Magnetic resonance imaging or arthrographic diagnosis of internal derangement of the temporomandibular joint. Correlation comparison study with arthroscopic surgical confirmation.
Although arthrography has long been considered a gold standard for the diagnosis of internal derangements of the temporomandibular joint, magnetic resonance imaging has rapidly proved to be a valuable tool for other insights into soft tissue structures. The goals of this study were twofold: (1) to compare the diagnostic efficacy of arthrography with magnetic resonance imaging and (2) to compare these results with the actual arthroscopic findings. The correlation between arthroscopic examination and independent fluoroscopic arthrogram and magnetic resonance imaging was high for the diagnosis of anterior disk displacement, as were the correlations between arthroscopic examinations and fluoroscopic arthrograms on diagnosing disk perforations. These findings, together with the apparent specialized abilities of the arthroscopic examination to yield information on the quality of the surface tissues (e.g., cartilage degeneration, synovitis, proliferations) led us to conclude that diagnostic arthroscopy may prove to be as valuable to the maxillofacial surgeon for the diagnosis of intracapsular temporomandibular joint disorders as it is for the orthopedic surgeon in diagnosing other joint disorders.
Moses
J J
JJ
Pacific Clinical Research Foundation, Encinitas, Calif.
Salinas
E
E
Goergen
T
T
Sartoris
D
D
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D015203:Reproducibility of Results; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis*