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TMJ Juvenile Idiopathic Arthritis
Bernadette L. Koch, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Juvenile idiopathic arthritis (JIA)
          • Synonyms

            • Juvenile rheumatoid/chronic arthritis
              • JIA is preferred term of International League of Associations for Rheumatology (ILAR)
          • Definitions

            • Autoimmune musculoskeletal synovial inflammatory disease of childhood
            • ≥ 6 weeks
            • Begins < 16 years of age

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Staging, Grading, & Classification

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Treatment

                              Selected References

                              1. Kristensen KD et al: Clinical predictors of temporomandibular joint arthritis in juvenile idiopathic arthritis: a systematic literature review. Semin Arthritis Rheum. 45(6):717-32, 2016
                              2. von Kalle T et al: Early detection of temporomandibular joint arthritis in children with juvenile idiopathic arthritis - the role of contrast-enhanced MRI. Pediatr Radiol. 45(3):402-10, 2015
                              3. Arvidsson LZ et al: Temporomandibular joint findings in adults with long-standing juvenile idiopathic arthritis: CT and MR imaging assessment. Radiology. 256(1):191-200, 2010
                              4. Fjeld M et al: Relationship between disease course in the temporomandibular joints and mandibular growth rotation in patients with juvenile idiopathic arthritis followed from childhood to adulthood. Pediatr Rheumatol Online J. 8:13, 2010
                              5. Parra DA et al: Use and accuracy of US guidance for image-guided injections of the temporomandibular joints in children with arthritis. Pediatr Radiol. 40(9):1498-504, 2010
                              6. Argyropoulou MI et al: Temporomandibular joint involvement in juvenile idiopathic arthritis: clinical predictors of magnetic resonance imaging signs. Eur Radiol. 19(3):693-700, 2009
                              7. Arvidsson LZ et al: Radiographic TMJ abnormalities in patients with juvenile idiopathic arthritis followed for 27 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 108(1):114-23, 2009
                              8. Farronato G et al: Craniofacial growth in children affected by juvenile idiopathic arthritis involving the temporomandibular joint: functional therapy management. J Clin Pediatr Dent. 33(4):351-7, 2009
                              9. Müller L et al: Early diagnosis of temporomandibular joint involvement in juvenile idiopathic arthritis: a pilot study comparing clinical examination and ultrasound to magnetic resonance imaging. Rheumatology (Oxford). 48(6):680-5, 2009
                              10. Ringold S et al: The temporomandibular joint in juvenile idiopathic arthritis: frequently used and frequently arthritic. Pediatr Rheumatol Online J. 7:11, 2009
                              11. Stoustrup P et al: Intra-articular vs. systemic administration of etanercept in antigen-induced arthritis in the temporomandibular joint. Part II: mandibular growth. Pediatr Rheumatol Online J. 7:6, 2009
                              12. Barr T et al: Juvenile idiopathic arthritis: a chronic pediatric musculoskeletal condition with significant orofacial manifestations. J Can Dent Assoc. 74(9):813-21, 2008
                              13. Pedersen TK et al: A prospective study of magnetic resonance and radiographic imaging in relation to symptoms and clinical findings of the temporomandibular joint in children with juvenile idiopathic arthritis. J Rheumatol. 35(8):1668-75, 2008
                              14. Ringold S et al: Intraarticular corticosteroid injections of the temporomandibular joint in juvenile idiopathic arthritis. J Rheumatol. 35(6):1157-64, 2008
                              15. Twilt M et al: Long-term followup of temporomandibular joint involvement in juvenile idiopathic arthritis. Arthritis Rheum. 59(4):546-52, 2008
                              16. Weiss PF et al: High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound. Arthritis Rheum. 58(4):1189-96, 2008
                              17. Billiau AD et al: Temporomandibular joint arthritis in juvenile idiopathic arthritis: prevalence, clinical and radiological signs, and relation to dentofacial morphology. J Rheumatol. 34(9):1925-33, 2007
                              18. Twilt M et al: Incidence of temporomandibular involvement in juvenile idiopathic arthritis. Scand J Rheumatol. 36(3):184-8, 2007
                              19. Twilt M et al: Facioskeletal changes in children with juvenile idiopathic arthritis. Ann Rheum Dis. 65(6):823-5, 2006
                              20. Walton AG et al: Oral health and juvenile idiopathic arthritis: a review. Rheumatology (Oxford). 39(5):550-5, 2000
                              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

                                      TERMINOLOGY

                                      • Abbreviations

                                        • Juvenile idiopathic arthritis (JIA)
                                      • Synonyms

                                        • Juvenile rheumatoid/chronic arthritis
                                          • JIA is preferred term of International League of Associations for Rheumatology (ILAR)
                                      • Definitions

                                        • Autoimmune musculoskeletal synovial inflammatory disease of childhood
                                        • ≥ 6 weeks
                                        • Begins < 16 years of age

                                      IMAGING

                                      • General Features

                                        • CT Findings

                                          • MR Findings

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                • Staging, Grading, & Classification

                                                  • Microscopic Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Treatment

                                                          Selected References

                                                          1. Kristensen KD et al: Clinical predictors of temporomandibular joint arthritis in juvenile idiopathic arthritis: a systematic literature review. Semin Arthritis Rheum. 45(6):717-32, 2016
                                                          2. von Kalle T et al: Early detection of temporomandibular joint arthritis in children with juvenile idiopathic arthritis - the role of contrast-enhanced MRI. Pediatr Radiol. 45(3):402-10, 2015
                                                          3. Arvidsson LZ et al: Temporomandibular joint findings in adults with long-standing juvenile idiopathic arthritis: CT and MR imaging assessment. Radiology. 256(1):191-200, 2010
                                                          4. Fjeld M et al: Relationship between disease course in the temporomandibular joints and mandibular growth rotation in patients with juvenile idiopathic arthritis followed from childhood to adulthood. Pediatr Rheumatol Online J. 8:13, 2010
                                                          5. Parra DA et al: Use and accuracy of US guidance for image-guided injections of the temporomandibular joints in children with arthritis. Pediatr Radiol. 40(9):1498-504, 2010
                                                          6. Argyropoulou MI et al: Temporomandibular joint involvement in juvenile idiopathic arthritis: clinical predictors of magnetic resonance imaging signs. Eur Radiol. 19(3):693-700, 2009
                                                          7. Arvidsson LZ et al: Radiographic TMJ abnormalities in patients with juvenile idiopathic arthritis followed for 27 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 108(1):114-23, 2009
                                                          8. Farronato G et al: Craniofacial growth in children affected by juvenile idiopathic arthritis involving the temporomandibular joint: functional therapy management. J Clin Pediatr Dent. 33(4):351-7, 2009
                                                          9. Müller L et al: Early diagnosis of temporomandibular joint involvement in juvenile idiopathic arthritis: a pilot study comparing clinical examination and ultrasound to magnetic resonance imaging. Rheumatology (Oxford). 48(6):680-5, 2009
                                                          10. Ringold S et al: The temporomandibular joint in juvenile idiopathic arthritis: frequently used and frequently arthritic. Pediatr Rheumatol Online J. 7:11, 2009
                                                          11. Stoustrup P et al: Intra-articular vs. systemic administration of etanercept in antigen-induced arthritis in the temporomandibular joint. Part II: mandibular growth. Pediatr Rheumatol Online J. 7:6, 2009
                                                          12. Barr T et al: Juvenile idiopathic arthritis: a chronic pediatric musculoskeletal condition with significant orofacial manifestations. J Can Dent Assoc. 74(9):813-21, 2008
                                                          13. Pedersen TK et al: A prospective study of magnetic resonance and radiographic imaging in relation to symptoms and clinical findings of the temporomandibular joint in children with juvenile idiopathic arthritis. J Rheumatol. 35(8):1668-75, 2008
                                                          14. Ringold S et al: Intraarticular corticosteroid injections of the temporomandibular joint in juvenile idiopathic arthritis. J Rheumatol. 35(6):1157-64, 2008
                                                          15. Twilt M et al: Long-term followup of temporomandibular joint involvement in juvenile idiopathic arthritis. Arthritis Rheum. 59(4):546-52, 2008
                                                          16. Weiss PF et al: High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound. Arthritis Rheum. 58(4):1189-96, 2008
                                                          17. Billiau AD et al: Temporomandibular joint arthritis in juvenile idiopathic arthritis: prevalence, clinical and radiological signs, and relation to dentofacial morphology. J Rheumatol. 34(9):1925-33, 2007
                                                          18. Twilt M et al: Incidence of temporomandibular involvement in juvenile idiopathic arthritis. Scand J Rheumatol. 36(3):184-8, 2007
                                                          19. Twilt M et al: Facioskeletal changes in children with juvenile idiopathic arthritis. Ann Rheum Dis. 65(6):823-5, 2006
                                                          20. Walton AG et al: Oral health and juvenile idiopathic arthritis: a review. Rheumatology (Oxford). 39(5):550-5, 2000