MRI findings of temporomandibular joints with disk perforation

Ami Kuribayashi1, Kiyoshi Okochi, Kaoru Kobayashi

  • 1Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. ami8orad@tmd.ac.jp

Abstract

Insights

Magnetic resonance imaging (MRI) reveals that temporomandibular joint (TMJ) disk perforation is associated with disk deformity and obscured temporal posterior attachment (TPA). These findings help differentiate TMJ disk perforation from other conditions.

Area of Science:

  • Radiology
  • Orthodontics
  • Oral and Maxillofacial Surgery

Background:

  • Temporomandibular joint (TMJ) disk perforation is a significant pathological condition.
  • Accurate diagnosis of TMJ disk perforation is crucial for effective treatment planning.

Purpose of the Study:

  • To identify characteristic magnetic resonance imaging (MRI) findings associated with TMJ disk perforation.
  • To compare MRI findings in TMJs with disk perforation, anterior disk displacement, and asymptomatic controls.

Main Methods:

  • MRI scans of 31 TMJs with disk perforation, 37 with anterior disk displacement, and 22 asymptomatic TMJs were analyzed.
  • TMJ arthrography was used to confirm disk perforation.
  • MRI findings including disk deformity, displacement, bone changes, effusion, and temporal posterior attachment (TPA) visualization were evaluated and compared across groups.

Main Results:

  • TMJs with disk perforation showed significantly higher incidences of anterior disk displacement and condylar bone changes compared to asymptomatic controls.
  • Disk deformity and TPA obscurity were significantly more frequent in the disk perforation group.
  • These findings suggest specific MRI indicators for TMJ disk perforation.

Conclusions:

  • Obscurity of the TPA is a characteristic MRI finding in TMJs with disk perforation, alongside disk deformity.
  • MRI can effectively identify key features indicative of TMJ disk perforation.

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