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TMJ Disc Displacement
Kristine M. Mosier, DMD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Internal derangement (ID) of TMJ
            • Definitions

              • Abnormal positional & functional relationship between articular disc & articulating surfaces

            IMAGING

            • General Features

              • Imaging Recommendations

                • MR Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Reporting Tips

                                  Selected References

                                  1. Kakimoto N et al: Comparison of the T2 relaxation time of the temporomandibular joint articular disk between patients with temporomandibular disorders and asymptomatic volunteers. AJNR Am J Neuroradiol. 35(7):1412-7, 2014
                                  2. Aiken A et al: MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 20(3):397-412, 2012
                                  3. Vogl TJ et al: The value of MRI in patients with temporomandibular joint dysfunction: Correlation of MRI and clinical findings. Eur J Radiol. 85(4):714-9, 2016
                                  4. Sidebottom AJ: Current thinking in temporomandibular joint management. Br J Oral Maxillofac Surg. 47(2):91-4, 2009
                                  5. Tomas X et al: MR imaging of temporomandibular joint dysfunction: a pictorial review. Radiographics. 26(3):765-81, 2006
                                  6. Wang EY et al: Dynamic sagittal half-Fourier acquired single-shot turbo spin-echo MR imaging of the temporomandibular joint: initial experience and comparison with sagittal oblique proton-attenuation images. AJNR Am J Neuroradiol. 28(6):1126-32, 2007
                                  7. Rao VM et al: MR imaging of the temporomandibular joint. Neuroimaging Clin N Am. 14(4):761-75, 2004
                                  8. Ahmad M et al: Temporomandibular Joint Disorders and Orofacial Pain. Dent Clin North Am. 60(1):105-24, 2016
                                  9. Eberhard L et al: Temporomandibular joint (TMJ) disc position in patients with TMJ pain assessed by coronal MRI. Dentomaxillofac Radiol. 42(6):20120199, 2013
                                  10. Lamot U et al: Magnetic resonance imaging of temporomandibular joint dysfunction-correlation with clinical symptoms, age, and gender. Oral Surg Oral Med Oral Pathol Oral Radiol. 116(2):258-63, 2013
                                  11. Roh HS et al: Relationships between disk displacement, joint effusion, and degenerative changes of the TMJ in TMD patients based on MRI findings. J Craniomaxillofac Surg. 40(3):283-6, 2012
                                  12. Santos KC et al: Correlation among the changes observed in temporomandibular joint internal derangements assessed by magnetic resonance in symptomatic patients. J Oral Maxillofac Surg. 71(9):1504-12, 2013
                                  13. Liu F et al: Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 57(3):465-79, 2013
                                  14. Geiger D et al: Quantitative 3D ultrashort time-to-echo (UTE) MRI and micro-CT (μCT) evaluation of the temporomandibular joint (TMJ) condylar morphology. Skeletal Radiol. 43(1):19-25, 2014
                                  15. Habashi H et al: Dynamic high-resolution sonography compared to magnetic resonance imaging for diagnosis of temporomandibular joint disk displacement. J Ultrasound Med. 34(1):75-82, 2015
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Synonyms

                                              • Internal derangement (ID) of TMJ
                                            • Definitions

                                              • Abnormal positional & functional relationship between articular disc & articulating surfaces

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • MR Findings

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Kakimoto N et al: Comparison of the T2 relaxation time of the temporomandibular joint articular disk between patients with temporomandibular disorders and asymptomatic volunteers. AJNR Am J Neuroradiol. 35(7):1412-7, 2014
                                                                  2. Aiken A et al: MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 20(3):397-412, 2012
                                                                  3. Vogl TJ et al: The value of MRI in patients with temporomandibular joint dysfunction: Correlation of MRI and clinical findings. Eur J Radiol. 85(4):714-9, 2016
                                                                  4. Sidebottom AJ: Current thinking in temporomandibular joint management. Br J Oral Maxillofac Surg. 47(2):91-4, 2009
                                                                  5. Tomas X et al: MR imaging of temporomandibular joint dysfunction: a pictorial review. Radiographics. 26(3):765-81, 2006
                                                                  6. Wang EY et al: Dynamic sagittal half-Fourier acquired single-shot turbo spin-echo MR imaging of the temporomandibular joint: initial experience and comparison with sagittal oblique proton-attenuation images. AJNR Am J Neuroradiol. 28(6):1126-32, 2007
                                                                  7. Rao VM et al: MR imaging of the temporomandibular joint. Neuroimaging Clin N Am. 14(4):761-75, 2004
                                                                  8. Ahmad M et al: Temporomandibular Joint Disorders and Orofacial Pain. Dent Clin North Am. 60(1):105-24, 2016
                                                                  9. Eberhard L et al: Temporomandibular joint (TMJ) disc position in patients with TMJ pain assessed by coronal MRI. Dentomaxillofac Radiol. 42(6):20120199, 2013
                                                                  10. Lamot U et al: Magnetic resonance imaging of temporomandibular joint dysfunction-correlation with clinical symptoms, age, and gender. Oral Surg Oral Med Oral Pathol Oral Radiol. 116(2):258-63, 2013
                                                                  11. Roh HS et al: Relationships between disk displacement, joint effusion, and degenerative changes of the TMJ in TMD patients based on MRI findings. J Craniomaxillofac Surg. 40(3):283-6, 2012
                                                                  12. Santos KC et al: Correlation among the changes observed in temporomandibular joint internal derangements assessed by magnetic resonance in symptomatic patients. J Oral Maxillofac Surg. 71(9):1504-12, 2013
                                                                  13. Liu F et al: Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 57(3):465-79, 2013
                                                                  14. Geiger D et al: Quantitative 3D ultrashort time-to-echo (UTE) MRI and micro-CT (μCT) evaluation of the temporomandibular joint (TMJ) condylar morphology. Skeletal Radiol. 43(1):19-25, 2014
                                                                  15. Habashi H et al: Dynamic high-resolution sonography compared to magnetic resonance imaging for diagnosis of temporomandibular joint disk displacement. J Ultrasound Med. 34(1):75-82, 2015