Skip to main content

Advertisement

SpringerLink
Log in

Magnetic resonance imaging of the temporomandibular joint in children with juvenile idiopathic arthritis

  • Pictorial Essay
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

For more than a century, it has been known that juvenile idiopathic arthritis (JIA) can affect the temporomandibular joint. With advances in medical imaging in more recent decades, there has been an increase in awareness of the spectrum of pathology that can affect the temporomandibular joint in children with JIA. This pathology can lead to symptoms ranging from decreased chewing ability, jaw and facial pain, headaches and malocclusion to craniofacial morphological changes such as a retrognathic mandible. The purpose of this review is to suggest an MR imaging protocol for the temporomandibular joint and to illustrate normal and abnormal appearances of the joint in children with JIA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16

Similar content being viewed by others

References

  1. Still G (1941) On a form of chronic joint disease. Arch Dis Child 16:156–165

    Article  PubMed  CAS  Google Scholar 

  2. Billiau AD, Hu Y, Verdonck A et al (2007) Temporomandibular joint arthritis in juvenile idiopathic arthritis: prevalence, clinical and radiological signs, and relation to dentofacial morphology. J Rheumatol 34:1925–1933

    PubMed  Google Scholar 

  3. Sidiropoulou-Chatzigianni S, Papadopoulos MA, Kolokithas G (2009) Dentoskeletal morphology in children with juvenile idiopathic arthritis compared with healthy children. J Orthod 28:53–58

    Article  Google Scholar 

  4. Kuseler A, Pedersen TK, Gelineck J (1998) Contrast enhanced magnetic resonance imaging as a method to diagnose early inflammatory changes in the temporomandibular joint in children with juvenile chronic arthritis. J Rheumatol 25:1406–1412

    PubMed  CAS  Google Scholar 

  5. Ringold S, Cron RQ (2009) The temporomandibular joint in juvenile idiopathic arthritis: frequently used and frequently arthritic. Pediatr Rheumatol 7:11

    Article  Google Scholar 

  6. Georgios K, Helias A, Athanassios K et al (2009) Craniofacial surgical management of a patient with systematic juvenile idiopathic arthritis and Crohn’s disease. J Craniofac Surg 20:948–950

    Article  PubMed  Google Scholar 

  7. Kofod T, Nørholt SE, Pedersen TK et al (2005) Unilateral mandibular ramus elongation by intraoral distraction osteogenesis. J Craniofac Surg 16:247–254

    Article  PubMed  Google Scholar 

  8. Argyropoulou MI, Margariti PN, Karali A et al (2009) Temporomandibular joint involvement in juvenile idiopathic arthritis: clinical predictors of magnetic resonance imaging signs. Eur Radiol 19:693–700

    Article  PubMed  Google Scholar 

  9. Towbin R, Chao CP, Caplin D et al. (2010) ACR-SIR practice guideline for sedation/analgesia. http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Adult_Sedation.pdf. Accessed 6 May 2013

  10. Cotes J, Wilson S (2006) Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics 118:2587–2602

    Article  Google Scholar 

  11. Aiken A, Bouloux G, Hudgins P (2012) MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am 20:397–412

    Article  PubMed  Google Scholar 

  12. Hayt MW, Abrahams JJ, Blair J (2000) Magnetic resonance imaging of the temporomandibular joint. Top Magn Reson Imaging 11:138–146

    Article  PubMed  CAS  Google Scholar 

  13. Roth C, Ward RJ, Tsai S et al. (2005) MR imaging of the TMJ: a pictorial essay. App Radiol. http://www.appliedradiology.com/Issues/2005/05/Articles/MR-imaging-of-the-TMJ--A-pictorial-essay.aspx. Accessed 22 January 2013

  14. Eberhard D, Bantleon HP, Steger W (2000) Functional magnetic resonance imaging of temporomandibular joint disorders. Eur J Orthod 22:489–497

    Article  PubMed  CAS  Google Scholar 

  15. Küseler A, Pedersen TK, Gelineck J et al (2005) A 2 year followup study of enhanced magnetic resonance imaging and clinical examination of the temporomandibular joint in children with juvenile idiopathic arthritis. J Rheumatol 32:162–169

    PubMed  Google Scholar 

  16. Fritz J, Thomas C, Tzaribachev N et al (2009) MRI-guided injection procedures of the temporomandibular joints in children and adults: technique, accuracy, and safety. AJR Am J Roentgenol 193:1148–1154

    Article  PubMed  Google Scholar 

  17. Von Kalle T, Winkler P, Stuber T (2012) Contrast-enhanced MRI of normal temporomandibular joints in children – is there enhancement or not? Rheumatology 52:636–637

    Google Scholar 

  18. Winalski CS, Sledge B, Weissman N (1993) Enhancement of joint fluid with intravenously administered gadopentetate dilmeglumine: technique, rationale and implications. Radiology 187:179–185

    PubMed  CAS  Google Scholar 

  19. Gylys-Morin VM, Graham TB, Blebea JS et al (1999) Knee in early juvenile rheumatoid arthritis: MR imaging findings. Radiology 220:696–706

    Article  Google Scholar 

  20. Dwivde AN, Tripathi R, Gupta PK et al (2012) Magnetic resonance imaging evaluation of temporomandibular joint and associated soft tissue changes following acute condylar injury. J Oral Maxillofac Surg 70:2829–2834

    Article  Google Scholar 

  21. Gupta VK, Mehrotra D, Malhotra S et al (2012) An epidemiological study of temporomandibular joint ankylosis. Natl J Maxillofac Surg 3:25–30

    Article  PubMed  CAS  Google Scholar 

  22. Amos MJ, Patterson AR, Worrall SF (2008) Septic arthritis of the temporomandibular joint in a 6-year-old child. Br J Oral Maxillofac Surg 46:242–243

    Article  PubMed  CAS  Google Scholar 

  23. Arabshahi B, Baskin KM, Cron RQ (2007) Reactive arthritis of the temporomandibular joints and cervical spine in a child. Pediatr Rheumatol 5:4

    Article  Google Scholar 

Download references

Conflicts of interest

None

Author information

Author notes

  1. Arthur B. Meyers

    Present address: Department of Radiology, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA

Authors and Affiliations

  1. Department of Radiology, MLC 5031, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229-3039, USA

    Arthur B. Meyers & Tal Laor

Authors
  1. Arthur B. Meyers
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tal Laor
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tal Laor.

Additional information

CME activity This article has been selected as the CME activity for the current month. Please visit the SPR Web site at www.pedrad.org on the Education page and follow the instructions to complete this CME activity.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Meyers, A.B., Laor, T. Magnetic resonance imaging of the temporomandibular joint in children with juvenile idiopathic arthritis. Pediatr Radiol 43, 1632–1641 (2013). https://doi.org/10.1007/s00247-013-2769-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-013-2769-z

Keywords

Search

Navigation