[Nuclear magnetic resonance tomography of the temporomandibular joint. Comparison with computerized tomography and...

79 patients aged 6 to 66 years (9 men and 70 women) with abnormalities of the TMJs were examined by magnetic resonance tomography (132 joints) and the results were compared with CT (16 joints) and arthrography (39 joints). Magnetic resonance tomography showed forward luxation of the meniscus in 82 joints (62%). In 34 joints (26%) the meniscus spontaneously resumed normal position when the mouth was open, but in 48 joints (36%) the displacement was permanent. The accuracy of resonance tomography was equal to that of arthrography and superior to CT. It was particularly suitable for follow-up examination after surgery (23 cases) when invasive arthrography would be contraindicated or difficult. Because of the high resolution of the soft tissue components in the TMJ, resonance tomography should be able to diagnose inflammatory and degenerative changes in the meniscus and ligaments.