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[Traumatic temporomandibular joint injuries].

S Puig1, C Krestan, C Glaser

  • 1Universitätsklinik für Radiodiagnostik, Währinger Gürtel 18-20, 1090 Wien/Osterreich. stefan.puig@univie.ac.at

Der Radiologe
|October 12, 2001
PubMed
Summary

Temporomandibular joint injuries often involve mandibular condyle fractures. Imaging choices range from orthopantomography for initial assessment to CT and MRI for detailed evaluation and diagnosis of complications.

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Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Dental Traumatology

Background:

  • Temporomandibular joint (TMJ) injuries are frequently associated with mandibular condyle fractures.
  • Skull base fractures involving the TMJ are uncommon but significant.
  • Fracture classification considers anatomical location, luxation, and intra-/extra-capsular involvement.

Purpose of the Study:

  • To outline the diagnostic imaging modalities for temporomandibular joint injuries.
  • To provide guidance on selecting appropriate imaging techniques based on clinical needs.
  • To emphasize the role of advanced imaging in surgical planning and complication diagnosis.

Main Methods:

  • Orthopantomography (OPG) as the primary imaging modality for initial assessment.
  • Computed Tomography (CT) for detailed evaluation, especially for therapy and surgical planning, including soft tissue assessment.

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  • Magnetic Resonance Imaging (MRI) for diagnosing complications and internal derangements of the TMJ.

    • Main Results:

    • OPG is effective for initial fracture detection.
    • CT provides crucial information for surgical planning and soft tissue evaluation.
    • MRI is essential for identifying internal derangements and post-injury complications.

    Conclusions:

    • The choice of imaging for TMJ injuries depends on the diagnostic question.
    • A multi-modal imaging approach, including OPG, CT, and MRI, optimizes diagnosis and treatment planning.
    • Accurate imaging is critical for managing TMJ fractures and their sequelae.