Is There an Association Between Temporomandibular Joint Effusion and Arthralgia?

Nasir, Khawaja Shehryar; Crow, Heidi; Mahmoud, Ruba Faisal Ghazi; Kartha, Krishnan; Gonzalez, Yoly

doi:10.1016/j.joms.2016.08.027

Cited by 22 publications

(25 citation statements)

References 34 publications

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“…Clinical examination protocols were uniform, with 9 out of 11 included studies used RDC/TMD, one study used the DC/TMD, 30 and another used the CDC/TMD 24 . RDC/TMD criteria include a cluster of measurements including sensitivity to palpation, range of motion measurement and detection of joint sounds.…”

Section: Discussionmentioning

confidence: 99%

“…MRI results are influenced by such factors as MRI technique and imaging protocol, diagnostic criteria and observer performance. Many studies did not report parameters for image acquisition 18,30‐33 . The remaining studies reported similar MRI technique of the TMJ.…”

Section: Discussionmentioning

confidence: 99%

“…The total sample size comprised 1464 subjects. The selected studies were conducted in different countries: USA, 18,23,30,31 Italy, 26,27 Austria, 24,28 Turkey, 33 Sweden, 25 Korea, 32 Germany, 29 the Netherlands 35 and Brazil. 34 Eleven studies used the RDC/TMD protocol, 18,23,[25][26][27]29,[31][32][33][34][35] two studies used the CDC/TMD, 24,28 and one study used the DC/TMD.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Diagnostic correlation between clinical protocols and magnetic resonance findings in temporomandibular disorders: A systematic review and meta‐analysis

Abdalla‐Aslan

Shilo

Nadler

et al. 2021

J of Oral Rehabilitation

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Background Our aim was to assess the diagnostic correlation between clinical protocols and magnetic resonance (MRI) findings in temporomandibular disorders (TMDs), including disc displacement with and without reduction (DDwR; DDwoR) and arthralgia. Methods A systematic review performed in two phases according to the PRISMA checklist. Specific indexing terms were used for search of studies assessing TMDs through clinical diagnostic protocols with the aid of Research Diagnostic Criteria for TMDs or Diagnostic Criteria for TMDs. Quality assessment performed using QUADAS‐2. Heterogeneity was assessed using I2. Publication bias was assessed using funnel plots. For meta‐analysis, we used random effect model or fixed effect. The main outcomes were sensitivity and specificity of clinical protocols. Results Fourteen studies included in the qualitative analysis and 11 studies in the meta‐analysis. None of the studies fulfilled all criteria of QUADAS‐2. High heterogeneity and high publication bias were found among the studies. Clinical protocols for assessing DDwR compared with MRI showed pooled sensitivity of 66% and specificity of 72%. For DDwoR, sensitivity was 61% and specificity 98%. For arthralgia, sensitivity was 43% and specificity 68% for the presence of effusion. Conclusions This review reveals the need for studies with improved quality. Clinical protocols show poor to moderate validity in diagnosis of DDwR and DDwoR compared with MRI. No correlation was found between a clinical diagnosis of arthralgia and MRI effusion. Clinical diagnostic protocols can be used as screening tools, reserving the use of MRI for a more accurate diagnosis in patients with symptoms or dysfunction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Diagnostic correlation between clinical protocols and magnetic resonance findings in temporomandibular disorders: A systematic review and meta‐analysis

Abdalla‐Aslan

Shilo

Nadler

et al. 2021

J of Oral Rehabilitation

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“…This disorder is usually related to increased mechanical load, stress and joint injuries 7,8 . Patients with TMJ effusion 3,9,10 and osteoarthrosis 11–15 often have signs and symptoms associated with pain and dysfunction of the TMJ. However, to the best of our knowledge, some authors question the relationship.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of patients with temporomandibular joint osteoarthrosis on magnetic resonance imaging

Toshima

Ogura

2020

J Med Imag Rad Onc

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Introduction: Temporomandibular joint (TMJ) dysfunction is a common condition that is best evaluated with magnetic resonance (MR) imaging. The aim of this study was to investigate the characteristics of the patients with TMJ osteoarthrosis on MR imaging. Methods: The MR images of 206 TMJs of 103 patients with temporomandibular disorders (TMD) were evaluated retrospectively in this study. The relationship between osteoarthrosis and age, gender, TMJ pain and MR imaging findings, such as disc displacement with or without reduction and TMJ effusion, was analysed. Results: The patients with TMJ osteoarthrosis (mean: 51.6 years) were significantly older than those without osteoarthrosis (mean: 44.8 years, P = 0.027). The incidence of the patients with TMJ osteoarthrosis was significantly different between with (10.0 %) and without reduction (57.0 %, P < 0.001). Logistic multivariate regression analysis demonstrated that disc displacement without reduction was significant in patients with TMJ osteoarthrosis (odds ratio = 12.285, P < 0.001). Conclusions: This study suggests that characteristics of the patients with TMJ osteoarthrosis on MR imaging include older and disc displacement without reduction.

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“…Effusion is observed as high-resolution signals on T2weighted MRI. It is thought that joint effusion marks the inflammatory process (6). In some studies, synovial fluids with joint effusion have been shown to have increased levels of proteins and proinflammatory cytokines (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the presence of effusion in patients with temporomandibular joint disorder

Yavuz¹,

Kaya²,

Oğul³

et al. 2019

Ann Med Res

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The aim of this study is to investigate the relationship between effusion and disc displacement that were detected in MRIs of temporomandibular joint disorder (TMD) patients Material and Methods: MRIs of 60 patients who had pain and/or dysfunction in the TMJ region were evaluated for the presence of effusion. TMC disc positions of 60 MRI results were divided into three groups: normal disc position (control group, n: 20), disc displacement with reduction (R group, n: 20) and disc displacement without reduction (NR group, n: 20). When evaluating the presence of effusion, hyperintense thin lines or absence of effusion was evaluated as no effusion; while signal intensity of more than 2 mm at the anterior-posterior length or superior-inferior height at the joint space was evaluated as the presence of effusion. Results: According to MRI findings, effusion was observed in 2 of the 20 joints (10%) in the control group, 8 of the 20 joints (40%) in the R group and 17 of the 20 joints (85%) in the NR group. When the groups were compared with each other, there was a statistically significant difference between the groups (p<0.05). Conclusion: In TMD, where normal disc position deteriorates to disc displacement, the prevalence of effusion also increases. It is thought that changes in effusion levels can be used as a marker for evaluating the prognosis of TMD.

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Is There an Association Between Temporomandibular Joint Effusion and Arthralgia?

Cited by 22 publications

References 34 publications

Diagnostic correlation between clinical protocols and magnetic resonance findings in temporomandibular disorders: A systematic review and meta‐analysis

Diagnostic correlation between clinical protocols and magnetic resonance findings in temporomandibular disorders: A systematic review and meta‐analysis

Characteristics of patients with temporomandibular joint osteoarthrosis on magnetic resonance imaging

Evaluation of the presence of effusion in patients with temporomandibular joint disorder

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