Journal of Korean Dental Science

Korean Academy of Dental Science (대한치의학회)
권호 표지
DOI QR코드

DOI QR Code

Synovial Chondromatosis of the Temporomandibular Joint: A Case Report

  • Cho, Byung-Yong (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Choi, Byung-Joon (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Ohe, Joo-Young (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Kim, Hong-Soon (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Song, Chan-Jong (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry)
  • Received : 2013.08.28
  • Accepted : 2013.11.05
  • Published : 2013.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Synovial chondromatosis (SC) is a rare, benign disease found in metaplastic cartilaginous nodules within the synovial membrane. The etiology of SC is not well-known, but it may be associated with trauma, chronic abnormal loading, or inflammatory joint disease. It is often found in knee, elbow, ankle, and shoulder joint but rarely in the temporomandibular joint (TMJ) area. SC of TMJ frequently appears in middle age and more often in females. Clinical symptoms include periarticular swelling, pain, crepitus, and limitation of joint motion. The most common feature is a radiographic finding of loose bodies in the joint. Irregularity of joint space and condylar head is also observed. Treatment involves the surgical removal of synovium and loose bodies. The prognosis is good, with low postsurgical recurrence rate. Functional improvement of the joint and pain relief are noted in many patients. Malignant transformation of SC has not been recorded. In this study, we report a 54-year-old female patient who experienced discomfort on the right TMJ with SC on the area but made a satisfactory recovery after surgery.

Keywords

References

  1. Guarda-Nardini L, Piccotti F, Ferronato G, Manfredini D. Synovial chondromatosis of the temporomandibular joint: a case description with systematic literature review. Int J Oral Maxillofac Surg. 2010; 39: 745-55. https://doi.org/10.1016/j.ijom.2010.03.028
  2. Ardekian L, Faquin W, Troulis MJ, Kaban LB, August M. Synovial chondromatosis of the temporomandibular joint: report and analysis of eleven cases. J Oral Maxillofac Surg. 2005; 63: 941-7. https://doi.org/10.1016/j.joms.2005.03.009
  3. von Lindern JJ, Theuerkauf I, Niederhagen B, Berge S, Appel T, Reich RH. Synovial chondromatosis of the temporomandibular joint: clinical, diagnostic, and histomorphologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 94: 31-8. https://doi.org/10.1067/moe.2002.123498
  4. Cai XY, Yang C, Chen MJ, Jiang B, Zhou Q, Jin JM, Yun B, Chen ZZ. Arthroscopic manageme-nt for synovial chondromatosis of the temporomandibular joint: a retrospective review of 33 cases. J Oral Maxillofac Surg. 2012; 70: 2106-13. https://doi.org/10.1016/j.joms.2011.09.043
  5. Lee D, Shin J, Kwak J, Kim J, Kim SJ, Kim MR. The synovial chondromatosis of the temporomandibular joints: review of the 4 cases. J Korean Assoc Oral Maxillofac Surg. 2010; 36: 134-40. https://doi.org/10.5125/jkaoms.2010.36.2.134
  6. Kim IK, Choi J, Oh SS, Oh NS, Kim HD, Lee SH, Yang DH. Synovial chondromatosis of the temporomandibular joint: a case report. J Korean Assoc Oral Maxillofac Surg. 2000; 26: 109-14.
  7. Fernandez Sanroman J, Costas Lopez A, Anton Badiola I, Fernandez Ferro M, Lopez de Sanchez A. Indications of arthroscopy in the treatment of synovial chondromatosis of the temporomandibular joint: report of 5 new cases. J Oral Maxillofac Surg. 2008; 66: 1694-9. https://doi.org/10.1016/j.joms.2007.09.028
  8. Shah SB, Ramanojam S, Gadre PK, Gadre KS. Synovial chondromatosis of temporomandibular joint: journey through 25 decades and a case report. J Oral Maxillofac Surg. 2011; 69: 2795-814. https://doi.org/10.1016/j.joms.2010.12.029
  9. Guijarro-Martinez R, Puche Torres M, Marques Mateo M, Solis Garcia I, Miragall Alba L, Iglesias Gimilio ME, Perez-Herrezuelo Hermosa G, Pascual Gil JV. Bilateral synovial chondromatosis of the temporomandibular joint. J Craniomaxillofac Surg. 2011; 39: 261-5. https://doi.org/10.1016/j.jcms.2010.04.016
  10. Meng J, Guo C, Yi B, Zhao Y, Luo H, Ma X. Clinical and radiologic findings of synovial chondromatosis affecting the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109: 441-8. https://doi.org/10.1016/j.tripleo.2009.09.036
  11. Lim SW, Jeon SJ, Choi SS, Choi KH. Synovial chondromatosis in the temporomandibular joint: a case with typical imaging features and pathological findings. Br J Radiol. 2011; 84: e213-6. https://doi.org/10.1259/bjr/74316620
  12. Chen MJ, Yang C, Cai XY, Jiang B, Qiu YT, Zhang XH. Synovial chondromatosis in the inferior compartment of the temporomandibular joint: different stages with different treatments. J Oral Maxillofac Surg. 2012; 70: e32-8.
  13. Sato J, Notani KI, Goto J, Shindoh M, Kitagawa Y. Synovial chondromatosis of the temporomandibular joint accompanied by loose bodies in both the superior and inferior joint compartments: case report. Int J Oral Maxillofac Surg. 2010; 39: 86-8. https://doi.org/10.1016/j.ijom.2009.07.012
  14. Miyamoto H, Sakashita H, Miyata M, Kurita K. Arthroscopic diagnosis and treatment of temporomandibular joint synovial chondromatosis: report of a case. J Oral Maxillofac Surg. 1996; 54: 629-31. https://doi.org/10.1016/S0278-2391(96)90648-5
  15. Choi BJ, Lee BS, Kim YG, Kwon YD, Kim YR. Articular loose body, synovial chondromatosis of the temporomandibular joint: a case report. J Korean Assoc Oral Maxillofac Surg. 2009; 35: 310-1.