Radiographic diagnosis of synovial chondromatosis of the temporomandibular joint: a case report.
Synovial chondromatosis is a rare, benign condition that usually affects the larger diarthroidal joints of the axial skeleton. Approximately 120 cases of synovial chondromatosis involving the temporomandibular joint (TMJ) have been reported. People with this condition may present with swelling, pain, intracapsular sounds and limitation of mandibular movement. Because it is important to differentiate synovial chondromatosis from other joint pathologies, a thorough history and appreciation of clinical features of these conditions are necessary. Radiographs are an important component of the diagnostic armamentarium for discerning conditions that mimic synovial chondromatosis. A case of synovial chondromatosis diagnosed radiographically with the aid of volumetric computed tomography is described, followed by a discussion of potential causative factors and management strategies. A brief review of the differential diagnosis of synovial chondromatosis involving the TMJ is also provided.
Balasundaram
Ashok
A
Radiology division, Department of diagnostic sciences, University of Detroit Mercy, 2700 Martin Luther King Boulevard, Detroit, MI 48208, USA. balasuas@udmercy.edu
Geist
James R
JR
Gordon
Sara C
SC
Klasser
Gary D
GD
D000369:Aged, 80 and over; D015838:Chondromatosis, Synovial / Q000000981:diagnostic imaging*; D054893:Cone-Beam Computed Tomography; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000000981:diagnostic imaging; D011862:Radiography, Panoramic; D016059:Range of Motion, Articular / Q000502:physiology; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging*