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 |
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container_title | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics |
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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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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.</description><identifier>ISSN: 1079-2104</identifier><identifier>EISSN: 1528-395X</identifier><identifier>DOI: 10.1016/j.tripleo.2010.07.018</identifier><identifier>PMID: 21167760</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>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</subject><ispartof>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 2011-06, Vol.111 (6), p.709-714</ispartof><rights>Mosby, Inc.</rights><rights>2011 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-8ee936510473a8238c6d74717580a24f29fe7c41cb0d0ab91d8f82f19f15afc13</citedby><cites>FETCH-LOGICAL-c515t-8ee936510473a8238c6d74717580a24f29fe7c41cb0d0ab91d8f82f19f15afc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1079210410005561$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24223600$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21167760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sklenicka, Scott, DMD, MD</creatorcontrib><creatorcontrib>Dierks, Eric J., DMD, MD</creatorcontrib><creatorcontrib>Jarmin, Joe</creatorcontrib><creatorcontrib>Miles, Cathy, MD</creatorcontrib><title>Pseudogout of the temporomandibular joint: an uncommon cause of temporomandibular joint pain and swelling</title><title>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</title><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><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.</description><subject>Biological and medical sciences</subject><subject>Chondrocalcinosis - complications</subject><subject>Chondrocalcinosis - pathology</subject><subject>Chondrocalcinosis - surgery</subject><subject>Dentistry</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Surgery</subject><subject>Temporomandibular Joint Disorders - etiology</subject><subject>Temporomandibular Joint Disorders - pathology</subject><subject>Temporomandibular Joint Disorders - surgery</subject><subject>Treatment Outcome</subject><issn>1079-2104</issn><issn>1528-395X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkl2L1TAQhoso7of-BCU34lWPmbRpUi8UWdYPWFBQwbuQk07W1DapSaPsvzf1HBVE8CpDeN6Z4WGq6gHQHVDonoy7NbplwrBjtPxRsaMgb1WnwJmsm55_ul1qKvqaAW1PqrOURkpp1_T93eqEAXRCdPS0cu8S5iFch7ySYMn6GcmK8xJimLUf3D5POpIxOL8-JdqT7E2Y5-CJ0Tnhz8S_abJo50tiIOk7TpPz1_eqO1ZPCe8f3_Pq48vLDxev66u3r95cvLiqDQe-1hKxbzpelhaNlqyRphtEK0BwSTVrLestCtOC2dOB6n0Pg7SSWegtcG0NNOfV40PfJYavGdOqZpdM2UF7DDkp2YmGtaVxIfmBNDGkFNGqJbpZxxsFVG2S1aiOktUmWVGhiuSSe3ickPczDr9Tv6wW4NER0MnoyUbtjUt_uJaxpqMb9_zAYfHxzWFUyTj0BgcX0axqCO6_qzz7q4Mprl0Z-gVvMI0hR19kK1CJKarebxexHQSUW-C8g-YH32SzxQ</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Sklenicka, Scott, DMD, MD</creator><creator>Dierks, Eric J., DMD, MD</creator><creator>Jarmin, Joe</creator><creator>Miles, Cathy, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Pseudogout of the temporomandibular joint: an uncommon cause of temporomandibular joint pain and swelling</title><author>Sklenicka, Scott, DMD, MD ; Dierks, Eric J., DMD, MD ; Jarmin, Joe ; Miles, Cathy, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-8ee936510473a8238c6d74717580a24f29fe7c41cb0d0ab91d8f82f19f15afc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biological and medical sciences</topic><topic>Chondrocalcinosis - complications</topic><topic>Chondrocalcinosis - pathology</topic><topic>Chondrocalcinosis - surgery</topic><topic>Dentistry</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Surgery</topic><topic>Temporomandibular Joint Disorders - etiology</topic><topic>Temporomandibular Joint Disorders - pathology</topic><topic>Temporomandibular Joint Disorders - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sklenicka, Scott, DMD, MD</creatorcontrib><creatorcontrib>Dierks, Eric J., DMD, MD</creatorcontrib><creatorcontrib>Jarmin, Joe</creatorcontrib><creatorcontrib>Miles, Cathy, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sklenicka, Scott, DMD, MD</au><au>Dierks, Eric J., DMD, MD</au><au>Jarmin, Joe</au><au>Miles, Cathy, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pseudogout of the temporomandibular joint: an uncommon cause of temporomandibular joint pain and swelling</atitle><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>111</volume><issue>6</issue><spage>709</spage><epage>714</epage><pages>709-714</pages><issn>1079-2104</issn><eissn>1528-395X</eissn><abstract>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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21167760</pmid><doi>10.1016/j.tripleo.2010.07.018</doi><tpages>6</tpages></addata></record> |
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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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