Use and accuracy of US guidance for image-guided injections of the temporomandibular joints in children with arthritis

Abstract

In our experience, TMJ injections using sonographic guidance is a safe, effective and accurate procedure.

Intra-Articular Corticosteroid Injections to the Temporomandibular Joints Are Safe and Appear to Be Effective Therapy in Children With Juvenile Idiopathic Arthritis

“…The present findings confirm previous reports that IACI of the TMJ can be safely performed in children with JIA [10][11][12][13]16 ; moreover, this is the first study to report that the procedure can be performed with MAC in the absence of imaging guidance. This is important for 2 reasons.…”

TMJ imaging in JIA patients—An overview

“…This procedure is performed routinely in many centers, reporting excellent clinical results and a very low complication rate. 31,76 There is, however, a concern that the current level of evidence allows only very limited conclusions on the effect of steroid injections in JIA patients with TMJ arthritis as shown in a systematic review on efficacy and safety. 78 Moreover, experimental animal studies do not indicate a positive effect on the mandibular growth by the use of steroid injection in the TMJ as an early treatment of inflammation.…”

The Role of Corticosteroids in Today's Oral and Maxillofacial Surgery

“…[14] Other studies also confirmed that corticosteroid injection of the TMJ can be safely performed in children with JIA, and is effective. [15][16][17][18] Few studies have evaluated TMJ corticosteroid injection in JIA. In these studies the volume of corticosteroid injected was chosen empirically.…”