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
    Reprint requests to: Dr. William C. Donlon Facial Pain Research Center University of the Pacific 2155 Webster St. San Francisco, CA 94115
    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
    Magnetic Imaging Center, Pacific Presbyterian Medical Center. San Francisco, Calif., USA
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      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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        • Lauterbur PC
        Image formation by induced local interactions: examples employing nuclear magnetic resonance.
        Nature. 1973; 242: 190-191
      1. Diagn Imag. 1984; (Nov.): 64-70
        • Helms CA
        • Richardson ML
        • Moon KL
        • Ware WH
        Nuclear magnetic resonance imaging of the temporomandibular joint: preliminary observations.
        J Craniomandib Pract. 1984; 2: 220-224
        • Scherzinger AL
        • Hardee WR
        Basic principles of magnetic resonance imaging—an update.
        West J Med. 1985; 143: 782-792
        • Moon KL
        • Genant HK
        • Helms CA
        • Chafetz NI
        • Crooks LE
        • Kaufman L
        Musculoskeletal applications of nuclear magnetic resonance.
        Radiology. 1983; 147: 161-171
        • Katzberg RW
        • Schenck J
        • Roberts D
        • et al.
        Magnetic resonance imaging of the temporomandibular joint meniscus.
        Oral Surg Oral Med Oral Pathol. 1985; 59: 332-335
        • Harms SE
        • Wilk RM
        • Wolford LM
        • Chiles DG
        • Milan SB
        The temporomandibular joint: magnetic resonance imaging using surface coils.
        Radiology. 1985; 157: 133-136
        • Roberts D
        • Schenck J
        • Joseph P
        • et al.
        Temporomandibular joint: magnetic resonance imaging.
        Radiology. 1985; 154: 829-830
        • Katzberg RW
        • Bessette RW
        • Tallents RH
        • et al.
        Normal and abnormal temporomandibular joint: MR imaging with surface coil.
        Radiology. 1986; 158: 183-189
        • Kaplan PA
        • Tu HK
        • Sleder PR
        • Lydiatt DD
        • Laney TJ
        Inferior joint space arthrography of normal temporomandibular joints: reassessment of diagnostic criteria.
        Radiology. 1986; 159: 585-589
        • Anderson QN
        • Katzberg RW
        Pathologic evaluation of disk dysfunction and osseous abnormalities of the temporomandibular joint.
        J Oral Maxillofac Surg. 1985; 43: 947-951
        • Donlon WC
        • Truta MP
        • Eversole LR
        Local anesthesia of the temporomandibular joint: a modified auriculotemporal nerve block.
        J Oral Maxillofac Surg. 1984; 42: 544-545
        • Eversole LR
        • Machado L
        Temporomandibular joint internal derangements and associated neuromuscular disorders.
        J Am Dent Assoc. 1985; 110: 69-79