Temporomandibular joint chronic closed lock: Spontaneous resolution following surgical arthroscopy

Yazby, Waleed Fathy El; Sharrawy, Eman El; Mekhemer, Sameh; Sholkamy, Mohamed El; Beialy, Waleed El

doi:10.1016/j.fdj.2016.07.004

Cited by 1 publication

(2 citation statements)

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“…(27,29) Clearly, arthroscopic lysis and lavage have more possible complications than arthrocentesis, which is clinic-based, costeffective, and minimally invasive. (27) It is not the authors' intention to investigate the effectiveness of such procedures in the management of ID cases, as it is well documented throughout the literature (4,27,28) However, arthrocentesis is a clinic-based technique to washout inflammatory exudates and mediators as bradykinin, interleukin-6, proteins, denatured hemoglobin and various proteinases. (30,31) The reported fluids whether it be isotonic saline or Ringer or Ringer's lactated solution were usually along the volume of 100-300ml.…”

Section: Discussionmentioning

confidence: 99%

“…Patients suffering varying degrees of ID: namely disc displacement with reduction, and disc displacement without reduction (Wilkes classes II-IV). All chronic cases were conservatively treated using pharmacotherapy and splint therapy for a minimum of 3 months as highlighted in our previous publication; (4,28) and only those who failed to improve underwent TMJ arthroscopy. Acute closed lock patients underwent immediate arthroscopic lysis and lavage.…”

Section: Methodsmentioning

confidence: 99%

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TMJ Arthroscopy: “Capsular Migration” in Internal Derangement; Is Arthrocentesis a Reliable Substitute to Arthroscopy?

Beialy

Galal

2017

Egyptian Dental Journal

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Internal derangement (ID) of the TemporoMandibular Joint (TMJ) is a general orthopedic term implying a mechanical fault that interferes with the smooth action of a joint. Athroscopy and arthrocentesis of superior TMJ compartment are among the commonly used diagnostic and minimally invasive treatment modalities for ID. Arthrocentesis has been considered as the cheaper, simpler and blind substitute for arthroscopy. This study reports arthroscopic outcomes that defy this understanding, and presents a new arthroscopic finding in ID patients: "Capsular Migration"; which changes the criteria of a successful entry into the superior TMJ compartment.

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