Synovial chondromatosis of the temporomandibular joint

Authors

  • Ayman Thafar Bukhsh Department of Oral and Maxillofacial Surgery, King Abdul Aziz Specialist Hospital, Taif, Saudi Arabia
  • Sarah Abdullah Alzaid College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
  • Hussain Tawfiq Alshawaf College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
  • Mohammed Abdullah Asiri Primary Health Care, Wadi Dawasir General Hospital, Riyadh First Health Cluster, Riyadh Saudi Arabia
  • Ammar Abdulaziz Nayyaz Primary Health Care, Makkah Health Cluster, Mecca, Saudi Arabia
  • Asma Ali Alfaifi College of Dentistry, Jazan University, Jazan, Saudi Arabia
  • Saad Awdah Aldail College of Dentistry, King Khalid University, Abha, Saudi Arabia
  • Tail Alhumaidi Almotairi East Riyadh Dental Center, Ministry of Health, Riyadh, Saudi Arabia
  • Ali Ahmed Al Bu kafitah Um Sarar Primary Healthcare Center, Ministry of Health, Khamis Mushait, Saudi Arabia
  • Saud Ali Alqahtani Almeswak Dental Clinics, Al Qunfuthah, Saudi Arabia
  • Abdulaziz Mohammed Almoslamany Specialized Dental Center, Hail Dental Center, Hail, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232396

Keywords:

SC, Cartilage-like tissue, Metaplasia, Lectures, Joint space, Trauma, Diagnosis, Surgical removal

Abstract

When cartilage-like tissue is present in the synovial membrane of joints, it is known as synovial chondromatosis (SC). The main cause is believed to be the metaplasia of embryonal mesenchymal tissue in the synovial membrane. The metaplastic foci grow within the joint space and can detach from the synovial wall, forming free-floating bodies. While SC is more commonly associated with trauma in the temporomandibular joint (TMJ), the exact relationship between trauma and SC remains unclear. Improved diagnostic techniques, such as CT and MRI, have led to increased recognition of SC in the TMJ. Gender differences in the prevalence of TMJ SC have been observed, with women being more affected. Diagnosis involves imaging techniques like X-rays, CT scans, MRIs, and surgical removal of loose bodies is the preferred treatment. Arthroscopy is recommended for small, isolated loose bodies, while open surgery may be necessary for complete removal. Long-term follow-up is essential to monitor for recurrence. Histopathological findings reveal a mixture of cartilage and bone, with ossification and calcification present.

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Published

2023-07-29

How to Cite

Bukhsh, A. T., Alzaid, S. A., Alshawaf, H. T., Asiri, M. A., Nayyaz, A. A., Alfaifi, A. A., Aldail, S. A., Almotairi, T. A., Al Bu kafitah, A. A., Alqahtani, S. A., & Almoslamany, A. M. (2023). Synovial chondromatosis of the temporomandibular joint. International Journal Of Community Medicine And Public Health, 10(8), 2990–2994. https://doi.org/10.18203/2394-6040.ijcmph20232396

Issue

Vol. 10 No. 8 (2023): August 2023

Section

Review Articles