Temporomandibular joint osteoarthritis: a case report

Yıl 2015, Cilt: 32 Sayı: 1, 26 - 30, 09.02.2015

Ülkem Aydın

https://doi.org/10.17214/aot.29277

Öz

INTRODUCTION: Unilateral reduction in condylar size together with temporomandibular joint (TMJ) symptoms can be due to bone destruction as a result of TMJ osteoarthritis or other arthrides. Condylar hypoplasia due to childhood trauma or radiotherapy together with secondary TMJ problem should also be considered in the differential diagnosis.

CASE REPORT: Fourty six-year-old female patient attended with the complaint of TMJ pain. Extraoral examination revealed deviation, crepitus and mild pain on the right TMJ and subluxation on the left side. Range of motion was within normal limits. Cortical bone loss and deviation in form were detected on panoramic radiographs. Computed tomography examination and rheumatologic consultation was made. The complaints of the patient disappeared after prosthetic restoration. The patient was diagnosed with TMJ osteoarthritis.

CONCLUSION: Osteoarthritis, poliarthrides, and hypoplastic condyle demonstrating degenerative changes should be included in the differential diagnosis when condylar morphologic changes on radiographs accompany clinical TMJ symptoms. Besides clinical and radiographic findings, cross-sectional imaging techniques and rheumatological asessment should be used for definitive diagnosis.

Anahtar Kelimeler

Mandibular Condyle, Multidetector Computed Tomography, Osteoarthritis, Radiography, Panoramic, Temporomandibular Joint

Temporomandibular eklem osteoartriti: olgu bildirimi

Öz

TANITIM: Eklem şikayetleri ile birlikte radyograflarda mandibular kondillerden birinin küçük olması, temporomandibular eklemde (TME) osteoartrit veya diğer artritler nedeniyle oluşan kemik yıkımına bağlı olabilir. Çocukluk çağında geçirilen travma veya alınan radyoterapiye bağlı kondil hipoplazisi ile birlikte sekonder TME problemi de ayırıcı tanıda düşünülmelidir.

OLGU BİLDİRİMİ: Kırk altı yaşında kadın hasta çene ekleminde ağrı şikayeti ile kliniğimize başvurdu. Ekstraoral muayenede deviasyon, sağ tarafta krepitasyon şeklinde eklem sesi ve hafif ağrı, sol tarafta sublüksasyon tespit edildi. Ağız açmada kısıtlılık yoktu. Panoramik radyografta sağ mandibular kondilin kortikal tabakasında kayıp ve şekil bozukluğu tespit edildi. Bilgisayarlı tomografi incelemesi ve romatoloji konsültasyonu yapıldı. Hasta protetik tedavisini yaptırdıktan sonra şikayetleri ortadan kalktı. Hastaya TME osteoartrit tanısı koyuldu.

SONUÇ: Eklem şikayetleri ile birlikte radyograflarda mandibular kondillerden birinde kemik değişiklikleri görülüyorsa, osteaoartrit, poliartritler ve dejeneratif değişiklikler gösteren hipoplazik kondil, ayırıcı tanıda yer almalıdır. Kesin tanıya varabilmek için klinik ve radyografik bulguların yanı sıra kesitsel görüntülerden yararlanılmalı ve hasta romatolojik yönden de değerlendirilmelidir.

Anahtar Kelimeler

Çok Tarayıcılı Bilgisayarlı Tomografi, Mandibular Kondil, Osteoartrit, Radyografi, Panoramik, Temporomandibüler Eklem

Kaynakça

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