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颞下颌关节滑膜软骨瘤病的CT诊断

CT diagnosis of synovial chondromatosis of the temporomandibular joint.

作者信息

van Ingen J M, de Man K, Bakri I

机构信息

Department of Oral and Maxillofacial Surgery, University Hospital Rotterdam-Dijkzigt, The Netherlands.

出版信息

Br J Oral Maxillofac Surg. 1990 Jun;28(3):164-7. doi: 10.1016/0266-4356(90)90080-5.

Abstract

Synovial chondromatosis of the temporomandibular joint (TMJ) is a very rare condition. It is characterised by the presence of loose bodies in the joint space. Clinical signs, histopathological findings and radiography play an important role in the diagnostic process. Conventional X-rays have shown to be of limited value, for they fail to depict the intra-articular loose bodies in a significant amount of cases. Axial as well as coronal computer tomography (CT) is extremely useful in detecting loose bodies in the temporomandibular joint (TMJ). In this report we present and discuss a further case, and the use of CT in the diagnosis of TMJ-synovial chondromatosis is illustrated.

摘要

颞下颌关节滑膜软骨瘤病是一种非常罕见的病症。其特征是关节腔内存在游离体。临床体征、组织病理学发现和影像学检查在诊断过程中起着重要作用。传统X线片已显示出价值有限,因为在大量病例中它们无法描绘出关节内的游离体。轴向以及冠状面计算机断层扫描(CT)在检测颞下颌关节(TMJ)的游离体方面极其有用。在本报告中,我们展示并讨论了另外一例病例,并说明了CT在颞下颌关节滑膜软骨瘤病诊断中的应用。

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