Morales H, Cornelius R
Section of Neuroradiology, Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, 45267-0761, Cincinnati, OH, USA.
University of Cincinnati Medical Center, Cincinnati, USA.
Clin Neuroradiol. 2016 Mar;26(1):5-22. doi: 10.1007/s00062-015-0465-0. Epub 2015 Sep 15.
Internal derangement is the most common temporomandibular joint disorder. Degenerative osteoarthritis and trauma are next in frequency. Less common pathology includes rheumatoid arthritis, synovial chondromatosis, calcium pyrophosphate dehydrate deposition disease, pigmented villonodular synovitis, tumors, infection, and osteonecrosis. We provide a systematic approach to facilitate interpretation based on major anatomic structures: disc-attachments, joint space, condyle, and lateral pterygoid muscle. Relevant graphic anatomy and state of the art imaging are discussed in correlation with current clinical and therapeutic highlights of pathologic entities affecting the joint.
颞下颌关节内紊乱是最常见的颞下颌关节疾病。退行性骨关节炎和创伤的发病频率次之。较不常见的病理情况包括类风湿关节炎、滑膜软骨瘤病、焦磷酸钙二水合物沉积病、色素沉着绒毛结节性滑膜炎、肿瘤、感染和骨坏死。我们提供一种基于主要解剖结构的系统方法，以促进解读：盘附着、关节间隙、髁突和翼外肌。结合影响该关节的病理实体的当前临床和治疗要点，讨论相关的影像学解剖和最新成像技术。
