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Semin Musculoskelet Radiol 2019; 23(06): 634-642
DOI: 10.1055/s-0039-1697938
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dynamic Weight-bearing Magnetic Resonance in the Clinical Diagnosis of Internal Temporomandibular Joint Disorders

Silvana Giannini
1   Department of Radiology, Casa di Cura Villa Stuart Sports Clinic, Università degli Studi di Roma “Foro Italico,” Rome, Italy
,
Giorgio Chiogna
2   Department of Surgical and Dental Sciences, Fondazione Don Carlo Gnocchi, Rome, Italy
,
Rosario Francesco Balzano
3   Department of Clinical and Experimental Medicine, University School of Medicine, Foggia, Italy
,
Giuseppe Guglielmi
3   Department of Clinical and Experimental Medicine, University School of Medicine, Foggia, Italy
› Author Affiliations
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Publication History

Publication Date:
19 November 2019 (online)

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Abstract

Temporomandibular joint (TMJ) disorders can be painful and cause functional limitations and bone changes. Deeper clinical knowledge of the pathologies related to the TMJ has always been hindered by the difficult identification of the causes that limit its movement. Weight-bearing magnetic resonance imaging (WBMRI) can reproduce the articular movement in orthostasis and allows the evaluation of joint movement. WBMRI, compared with other procedures such as double-type condylography and real-time dynamic ultrasound, helps to better identify tissue characteristics of the articular glenoid-condylar surfaces, articular space, disk position on both the open and closed mouth, and the locoregional musculotendinous area. WBMRI also identifies the true position of the articular disk in orthostasis, emphasizing the different joint positions compared with the study carried out in a clinostatic (supine) position.

Keywords

temporomandibular joint - weight-bearing MRI - functional weight-bearing examination
 

  • References

  • 1 Slavicek R. Relationship between occlusion and temporomandibular disorders: implications for the gnathologist. Am J Orthod Dentofacial Orthop 2011; 139 (01) 10 , 12, 14 passim
    CrossrefPubMedSearch in Google Scholar
  • 2 Piehslinger E, Celar A, Celar RM, Slavicek R. Orthopedic jaw movement observations. Part V: Transversal condylar shift in protrusive and retrusive movement. Cranio 1994; 12 (04) 247-251
    PubMedSearch in Google Scholar
  • 3 Liu ZJ, Yamagata K, Kuroe K, Suenaga S, Noikura T, Ito G. Morphological and positional assessments of TMJ components and lateral pterygoid muscle in relation to symptoms and occlusion of patients with temporomandibular disorders. J Oral Rehabil 2000; 27 (10) 860-874
    CrossrefPubMedSearch in Google Scholar
  • 4 Manoliu A, Spinner G, Wyss M. , et al. Quantitative and qualitative comparison of MR imaging of the temporomandibular joint at 1.5 and 3.0 T using an optimized high-resolution protocol. Dentomaxillofac Radiol 2016; 45 (01) 20150240
    CrossrefPubMedSearch in Google Scholar
  • 5 Iwasaki H, Kubo H, Harada M, Nishitani H. Temporomandibular joint and 3.0 T pseudodynamic magnetic resonance imaging. Part 1: evaluation of condylar and disc dysfunction. Dentomaxillofac Radiol 2010; 39 (08) 475-485
    CrossrefPubMedSearch in Google Scholar
  • 6 Iwasaki H, Kubo H, Harada M, Nishitani H, Ohashi Y. Temporomandibular joint and 3.0 T pseudodynamic magnetic resonance imaging. Part 2: evaluation of articular disc obscurity. Dentomaxillofac Radiol 2010; 39 (08) 486-493
    CrossrefPubMedSearch in Google Scholar
  • 7 Breul R. Biomechanical analysis of stress distribution in the temporomandibular joint. Ann Anat 2007; 189 (04) 329-335
    CrossrefPubMedSearch in Google Scholar
  • 8 Vogl TJ, Lauer HC, Lehnert T. , et al. The value of MRI in patients with temporomandibular joint dysfunction: correlation of MRI and clinical findings. Eur J Radiol 2016; 85 (04) 714-719
    CrossrefPubMedSearch in Google Scholar
  • 9 Ferreiro Perez A, Garcia Isidro M, Ayerbe E, Castedo J, Jinkins JR. Evaluation of intervertebral disc herniation and hypermobile intersegmental instability in symptomatic adult patients undergoing recumbent and upright MRI of the cervical or lumbosacral spines. Eur J Radiol 2007; 62 (03) 444-448
    CrossrefPubMedSearch in Google Scholar
  • 10 Zhong G, Buser Z, Lao L, Yin R, Wang JC. Kinematic relationship between missed ligamentum flavum bulge and degenerative factors in the cervical spine. Spine J 2015; 15 (10) 2216-2221
    CrossrefPubMedSearch in Google Scholar
  • 11 Stemper BD, Baisden JL, Yoganandan N, Pintar FA, Paskoff GR, Shender BS. Determination of normative neck muscle morphometry using upright MRI with comparison to supine data. Aviat Space Environ Med 2010; 81 (09) 878-882
    CrossrefPubMedSearch in Google Scholar
  • 12 Yang J, Chu D, Dong L, Court LE. Advantages of simulating thoracic cancer patients in an upright position. Pract Radiat Oncol 2014; 4 (01) e53-e58
    CrossrefPubMedSearch in Google Scholar
  • 13 Utz KH, Hugger A, Ahlers MO, Seeher WD. S2k guideline, instrumental functional analysis in dentistry. J Craniomand Funct 2016; 8: 185-236
    PubMedSearch in Google Scholar
  • 14 Melis M, Secci S, Ceneviz C. Use of ultrasonography for the diagnosis of temporomandibular joint disorders: a review. Am J Dent 2007; 20 (02) 73-78
    PubMedSearch in Google Scholar
  • 15 Kirkhus E, Gunderson RB, Smith HJ. , et al. Temporomandibular joint involvement in childhood arthritis: comparison of ultrasonography-assessed capsular width and MRI-assessed synovitis. Dentomaxillofac Radiol 2016; 45 (08) 20160195
    CrossrefPubMedSearch in Google Scholar
  • 16 Emshoff R, Bertram S, Rudisch A, Gassner R. The diagnostic value of ultrasonography to determine the temporomandibular joint disk position. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84 (06) 688-696
    CrossrefPubMedSearch in Google Scholar
  • 17 Sonenblum SE, Sprigle SH, Cathcart JM, Winder RJ. 3-dimensional buttocks response to sitting: a case report. J Tissue Viability 2013; 22 (01) 12-18
    CrossrefPubMedSearch in Google Scholar
  • 18 Testut L. Anatomia Umana-Osteologia. Turin, Italy: Utet; 1923
    Search in Google Scholar
  • 19 Quinn PD. Color Atlas of Temporomandibular Joint Surgery. St. Louis, MO: Mosby; 1998
    Search in Google Scholar
  • 20 Westesson PL, Otonari-Yamamoto M, Sno T, Okano T. Anatomy, pathology, and imaging of the temporomandibular joint. In: Som PM, Curtin HD. , eds. Head and Neck Imaging. 5th ed. St. Louis, MO: Mosby; 2011
    Search in Google Scholar
  • 21 Fuentes R, Dias F, Salamanca C, Borie-Echevarría E, Ottone NE. Review of the Tanaka ligament in the temporomandibular joint. Analyzing its scientific validity. Int J Morphol 2018; 36 (01) 87-91
    CrossrefPubMedSearch in Google Scholar
  • 22 Wilkinson T, Chan EK. The anatomic relationship of the insertion of the superior lateral pterygoid muscle to the articular disc in the temporomandibular joint of human cadavers. Aust Dent J 1989; 34 (04) 315-322
    CrossrefPubMedSearch in Google Scholar
  • 23 Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. Open Orthop J 2014; 8: 326-345
    CrossrefPubMedSearch in Google Scholar
  • 24 Ferrario V, Sforza C. Biomechanical model of the human mandible: a hypothesis involving stabilizing activity of the superior belly of lateral pterygoid muscle. J Prosthet Dent 1992; 68 (05) 829-835
    CrossrefPubMedSearch in Google Scholar
  • 25 Kumar R, Pallagatti S, Sheikh S, Mittal A, Gupta D, Gupta S. Correlation between clinical findings of temporomandibular disorders and MRI characteristics of disc displacement. Open Dent J 2015; 9: 273-281
    CrossrefPubMedSearch in Google Scholar
  • 26 Matsumoto A, Celar RM, Celar A, Sato S, Suzuki Y, Slavicek R. An analysis of hinge axis translation and rotation during opening and closing in dentulous and edentulous subjects. Cranio 1995; 13 (04) 238-241
    PubMedSearch in Google Scholar
  • 27 Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice. Philadelphia, PA: Elsevier; 2016
    Search in Google Scholar
  • 28 Iwasaki LR, Gonzalez YM, Liu H, Marx DB, Gallo LM, Nickel JC. A pilot study of ambulatory masticatory muscle activities in temporomandibular joint disorders diagnostic groups. Orthod Craniofac Res 2015; 18 (01) (Suppl. 01) 146-155
    CrossrefPubMedSearch in Google Scholar
  • 29 Juniper RP. Electromyography of the two heads of external pterygoid muscle via the intra-oral route. Electromyogr Clin Neurophysiol 1983; 23 (1–2): 21-33
    PubMedSearch in Google Scholar
  • 30 Gsellmann B, Schmid-Schwap M, Piehslinger E, Slavicek R. Lengths of condylar pathways measured with computerized axiography (CADIAX) and occlusal index in patients and volunteers. J Oral Rehabil 1998; 25 (02) 146-152
    CrossrefPubMedSearch in Google Scholar
  • 31 Grossi GB, Garagiola U, Santoro F. Measuring effectiveness of orthognathic surgery by electromyography: a retrospective clinical study. Minerva Stomatol 2017; 66 (03) 98-106
    PubMedSearch in Google Scholar
  • 32 Stefanoff V, Hausamen JE, van den Berghe P. Ultrasound imaging of the TMJ disc in asymptomatic volunteers. Preliminary report. J Craniomaxillofac Surg 1992; 20 (08) 337-340
    CrossrefPubMedSearch in Google Scholar
  • 33 Kundu H, Basavaraj P, Kote S, Singla A, Singh S. Assessment of TMJ disorders using ultrasonography as a diagnostic tool: a review. J Clin Diagn Res 2013; 7 (12) 3116-3120
    PubMedSearch in Google Scholar
  • 34 Jank S, Emshoff R, Norer B. , et al. Diagnostic quality of dynamic high-resolution ultrasonography of the TMJ—a pilot study. Int J Oral Maxillofac Surg 2005; 34 (02) 132-137
    PubMedSearch in Google Scholar
  • 35 Oei EHG, Wick MC, Müller-Lutz A, Schleich C, Miese FR. Cartilage imaging: techniques and developments. Semin Musculoskelet Radiol 2018; 22 (02) 245-260
    Thieme ConnectPubMedSearch in Google Scholar
  • 36 Gupta V, Khandelwal N, Mathuria SN, Singh P, Pathak A, Suri S. Dynamic magnetic resonance imaging evaluation of craniovertebral junction abnormalities. J Comput Assist Tomogr 2007; 31 (03) 354-359
    CrossrefPubMedSearch in Google Scholar
  • 37 Heffez LB, Mafee MF, Rosenberg H. Imaging Atlas of the Temporomandibular Joint. Baltimore, MD: Williams and Wilkins; 1995
    Search in Google Scholar
  • 38 Katzberg RW, Westesson PL. Diagnosis of the Temporomandibular Joint. Philadelphia, PA: WB Saunders; 1993
    Search in Google Scholar
  • 39 Talmaceanu D, Lenghel LM, Bolog N. , et al. Imaging modalities for temporomandibular joint disorders: an update. Clujul Med 2018; 91 (03) 280-287
    PubMedSearch in Google Scholar
  • 40 Liu ZJ, Yamagata K, Kuroe K, Suenaga S, Noikura T, Ito G. Morphological and positional assessments of TMJ components and lateral pterygoid muscle in relation to symptoms and occlusion of patients with temporomandibular disorders. J Oral Rehabil 2000; 27 (10) 860-874
    CrossrefPubMedSearch in Google Scholar
  • 41 Millon-Cruz A, Martín-Granizo R, Encinas A, Berguer A. Relationship between intra-articular adhesions and disc position in temporomandibular joints: magnetic resonance and arthroscopic findings and clinical results. J Craniomaxillofac Surg 2015; 43 (04) 497-502
    CrossrefPubMedSearch in Google Scholar
  • 42 Eberhard L, Giannakopoulos NN, Rohde S, Schmitter M. Temporomandibular joint (TMJ) disc position in patients with TMJ pain assessed by coronal MRI. Dentomaxillofac Radiol 2013; 42 (06) 20120199
    CrossrefPubMedSearch in Google Scholar