[Relationship between condylar marrow signal abnormalities and temporomandibular joint internal derangement].
OBJECTIVE
To investigate the relationship between condylar marrow signal abnormalities and temporomandibular joint internal derangement (TMJID).


METHODS
Oblique sagittal T1 weighted MR imaging at closed and open mouth and Oblique sagittal T2 weighted MR imaging at closed mouth were obtained from 88 joints of 44 patients suffering from TMD. Condylar marrow signal abnormalities were reviewed and classified into bone marrow edema pattern (hypointense T1, hyperintense T2), sclerosis pattern (hypointense T1 and hypointense T2) and combined edema and sclerosis pattern.


RESULTS
Of 88 joints, 13 (14.8%) joints showed condylar marrow signal abnomalities, among which 11 belonged to edema pattern and, 1 was sclerosis pattern and the other was the combined patten. Of 13 joints with condylar marrow signal abnomalities, 11 (84.6%) had TMJID. Of 75 joints with normal marrow signal, 25 (33.3%) joints had TMJID. There was significant correlation between condylar marrow signal abnormalities and TMJID (P < 0.05).


CONCLUSIONS
Disc displacement is one of the factors inducing condylar marrow signal abnormalities. The pathological process from disc displacement to osteonecrosis requires further study.
Jiao
Guo-liang
GL
Dept. of Oral, Bethune International Peace Hospital, Shijiazhuang 050082, China.
Zhao
Er-jun
EJ
Wang
Yong-hai
YH
Zhu
Yu-feng
YF
Du
Yu-ping
YP
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology*; D008875:Middle Aged; D019224:Temporomandibular Joint Disc / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000473:pathology