Signs and symptoms after temporomandibular joint washing and cannula placement assessed by cone beam computerized tomography

Abstract

The hydroxocobalamin push-pull synovial fluid sampling may cause minor, transient symptoms. CBCT does not seem to provide any clinical benefits concerning the correct cannula position in relation to the upper joint compartment and disc.

Controversial Aspects of Diagnostics and Therapy of Arthritis of the Temporomandibular Joint in Rheumatoid and Juvenile Idiopathic Arthritis—An Analysis of Evidence- and Consensus-Based Recommendations Based on an Interdisciplinary Guideline Project

“…In the case of borderline MRI findings with potential clinical relevance, also the use of invasive diagnostics was discussed during the consensus process, such as the option of examining synovial fluid in adult patients. This method was described initially by Alstergren et al [ 39 ], and subsequently evaluated [ 40 , 41 ] and validated [ 42 ] several times. It has, however, mainly been applied for basic research in the working group around Alstergren —while reports on clinical implementation are rare [ 43 ] and indications therefore are restrictive.…”