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Research Article| Volume 64, ISSUE 1, P2-5, July 1987

Comparison of magnetic resonance imaging, arthrotomography and clinical and surgical findings in temporomandibular joint internal derangements

  • William C. Donlon
    Correspondence
    Reprint requests to: Dr. William C. Donlon Facial Pain Research Center University of the Pacific 2155 Webster St. San Francisco, CA 94115
    Affiliations
    Pacific Presbyterian Medical Center. San Francisco, Calif., USA

    Facial Pain Research Center San Francisco, Calif., USA

    Diagnostic Sciences, University of the Pacific School of Dentistry, San Francisco, Calif., USA
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  • Kirk L. Moon
    Affiliations
    Magnetic Imaging Center, Pacific Presbyterian Medical Center. San Francisco, Calif., USA
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      Abstract

      Twenty-four temporomandibular joints were evaluated by means of tomography and magnetic resonance imaging (MRI). Seventeen of these joints were also examined with the use of arthrotomography. Meniscus surgery was carried out on 13 of the temporomandibular joints. The three imaging techniques were compared for diagnosis of disk displacement, of degenerative joint disease, and of perforations. All imaging techniques were compared with clinical and surgical findings. MRI was as accurate as arthrotomography in confirming disk displacement. MRI was more accurate in disclosing gross arthrosis than tomography. The best use of arthrography was in disclosing perforations. The best correlation to surgical findings was shown by the clinical examination.
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