Pseudogout of the temporomandibular joint: an uncommon cause of temporomandibular joint pain and swelling

Background Pseudogout, or calcium pyrophosphate deposition, is a rare cause of pain, swelling, and trismus of the temporomandibular joint (TMJ). Diagnosis and management of the lesion are discussed. Case description A 58-year-old female had a 2-month history of progressive swelling of right TMJ asso...

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Veröffentlicht in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2011-06, Vol.111 (6), p.709-714
Hauptverfasser: Sklenicka, Scott, DMD, MD, Dierks, Eric J., DMD, MD, Jarmin, Joe, Miles, Cathy, MD
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container_end_page 714
container_issue 6
container_start_page 709
container_title Oral surgery, oral medicine, oral pathology, oral radiology and endodontics
container_volume 111
creator Sklenicka, Scott, DMD, MD
Dierks, Eric J., DMD, MD
Jarmin, Joe
Miles, Cathy, MD
description Background Pseudogout, or calcium pyrophosphate deposition, is a rare cause of pain, swelling, and trismus of the temporomandibular joint (TMJ). Diagnosis and management of the lesion are discussed. Case description A 58-year-old female had a 2-month history of progressive swelling of right TMJ associated with trismus and facial pain. Imaging of the TMJ revealed a mixed radiolucent and radiopaque lesion associated with the right TMJ joint space. Surgical excision was performed successfully via preauricular approach. Pathology was consistent with calcium pyrophosphate deposition of the TMJ, also known as pseudogout. Surgical excision successfully treated her symptoms as expected. She is now disease free without recurrence. Clinical implications Pseudogout is a rare cause of TMJ pain, swelling, and trismus that should be included in the differential of joint pain and dysfunction. It can be treated successfully with surgery.
doi_str_mv 10.1016/j.tripleo.2010.07.018
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Biological and medical sciences
Chondrocalcinosis - complications
Chondrocalcinosis - pathology
Chondrocalcinosis - surgery
Dentistry
Diseases of the osteoarticular system
Female
Humans
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Otorhinolaryngology. Stomatology
Surgery
Temporomandibular Joint Disorders - etiology
Temporomandibular Joint Disorders - pathology
Temporomandibular Joint Disorders - surgery
Treatment Outcome
title Pseudogout of the temporomandibular joint: an uncommon cause of temporomandibular joint pain and swelling
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