang

AU - Yuan, Shanshan

AU - Liu, Junjie

AU - Bakker, Astrid D.

AU - Klein-Nulend, Jenneke

AU - Pathak, Janak L.

AU - Zhang, Qingbin

N1 - Funding Information: The authors thank Zhongcheng Gong for critically revising the manuscript for important intellectual content. This study was supported by 2019 Featured Clinical Technique of Guangzhou (No. 2019TS42) and Guangzhou Health Commission General Project (No. 20191A010067). Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Guangzhou Health Commission General Project, 2019 Featured Clinical Technique of Guangzhou, (grant number No. 20191A010067, No. 2019TS42). Publisher Copyright: © The Author(s) 2022.

PY - 2022/7/1

Y1 - 2022/7/1

N2 - Objective: To investigate the diagnosis and treatment procedure of synovial chondromatosis (SC) of the temporomandibular joint (TMJ). Methods: Clinical features, imaging features, surgical methods, and prognosis of 7 patients with SC of the TMJ were analyzed. We also reviewed and analyzed surgery-relevant literature included in the Pubmed database in the past decade using the search terms “synovial chondromatosis” and “temporomandibular joint”, and found 181 cases. Results: There was no specific difference in the symptoms of SC in the TMJ in different Milgram’s stages in our cases and the cases mentioned in the literature. The main symptoms of SC in the TMJ were pain (100%, 7/7; 64.64%, 117/181), limited mouth opening (57.14%, 4/7; 53.59%, 97/181), swelling (14.29%, 1/7; 28.18%, 51/181), crepitus (28.57%, 2/7; 19.34%, 35/181), and clicking (14.29%, 1/7; 9.94%, 18/181) in our cases and cases from literature separately. The imaging features of SC were occupying lesions (including loose bodies or masses) (71.42%, 5/7; 37.57%, 68/181), bone change in condyle or glenoid fossa (1/7, 14.29%; 34.81%, 63/181), effusion (42.86%, 3/7; 20.99%, 38/181), joint space changes (42.86%, 3/7; 11.05%, 20/181) in our cases and cases from literature separately. The surgical procedures seem to depend mainly on the involved structures and the extension of the lesion rather than the Milgram’s stage. Conclusions: The clinical features of SC in the TMJ are nonspecific and easy to be misdiagnosed. MRI is helpful in the diagnosis of SC in the TMJ. The surgical procedures mainly depend on the involved structures and the extension of the lesion.

AB - Objective: To investigate the diagnosis and treatment procedure of synovial chondromatosis (SC) of the temporomandibular joint (TMJ). Methods: Clinical features, imaging features, surgical methods, and prognosis of 7 patients with SC of the TMJ were analyzed. We also reviewed and analyzed surgery-relevant literature included in the Pubmed database in the past decade using the search terms “synovial chondromatosis” and “temporomandibular joint”, and found 181 cases. Results: There was no specific difference in the symptoms of SC in the TMJ in different Milgram’s stages in our cases and the cases mentioned in the literature. The main symptoms of SC in the TMJ were pain (100%, 7/7; 64.64%, 117/181), limited mouth opening (57.14%, 4/7; 53.59%, 97/181), swelling (14.29%, 1/7; 28.18%, 51/181), crepitus (28.57%, 2/7; 19.34%, 35/181), and clicking (14.29%, 1/7; 9.94%, 18/181) in our cases and cases from literature separately. The imaging features of SC were occupying lesions (including loose bodies or masses) (71.42%, 5/7; 37.57%, 68/181), bone change in condyle or glenoid fossa (1/7, 14.29%; 34.81%, 63/181), effusion (42.86%, 3/7; 20.99%, 38/181), joint space changes (42.86%, 3/7; 11.05%, 20/181) in our cases and cases from literature separately. The surgical procedures seem to depend mainly on the involved structures and the extension of the lesion rather than the Milgram’s stage. Conclusions: The clinical features of SC in the TMJ are nonspecific and easy to be misdiagnosed. MRI is helpful in the diagnosis of SC in the TMJ. The surgical procedures mainly depend on the involved structures and the extension of the lesion.

KW - imaging

KW - surgery

KW - Synovial chondromatosis

KW - temporomandibular joint

KW - treatment

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Temporomandibular joint synovial chondromatosis: An analysis of 7 cases and literature review

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

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