“…The etiology of the disease has not been completely clarified, but may involve secondary reactive metaplasia after trauma or chronic abnormal loading leading to detachment of chondrocytes. The role of microtrauma in the development of secondary SC has been suggested and demonstrated in an animal model by HELMY et al 4 , it was shown that SC was part of a process of osteoarthritis, secondary to trauma, which caused the loss of the shock absorption function of the intact TMJ disc. McCAIN et al 8 suggested that a traumatic episode could dislodge cartilaginous and/or bony tissue into the joint space, where it may be captured in the synovial tissue.…”
“…The etiology of the disease has not been completely clarified, but may involve secondary reactive metaplasia after trauma or chronic abnormal loading leading to detachment of chondrocytes. The role of microtrauma in the development of secondary SC has been suggested and demonstrated in an animal model by HELMY et al 4 , it was shown that SC was part of a process of osteoarthritis, secondary to trauma, which caused the loss of the shock absorption function of the intact TMJ disc. McCAIN et al 8 suggested that a traumatic episode could dislodge cartilaginous and/or bony tissue into the joint space, where it may be captured in the synovial tissue.…”
“…En contraste la forma secundaria, distingue condrocitos distribuidos uniformemente, algunos bi nucleados, con múltiples nódulos cartilaginosos ordenados en forma de bandas o anillos calcificados (Reinish et al), de comportamiento más pasivo, se relaciona a historia de trauma y artritis degenerativa (Zha et al). Helms et al (Helmy et al, 1989), demostraron el rol del micro trauma en modelos animal, postulando la CS como parte de un proceso de osteoartritis. (González-Pérez et al, 2011).…”
RESUMEN: La condromatosis sinovial (CS), es una lesión benigna poco frecuente y de clínica bastante inespecífica. Suele afectar articulaciones de huesos largos como la rodilla, el codo y la cadera, presentándose generalmente de manera unilateral. Se cree que solo un 3 % de los casos de CS afecta la articulación temporomandibular. Esta condición se caracteriza por ser un trastorno metaplásico del tejido conectivo sinovial que suele manifestarse con la formación de pequeños y múltiples nódulos de cartílago que posteriormente pueden desprenderse, calcificarse y formar cuerpos libres dentro del espacio articular. Presentamos el caso de una mujer de 55 años con condromatosis sinovial de la articulación temporomandibular, tratada desde hace 3 años bajo el diagnóstico de desórdenes temporomandibulares. A pesar de ser considerada una lesión de tipo benigna, esta puede llegar a ser localmente agresiva, extendiéndose como en nuestro reporte hacia la fosa craneal media, adelgazando parte del hueso temporal. PALABRAS CLAVE: condromatosis sinovial, articulación temporomandibular, fosa craneal media, hueso temporal.
“…Travmaya sekonder olarak geliştiğini ve İntakt TME' şok absorbiyon fonksiyonunu engellediği için osteoartrit gelişimine neden olduğunu rapor etmişlerdir. 27 Klinik olarak en yaygın osteoartrit semptomları ise şişlik, palpasyonda hassasiyet, krepitasyon, kısıtlı ağız açıklığıdır. Ağrı genellikle gündüzleri orta düzeydeyken, aktivite sonrasında artış gösterir.…”
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