MR Imaging of the Temporomandibular A Cadaver Study of the Value of Coronal Images
|
|
- Sylvia Ward
- 6 years ago
- Views:
Transcription
1 1245 Bernhard W. Schwaighofer1 2 Terry T. Tanaka3 Michael V. Klein1 David J. Sartons1 Donald Resnick4 Received October 30, 1989; accepted after revision January 30, This work was supported in part by fellowship J0283M (Erwin Schroedinger Stipendium), Austria, awarded to B. W. Schwaighofer. I Department of Radiology and Magnetic Resonance Institute, lkiiversity of Califomia, San Diego, Medical Center, 225 Dickinson St., San Diego. CA Address reprint requests to D. J. Sarteds. 2 Present address: Department of Radiology, 2 Med. Univ. Klinik, Gamisongasse 13, A-1090 Vienna, Austria. 3 Department of RadiOlOgy, Lkiversity of California, San Diego, Medical Center, San Diego, CA Department of Radiology. Veterans Administration Medical Center, 3350 La Jolla Village Dr., San Diego, CA X/90/ C American Roentgen Ray Society MR Imaging of the Temporomandibular Joint: A Cadaver Study of the Value of Coronal Images Recent studies comparing cryosectional anatomy of the temporomandibular joint (TMJ) to its MR appearance have shown that the assessment of disk displacement is inaccurate when based on the sagittal plane alone. This article describes the MR appearance of the normal and abnormal (positional and osseous changes) TMJ in the coronal plane and compares these findings with their cryosectional anatomy. Twentytwo TMJs from unselected frozen cadavers were embedded in paraffin. Coronal and sagittal MR imaging was performed; specimens were then cut in the same plane as the coronal images. Disk position by cryosection was normal in 14 cases and abnormal in eight cases. Coronal MR images alone correctly depicted the TMJ disk position in 17 cases (77%) (13 normal, four abnormal). Complementary sagittal images were necessary for diagnosing anterior displacement in two cases (9%). MR was inaccurate in three cases (14%) of severe degenerative joint disease. Bone condition was correctly diagnosed on the basis of coronal Images alone in all cases. Our study shows that coronal MR imaging alone of the TMJ in cadavers accurately shows disk position in 77% of cases. Complementary sagittal Images were of benefit In the diagnosis of an additional 9% with anterior displacement. Disk position was assessed inaccurately in either plane in patients with severe degenerative joint disease. For a full MR assessment of the TMJ for disk position and bone condition, we recommend imaging in both coronal and sagittal planes. AJR 154: , June 1990 Pain and dysfunction of the temporomandibularjoint (TMJ) are a common clinical syndrome seen in up to 39% of the population [1 ]. Patients complaints include clicking, pain, crepitation, earache, and headache [2]. Potential causes are arthrosis, remodeling of the hard and soft structures, and internal derangements involving the articular disk and its attachments. Articular disk derangements frequently involve anterior [3, 4] and/or medial displacement [5, 6]. Different imaging techniques, including plain radiography, arthrography, and CT, were used to evaluate TMJ dysfunctions. Today, MR imaging has gained popularity among clinicians and radiologists with its ability to directly image disk margins and attachments. Sagittal MR imaging appears to be useful in the detection and delineation of disk configuration and displacement [2, 3, 7, 8]. The accuracy of MR imaging in assessing TMJ disk position has been found to be comparable with that of other imaging techniques, such as arthrography [9] and CT [8]. Recent studies comparing MR imaging with cryosectional anatomy have shown that the assessment of medial or lateral disk displacement based on the sagittal plane alone yields inaccurate results [4, 7, 9-1 2]. Additionally, rotational and sideways displacement of the disk frequently is misdiagnosed or missed entirely on sagittal MR imaging or arthrography [6]. Increased accuracy apparently can be achieved with MR by using a combination of sagittal and coronal views [6]. However, limitations of coronal plane MR imaging of both the normal and abnormal TMJ must be considered if it is routinely used to complement the sagittal images..
2 1246 SCHWAIGHOFER ET AL. AJR:154, June 1990 In this study, we describe the MR appearance of both the normal and abnormal TMJ in the coronal plane and compare these findings with their cryosectional anatomy. Positional derangements and bone abnormalities as seen in the coronal plane are described, and the diagnostic accuracy and limitations of MR imaging in the coronal plane alone and in combination with the sagittal plane are discussed. Materials and Methods Twenty-two TMJs in the closed-jaw position were removed as blocks measuring approximately 5 x 5 x 5 cm from unselected fresh deep-frozen cadavers. No information about age, sex, or possible clinical premorbid TMJ symptoms of the cadavers was available. Standardized positioning during MR imaging and cryosectioning was achieved by embedding the specimens in square blocks of paraffin with one side oriented parallel to the condylar long axis. Plain radiographs were used to confirm position. All scans were obtained on a commercially available Signa MR imager operating at 1.5 T (General Electric, Milwaukee, WI). Each specimen was thawed to room temperature and imaged with a 6.5- cm round planar surface coil operating in the receive mode. For best imaging quality, a special imaging protocol was used with an 8-cm field of view, 256 x 256 matrix, partial saturation pulse sequence with 600 msec repetition time and 20 msec echo time, and six excitations. Imaging was performed with 3-mm contiguous slices in the coronal plane (parallel to the long axis of the condyle) and a 3- mm slice thickness with a 1.5-mm interslice gap in the sagittal plane. The blocks were marked along these slices for sectioning. After MR imaging, the specimens were refrozen. Fine-tooth metalblade band saws and handsaws were used to cut each block in the same coronal plane as the coronal MR images. The cut surfaces of the specimens were photographed. The MR images were independently evaluated for disk position and bone abnormalities by three radiologists who had no knowledge of the cryosectional results. Once the coronal images of all specimens were reviewed, the sagittal images were examined for additional information not present on the coronal images. The sagittal images were not evaluated separately as there were no cryosections in this plane for comparison. If a consensus opinion was not initially achieved, the image(s) in question were reviewed again by all evaluators, and a final consensus diagnosis was then made. MR findings subsequently were correlated with cryosection observations (as the morphologic standard). The following criteria for disk position were used for both cryosections and MR images. The position of the TMJ disk was classified as normal or abnormal. If the disk was midway between the central portion of the condylar head and the apposing mandibular fossa, its position was considered normal [5, 1 1]. If the disk was displaced in either the coronal or sagittal plane, its position was considered to be abnormal. The position of an abnormal disk in the coronal plane was classified as either medial or lateral on the basis of its location relative to the superior surface of the condyle. Anterior displacement, if present, was diagnosed on the basis of the coronal MR image if the disk was seen on an image slice anterior to the condylar head and either no disk or only a small area of disk was noted above the condyle. Anterior disk displacement findings on coronal MR images then were correlated with the corresponding sagittal image. The cryosections and MR images of the TMJ joints were evaluated for evidence of osseous abnormalities, such as flattening and osteophytosis of the condyle, also. Results The results are summarized in Table 1. When compared with cryosectional anatomy, disk position was diagnosed correctly by coronal MR alone in 17 (77%) of the 22 joints and by the use of complementary coronal and sagittal MR images in 1 9 (86%) of the 22 joints. In 1 4 (64%) of the 22 cadaver specimens, cryosectional analysis showed the disk in a normal position. In 1 3 (93%) of these 14 cases, the disk position was diagnosed as normal on both coronal and sagittal MR images. On coronal MR images, normal disks were located superior to the condyle and had a homogeneous relatively low signal intensity that was readily distinguishable from the surrounding tissues (Fig. 1). Only one of the 14 cryosectional specimens with normal disk position had a disk that was not visible on MR. This specimen had severe degenerative changes of the condyle with marked disk thinning. No perforations were found on either cryosection or MR imaging. Abnormal disk position was noted on cryosection in eight (36%) of the 22 specimens. Seven cases had medially dislo- TABLE 1: Disk Position and Bone Abnormalities Diagnosed on the Basis of Cryosection and MR Images in 22 Patients Temporomandibular Condition Joint Cryosection Diagnosis Diagnosis by Coronal MR Images Only Diagnosis by Complementary Coronal and Sagittal MR Images Disk Position Normal Abnormal displacement Medial only Lateral only Anterior only Anteromedial Anterolateral Bone Condition Normal Abnormal Osteoporosis Degenerative changes 9 9 0
3 AJR:154, June 1990 MR OF TEMPOROMANDIBULAR JOINT 1247 Fig. 1.-A-C, Coronal schematic illustration (A), spin-echo Ti-weighted (600/20) MR image (B), and cryosection specimen (C) show normal right temporomandibular joint anatomy with disk positioned midway between central portion of condylar head and apposing mandibular fossa. CapeUle- - space - \, Lower jointspace Fig. 2.-A and B, Coronal spin-echo TIweighted (600/20) MR image (A) and cryosection specimen (B) show severe medial and mild anterior disk temporomandibular joint displacement. Marked medial displacement of disk (arrows) relative to medial pole of condyle is seen. Slight anterior displacement was evident on multiple coronal MR images and cryosection spedmens. cated disks; five also had anterior displacement. One specimen had anterolateral disk displacement. No specimens had isolated anterior or lateral disk displacement. MR images correctly depicted the position in all five specimens with anteromedial disk displacement (100%) (Fig. 2) and in one of two specimens with medial-only disk displacement (50%). MR images incorrectly depicted the TMJ disk position in the one specimen with anterolateral displacement (Fig. 3). The two specimens incorrectly diagnosed on the basis of MR findings A Lateral disc attachments- -_ Medial disc attachment had severe degenerative changes of the condyle with thinning of the disk (Fig. 3). Of the five specimens with anteromedial displacement diagnosed on the basis of MR findings, coronal views alone were sufficient for diagnosis of the anterior cornponent of the displacement in three cases, and the use of complementary sagittal images was necessary in two cases. MR images accurately correlated with the cryosections in the assessment of bone in all 22 cases (1 00%). The bone appeared normal in 1 1 of the 22 specimens.
4 1248 SCHWAIGHOFER ET AL. AJR:154, June 1990 Of the 1 1 specimens with bone abnormalities, two without degenerative changes had an accentuated trabecular bone pattern noted on both cryosectional examination and MA, which was interpreted as severe osteoporosis of the condyle. Nine specimens showed degenerative changes, including erosions, flattening, and osteophytosis of the condyle. The diagnosis of degenerative change was possible in all cases on the basis of coronal MR images alone. Erosions and flattening of the condyles, however, were better seen on coronal than on sagittal MR images (Fig. 4). Osteophytosis was better shown on sagittal than on coronal MR images. Discussion Our findings support previous studies showing that MR imaging clearly shows both normal [7, 1 1, 1 3] and abnormal TMJ position [7, 1 0, 13], except for cases involving severe degenerative joint disease. Coronal MR images alone allowed us to assess correctly the position of the TMJ disk in 77% of cases. The use of complementary sagittal MR images increased the accuracy to 86%. Our results correlate well with the only other published MR study that used both coronal and sagittal images [6], which revealed an accuracy of MR in the evaluation of disk position of 83% compared with cryosectional specimens. The inability of coronal views to provide additional information regarding disk position in a normal TMJ relative to the condylar head in our study is comparable to other reported results [8]. We found that inaccurate assessment of disk position by MR imaging occurred primarily in joints with severe degenerative changes involving a significantly thinned disk. For these cases, the joint spaces and surrounding tissues also had degenerative changes with an increase in MR signal intensity similar to that of the disk. Consequently, a distinct delineation of the thinned TMJ disk from surrounding tissue was not possible on MR. Several published reports discuss the occasional inability to differentiate the disk from the joint capsule, particularly in the presence of increased disk signal intensity resembling that of the capsule [9]. Fig. 3.-A and B, Coronal cryosection specimen (A) clearly shows anterolateral temporomandibular joint (TMJ) disk displacement (small arrows) on left side that was not diagnosed on the basis of coronal spin-echo Ti-weighted (600/20) MR images (B). Incorrect MR diagnosis of TMJ disk position occurred in the presence of severe condylar degenerative changes and bony erosions, which are seen on both MR image and cryosection (long arrows). Mediolateral displacements of the TMJ disk are not uncommon [6]; sideways displacement occurred in 36% of our specimens. The large percentage of patients with rotational anteromedial and medial sideways disk displacements supports recent findings that indicate that these derangements are more common than rotational anterolateral or lateral displacements [6]. Importantly, standard protocols that use only sagittal MR images are not sufficiently accurate in the evaluation of sideways TMJ disk displacement [6]. Consequently, a full MR examination of the TMJ for positional disk abnormalities would include imaging in both coronal and sagittal planes. Osseous abnormalities were diagnosed on all coronal images. The use of complementary sagittal MR images allowed better characterization of these changes. Coronal images more clearly depicted erosions and flattening of the condyles; sagittal images showed osteophytosis better. When sagittal MR imaging only is performed, accuracy in detecting the bone abnormalities may be as low as 60% [9]. Despite theoretical limitations of bone evaluation, MR has an accuracy rate in identifying osseous abnormalities (such as degenerative joint disease) comparable with that of CT [9], although these alterations may be less clearly visualized by MR [6]. Other reports suggest that CT remains superior in delineating osseous abnormalities [3, 8]. An important potential limitation of MR is its inability to reveal TMJ disk perforations, which are shown readily by arthrography [1 0, 14, 15]. Whereas an early study showed a TMJ disk perforation on sagittal Ti -weighted images [3], more recent reports suggest that disk or posterior attachment perforations may be missed by either sagittal or coronal MR imaging [9, 10]. The use of a cadavenc model could limit the direct application of our results to the clinical setting. Although the unselected specimens used in this study may not match the age and sex distribution of a typical clinical population, the accuracy of MR in characterizing pathologic changes present in the specimens should be comparable with that of in vivo MR imaging. The ability of MR to show early pathologic changes underscores the importance of distinguishing symp-
5 AJR:154, June 1990 MR OF TEMPOROMANDIBULAR JOINT 1249 Fig. 4.-A-C, Right coronal (A) and sagittal (B) spin-echo Ti-weighted (600/20) MR images and cryosection specimen (C) show condylar flattening and osteophytes. Cryosection specimen shows flattening and osteophytosis of condyle (long arrows) in addition to severe anteromedial disk displacement (arrowheads). Coronal image (A) shows condylar flattening (long arrows) better than sagittal image (B) does. Osteophytosis (short arrow) is shown more clearly on sagittal (B) than on coronal (A) image. tomatic anatomic change from asymptornatic pathologic change or normal variation. In the present study, the absence of information about premorbid clinical symptoms as related to the cryosectional findings makes the significance of the more subtle findings difficult to assess. Also, cadaveric joint specimens may have components that move during the thawing process, thus increasing the prevalence of both falsepositive and false-negative findings. The cadaveric model, however, provides an opportunity for accurate pathologic correlation that is unavailable in most clinical studies. Image quality of cadaver sections is maximized by the lack of movement and decreased noise from surrounding tissues. MR image quality in clinical studies may be degraded by patients movements, noise from surrounding tissue, and older ferromagnetic orthodontic appliances or surgical implants [3, 4, 12]. Additionally, incomplete imaging frequently occurs as the result of claustrophobic episodes [3, 4, 12]. In summary, the use of the coronal plane alone allows a good assessment of the TMJ disk position and bone condition, with additional information on anterior disk displacement provided by the complementary sagittal image. Inaccuracies also occur in the presence of severe degenerative joint disease. For an optimal study of this joint, we recommend the combined use of coronal and sagittal MR images. REFERENCES 1. Pullinger AG, Seligman DA, Solberg WK. Temporomandibular disorders. Part I: Functional status, dentomorphologic features, and sex difterences in a nonpatient population. J Prosth Dent i988;59: Sokoloft R, Sartoris DJ, Resnick D. uncovering the sources of temporomandibular jolnt malfunction. J Musculoskel Med 1988;5 : Harms SE, Wilk RM, Wolford LM, Chiles DG, Milan SB. The temporomandibular jolnt: magnetic resonance imaging using surface coils. Radiology 1985;157: Harms SE, Wilk RM. Magnetic resonance imaging of the temporomandibular joint. RadioGraphics 1987;7 : Juniper RP. The pathogenesis and investigation of TMJ dysfunction. Br J Oral Maxillofac Surg 1987;25: Katzberg RW, Westesson PL, Talents RH, et al. Temporomandibular joint: MR assessment of rotational and sideways disk displacement. Radiology 1988;169: Katzberg RW, Bessette RW, Talents RH, et al. Normal and abnormal temporomandibular joint: MR imaging with surface coil. Radiology 1986; 158: Westesson P-L, Katzberg RW, Talents RH, Sanchez-Woodworth RE, Svensson SA. CT and MR of the temporomandibular joint: comparison with autopsy specimens. AJR 1987:148: Westesson P-L, Katzberg RW, Talents RH, Sanchez-Woodworth RE, Svensson SA, Espeland MA. Temporomandibular joint: comparison of MR images with cryosectional anatomy. Radiology 1987;164: Donlon WC, Moon KL. Comparison of magnetic resonance imaging, arthrotomograph and clinical and surgical findings in temporomandibular joint derangements. Oral Surg Oral Med Oral Pathol 1987;64: Kaplan PA, Tu HK, Williams SM, Lydiatt DD. The normal temporomandibular joint: MR and arthrographic correlation. Radiology 1987;1 65: Schellhas KP, Wilkes CH, Fritts HM, Omlie MR. Heithoft KB, Jahn JA. Temporomandibularjoint: MR imaging of internal derangements and postoperative changes. AJR 1988:150: Roberts D, Schenck J, Joseph P. et al. Temporomandibularjoint: magnetic resonance imaging. Radiology 1985:155: Westesson P-L, Bronstein SL, Uedberg J. Temporornandibular joint: ocrrelation between single-contrast videoarthrography and postmortem morphology. Radiology 1986:160: Westesson P-L, Rohlin M. Diagnostic accuracy of double-contrast arthrotomography of the temporomandibular joint: correlation with postmortem morphology. AiR 1984:5:
The mandibular condyle fracture is a common mandibular
ORIGINAL RESEARCH P. Wang J. Yang Q. Yu MR Imaging Assessment of Temporomandibular Joint Soft Tissue Injuries in Dislocated and Nondislocated Mandibular Condylar Fractures BACKGROUND AND PURPOSE: Evaluation
More informationDisk Displacement of the Temporomandibular Joint: Sonography Versus MR Imaging
Rüdiger Emshoff 1 Siegfried Jank 1 Stefan Bertram 1 Ansgar Rudisch 2 Gerd Bodner 2 Received July 3, 2001; accepted after revision December 17, 2001. 1 Department of Oral and Maxillo-Facial Surgery, University
More informationOriginal. Mamiko FUJIKURA 1, Keiichi NISHIKAWA 2 and Kazuyuki ARAKI 3
Showa Univ J Med Sci 29 4, 415 423, December 2017 Original Magnetic Resonance Imaging Signal Intensities of the Temporomandibular Joint Articular Disc and Cortical Bone : Are These Measurements Valid for
More informationEvaluation of Temporomandibular Joint Disk Displacement in Asymptomatic Volunteers Using Magnetic Resonance Imaging
Int J Oral-Med Sci 14(1):21-27, 2015 21 Original Article Evaluation of Temporomandibular Joint Disk Displacement in Asymptomatic Volunteers Using Magnetic Resonance Imaging Takashi Uchida, 1,4 Osamu Komiyama,
More informationThe Temporomandibular joint: Anatomy, Mechanics, Pathology. Aditya Bahel, DO
The Temporomandibular joint: Anatomy, Mechanics, Pathology Aditya Bahel, DO Outline Anatomy Mechanics and function Indications for TMJ imaging MR Protocols and pitfalls Pathology Treatment options Anatomy
More informationOberoi et al Mandibular deviation with MRI
Original Article DOI: 10.21276/ijchmr.2017.3.1.04 Correlation of Mandibular Deviation with Temporomandibular Joint (MRI) Dimensions between Deviated and Non Deviated Side: An original study Inderpreet
More informationSensitivity and Specificity in Detection of Labral Tears with 3.0-T MRI of the Shoulder
Magee and Williams MRI for Detection of Labral Tears Musculoskeletal Imaging Clinical Observations C M E D E N T U R I C L I M G I N G JR 2006; 187:1448 1452 0361 803X/06/1876 1448 merican Roentgen Ray
More informationConventional Radiographic Assessment of Temporomandibular Joint Disorders in Young Saudi Patients: A Retrospective and Prospective Radiographic Study
10.5005/jp-journals-10029-1045 Sultan Mohammed Kaleem et al RESEARCH ARTICLE Conventional Radiographic Assessment of Temporomandibular Joint Disorders in Young Saudi Patients: A Retrospective and Prospective
More informationFISH VERTEBRAE RADIOLOGIC VIGNETTE DONALD L. RESNICK
~ 1073 RADIOLOGIC VIGNETTE FISH VERTEBRAE DONALD L. RESNICK The term fish verfebru is applied to a vertebral body that has an abnormal shape characterized by biconcavity due to depression of its superior
More informationwww.oralradiologists.com CONE BEAM CT REPORT CASE ---- Case Information Referring Doctor: - Patient Name: - Scan Date: December 1, 2015 Patient DOB: - Reason for Exam: - Study Details: icat Flex, 160x160x112
More informationMagnetic Resonance (MR) Abnormalities of the Lateral Pterygoid Muscle in Sideways and Rotational Disc Displacement of the Temporomandibular Joint
Original Article Magnetic Resonance (MR) Abnormalities of the Lateral Pterygoid Muscle in Sideways and Rotational Disc Displacement of the Temporomandibular Joint Abstract Umer Abdullah 1, Rai Tariq Masood
More informationDiagnostic concordance between MRI and electrovibratography of the temporomandibular joint of subjects with disc displacement disorders
Dentomaxillofacial Radiology (2013) 42, 20120155 ª 2013 The British Institute of Radiology http://dmfr.birjournals.org RESEARCH Diagnostic concordance between MRI and electrovibratography of the temporomandibular
More informationClinical details: Details of scan: CONE BEAM CT REPORT: Name: H. B. Gender: Reason for referral: Referred by:
Name: H. B. Gender: Male DOB: 11/12/1950 Age: 64 Date taken: 16/11/2015 Date reported: 19/11/2015 Clinical details: Reason for referral: Referred by: Investigate symptoms related to left TMJ. Reconstructed
More informationKaan Orhan 1, Ozlem Ucok 1, Cagri Delilbasi 2, Candan Paksoy 1, Necdet Dogan 1, Kemal Karakurumer 1, Tuncer Ozen 1. Introduction. Patients and methods
Prevalence of temporomandibular joint sideways disc displacement in symptom-free volunteers and comparison of signal intensity ratios of masticator muscles on magnetic resonance images Kaan Orhan 1, Ozlem
More informationTemporomandibular Joint: MR
1093 Temporomandibular Joint: MR Imaging of Internal Derangements and Postoperative Changes Kurt P. Schell has ' Clyde H. Wilkes 2 Hollis M. Fritts' Mark R. Omlie 3 Kenneth B. Heithoff' Jeffrey A. Jahn'
More informationConventional radiograph verses CT for evaluation of sagittal fracture of mandibular condyle
Case Report: Conventional radiograph verses CT for evaluation of sagittal fracture of mandibular condyle Dr Anjali Wadhwa, Dr Gaurav Shah, Dr Shweta Sharma, Dr Anand Bhatnagar, Dr Pallavi Malaviya NIMS
More informationArtigo Original / Original Article
Artigo Original / Original Article IJD ISSN:1806-146X Mandibular condyle morphology on panoramic radiographs of asymptomatic temporomandibular joints Christiano Oliveira 1 Renata Tarnoschi Bernardo 2 Ana
More informationMandibular manipulation of anterior disc displacement without reduction*
Journal of Oral Rehabilitation. 1991, Volume 18, pages 497-500 andibular manipulation of anterior disc displacement without reduction R.G. Cardiff, U.K. JAGGER Department of Prosthetic Dentistry. University
More informationTemporomandibular Joint Disorders
Temporomandibular Joint Disorders Introduction Temporomandibular joint disorders, or TMJ disorders, are a group of medical problems related to the jaw joint. TMJ disorders can cause headaches, ear pain,
More informationMagnetic Resonance Magnetic Resonance Imaging
( 1390 4 24 ) Magnetic Resonance Magnetic Resonance Imaging 3 2 1 - - - 1 Evaluation of the relationship between relative signal intensity of magnetic resonance images of retrodiscal tissue and lateral
More informationMRI imaging of the temporo-mandibular joint (TMJ) with regard to degeneration and disk displacement.
MRI imaging of the temporo-mandibular joint (TMJ) with regard to degeneration and disk displacement. Poster No.: P-0023 Congress: ESSR 2015 Type: Educational Poster Authors: A. Hagenkord; Basel/CH Keywords:
More informationMRI evaluation of TMJ condylar angulations
MRI evaluation of TMJ condylar angulations Poster No.: C-2272 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Musculoskeletal M. Pregarz 1, C. Bodin 2 ; 1 Peschiera del Garda/IT,
More informationThe efficacy of anterior repositioning splint therapy studied by magnetic resonance imaging
European Journal of Orthodontics 24 (2002) 343 352 2002 European Orthodontic Society The efficacy of anterior repositioning splint therapy studied by magnetic resonance imaging D. Eberhard*, H.-P. Bantleon*
More informationTemporomandibular Joint Clicking Noises Caused by a Multilocular Bone Cyst: A Case Report
Temporomandibular Joint Clicking Noises Caused by a Multilocular Bone Cyst: A Case Report Abstract When diagnosing patients with temporomandibular disorder (TMD) symptoms, the possibility of unusual causes
More informationFOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING:
National Imaging Associates, Inc. Clinical guidelines TEMPOROMANDIBULAR JOINT (TMJ) MRI Original Date: May 23, 2003 Page 1 of 5 CPT Code: 70336 Last Review Date: May 2016 NCD 220.2 MRI Last Effective Date:
More informationOSTEOPHYTOSIS OF THE FEMORAL HEAD AND NECK
908 RDIOLOGIC VIGNETTE OSTEOPHYTOSIS OF THE FEMORL HED ND NECK DONLD RESNICK Osteophytes are frequently considered the most characteristic abnormality of degenerative joint disease. In patients with osteoarthritis,
More informationMagnetic resonance imaging of femoral head development in roentgenographically normal patients
Skeletal Radiol (1985) 14:159-163 Skeletal Radiology Magnetic resonance imaging of femoral head development in roentgenographically normal patients Peter J. Littrup, M.D. 1, Alex M. Aisen, M.D. 2, Ethan
More informationtriquetrum in rheumatoid arthritis
Ann. rheum. Dis. (1976), 35, 46 Early abnormalities of pisiform and triquetrum in rheumatoid arthritis DONALD RESNICK From the Department of Radiology, Veterans Administration Hospital, San Diego, and
More informationThe most common internal derangement within the human
Two-year Natural Course of Anterior Disc Displacement with Reduction Stanimira Kalaykova, DDS PhD Student Amsterdam (ACTA) Research Institute MOVE University of Amsterdam and VU University Amsterdam Frank
More informationVolume 107, Number 6 cluded as an imaging option in the original RDC/ TMD, it has been recommended as a screening tool for TMJ pathology.3-5 With the
Vol. 107 No. 6 June 2009 ORAL AND MAXILLOFACIAL RADIOLOGY Editor: Allan G. Farman Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner
More informationDentofacial characteristics of women with oversized mandible and temporomandibular joint internal derangement
Original Article Dentofacial characteristics of women with oversized mandible and temporomandibular joint internal derangement Beom-Seok Moon a ; Il-Hyung Yang b ; Sug-Joon Ahn c ABSTRACT Introduction:
More informationValue of Lipid- and Water- Suppression MR Images in Distinguishing Between Blood and Lipid Within Ovarian Masses
321 Value of Lipid- and Water- Suppression MR Images in Distinguishing Between Blood and Lipid Within Ovarian Masses Ruben Kier1 The distinction between blood and lipid in ovarian masses on MR imaging
More informationKEY WORDS: Disc Displacement; Effusion; Temporomandibular Joint; Magnetic Resonance Imaging
Imaging Science in Dentistry 2013; 43: 245-51 http://dx.doi.org/10.5624/isd.2013.43.4.245 Relationship between anterior disc displacement with/without reduction and effusion in temporomandibular disorder
More informationRadiographic Assessment of Asymmetry of the Mandible
Radiographic Assessment of Asymmetry of the Mandible Per-Lennart Westesson, Ross H. Tallents, Richard W. Katzberg, and Jeffrey A. Guay PURPOSE: To assess the relationship between mandibular asymmetry and
More informationModified Oblique Sagittal Magnetic Resonance Imaging of Rotator Cuff Tears: Comparison with Standard Oblique Sagittal Images
Journal of Magnetics 22(3), 519-524 (2017) ISSN (Print) 1226-1750 ISSN (Online) 2233-6656 https://doi.org/10.4283/jmag.2017.22.3.519 Modified Oblique Sagittal Magnetic Resonance Imaging of Rotator Cuff
More informationDynamic High-Resolution Sonography Compared to Magnetic Resonance Imaging for Diagnosis of Temporomandibular Joint Disk Displacement
ORIGINAL RESEARCH Dynamic High-Resolution Sonography Compared to Magnetic Resonance Imaging for Diagnosis of Temporomandibular Joint Disk Displacement Hadeel Habashi, MD, Ayelet Eran, MD, Israel Blumenfeld,
More informationThe diagnostic value of ultrasonography to determine the temporomandibular joint disk position
Vol. 84 No. 6 December 1997 ORAL AND MAXILLOFACIAL RADIOLOGY Editor: Sharon L. Brooks The diagnostic value of ultrasonography to determine the temporomandibular joint disk position Rtidiger Emshoff, MD,
More informationCase Report. Hatice Gökalp, DDS, PhD a ; Hakan Türkkahraman, DDS b
Case Report Changes in Position of the Temporomandibular Joint Disc and Condyle After Disc Repositioning Appliance Therapy: A Functional Examination and Magnetic Resonance Imaging Study Hatice Gökalp,
More informationEvaluation of TMJ sound on the subject with TMJ disorder by Joint Vibration Analysis
ORIGINAL ARTICLE DOI:10.4047/jap.2009.1.1.26 Evaluation of TMJ sound on the subject with TMJ disorder by Joint Vibration Analysis In-Taek Hwang 1, DDS, MSD, Da-Un Jung 1, DDS, MSD, Jae-Hoon Lee 1, DDS,
More informationWeb-based calibration of observers using MRI of the temporomandibular joint
(2012) 41, 656 661 2012 The British Institute of Radiology http://dmfr.birjournals.org RESEARCH Web-based calibration of observers using MRI of the temporomandibular joint K Hellén-Halme*,1, L Hollender
More informationInternational Journal of Oral and Maxillofacial Diseases
Original Research Surface wise and section wise evaluation of Flattening, Osteophyte, Erosion and Sclerosis of Temporomandibular Joint on Computed Tomography in a patient with Rheumatoid arthritis (RA)
More information3 Sternoclavicular Joints
3 Sternoclavicular Joints Anne Grethe Jurik and Flemming Brandt Soerensen 29 Contents 3.1 Introduction.......................................................... 29 3.2 Macroscopic Anatomy.................................................
More informationThe future of health is digital
Dated: XX/XX/XXXX Name: XXXXXXXX XXXXXXXXXXX Birth Date: XX/XX/XXXX Date of scan: XX/XX/XXXX Examination of the anatomical volume: The following structures are reviewed and evaluated for bilateral symmetry,
More informationSonographic Findings of Adductor Insertion Avulsion Syndrome With Magnetic Resonance Imaging Correlation
Case Report Sonographic Findings of Adductor Insertion Avulsion Syndrome With Magnetic Resonance Imaging Correlation Jennifer S. Weaver, MD, Jon A. Jacobson, MD, David A. Jamadar, MBBS, Curtis W. Hayes,
More informationPrevalence of Meniscal Radial Tears of the Knee Revealed by MRI After Surgery
Downloaded from www.ajronline.org by 46.3.207.114 on 12/22/17 from IP address 46.3.207.114. Copyright RRS. For personal use only; all rights reserved Thomas Magee 1 Marc Shapiro David Williams Received
More informationCone-beam computed tomography findings of temporomandibular joints with osseous abnormalities
Oral Radiol (2012) 28:82 86 DOI 10.1007/s11282-012-0094-0 ORIGINAL ARTICLE Cone-beam computed tomography findings of temporomandibular joints with osseous abnormalities Mustafa Alkhader Ra ed Al-Sadhan
More informationThe examination of the temporomandibular joint on 1,5T magnetic resonance
Prague Medical Report / Vol. 105 (2004) No. 1, p. 29 34 29) The examination of the temporomandibular joint on 1,5T magnetic resonance Peterová V. 1, Jirman R. 2, Mazánek J. 2, Seidl Z. 1 1 MR Department,
More informationEvaluation of the reproducibility in the interpretation of magnetic resonance images of the temporomandibular joint
(2010) 39, 157 161 2010 The British Institute of Radiology http://dmfr.birjournals.org RESEARCH Evaluation of the reproducibility in the interpretation of magnetic resonance images of the temporomandibular
More informationTEMPORO-MANDIBULAR JOINT DISORDERS
Disclaimer This movie is an educational resource only and should not be used to manage your dental health. All decisions about the management of TMJ Disorders must be made in conjunction with your Dental
More informationEthan M. Braunstein, M.D. 1, Steven A. Goldstein, Ph.D. 2, Janet Ku, M.S. 2, Patrick Smith, M.D. 2, and Larry S. Matthews, M.D. 2
Skeletal Radiol (1986) 15:27-31 Skeletal Radiology Computed tomography and plain radiography in experimental fracture healing Ethan M. Braunstein, M.D. 1, Steven A. Goldstein, Ph.D. 2, Janet Ku, M.S. 2,
More informationThis presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Outline Coils, Patient Positioning Acquisition Parameters, Planes and Pulse Sequences Knee Arthrography Normal
More informationof the lumbar facet joints there
Skeletal Radiol (1999) 28:215±219 International Skeletal Society 1999 A R T I C L E Dominik Weishaupt Marco Zanetti Norbert Boos Juerg Hodler MR imaging and CT in osteoarthritis of the lumbar facet joints
More informationUsefulness of Unenhanced MRI and MR Arthrography of the Shoulder in Detection of Unstable Labral Tears
Musculoskeletal Imaging Original Research Unenhanced MRI and MR rthrography for Unstable Labral Tears Musculoskeletal Imaging Original Research Thomas 1,2 T Keywords: labral tear, MRI, shoulder DOI:10.2214/JR.14.14262
More informationMeniscal Tears: Role of Axial MRI Alone and in Combination with Other Imaging Planes
Nefise Cagla Tarhan 1,2 Christine. Chung 1 urea Valeria Rosa Mohana-orges 1 Tudor Hughes 1 Donald Resnick 1 Received September 30, 2003; accepted after revision February 2, 2004. 1 Department of Radiology,
More informationThis presentation is the intellectual property of the author. Contact them at for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Financial Disclosure Dr. Jennifer Swart has no relevant financial relationships with commercial interests to disclose.
More informationA Rare Case of Cheerleader Syndrome, Case Report
47 A Rare Case of Cheerleader Syndrome, Case Report Dr. Ayad AL mudarris, FIBMS (1) and Dr. Shifaa Hussain, MSc (2) (1)Head of Maxillofacial Surgical Department. Al Imamain Al Kadhemain Medical City; (2)
More informationEVALUATION OF LATERAL PTERYGOID MUSCLE IN TEMPOROMANDIBULAR DISORDER PATIENTS - A MRI STUDY. Part I
EVALUATION OF LATERAL PTERYGOID MUSCLE IN TEMPOROMANDIBULAR DISORDER PATIENTS - A MRI STUDY Part I Authors : Dr. Amol S. Patil, BDS, MDS (ORTHODONTIA) Lecturer, Department of Orthodontics, Bharati Vidyapeeth
More informationUC San Diego UC San Diego Previously Published Works
UC San Diego UC San Diego Previously Published Works Title High-resolution morphologic and ultrashort time-to-echo quantitative magnetic resonance imaging of the temporomandibular joint Permalink https://escholarship.org/uc/item/7670k1rf
More informationPost-graduate Student, Department of Oral and Maxillofacial Radiology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
Journal section: Oral Surgery Publication Types: Research doi:10.4317/jced.53824 http://dx.doi.org/10.4317/jced.53824 Evaluation of orthognathic surgery on articular disc position and temporomandibular
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 11/24/2012 Radiology Quiz of the Week # 100 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationComparative study of sensitivity and specificity of MRI versus GNRB to detect ACL complete and partial tears
Comparative study of sensitivity and specificity of MRI versus GNRB to detect ACL complete and partial tears Anterior cruciate ligament (ACL) tears are difficult to diagnose and treat (DeFranco). The preoperative
More informationY. H. SHEN*, Y. K. CHEN & S. Y. CHUANG Departments of *Oral and Maxillofacial Surgery, Oral Pathology. Introduction. Case report
Journal of Oral Rehabilitation 2005 32; 332 336 Condylar resorption during active orthodontic treatment and subsequent therapy: report of a special case dealing with iatrogenic TMD possibly related to
More informationMusculoskeletal Imaging Review
Musculoskeletal Imaging Review Kassarjian et al. MRI of the Quadratus Femoris Musculoskeletal Imaging Review Ara Kassarjian 1 Xavier Tomas 2 Luis Cerezal 3 Ana Canga 4,5 Eva Llopis 6 Kassarjian A, Tomas
More informationFAI syndrome with or without labral tear.
Case This 16-year-old female, soccer athlete was treated for pain in the right groin previously. Now has acute onset of pain in the left hip. The pain was in the groin that was worse with activities. Diagnosis
More informationImaging the Temporomandibular Joint in Pediatric Pa6ents
Imaging the Temporomandibular Joint in Pediatric Pa6ents Arthur B. Meyers, MD Children s Hospital of Wisconsin/ Medical College of Wisconsin, Department of Radiology TMJ Pathology in Pediatrics Juvenile
More informationTitleTemporomandibular joint ankylosis: Mitarashi, S; Abe, S; Watanabe, H; Author(s) Hashimoto, M; Ide, Y
TitleTemporomandibular joint ankylosis: Mitarashi, S; Abe, S; Watanabe, H; Author(s) Hashimoto, M; Ide, Y Cranio : the journal of craniomandi Journal 20(1): 67-71 URL http://hdl.handle.net/10130/1098 Right
More informationRelationship between pain and effusion on magnetic resonance imaging in temporomandibular disorder patients
Imaging Science in Dentistry 2014; 44: 293-9 http://dx.doi.org/10.5624/isd.2014.44.4.293 Relationship between pain and effusion on magnetic resonance imaging in temporomandibular disorder patients Ha-Na
More informationMRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients
Universidade de São Paulo Biblioteca Digital da Produção Intelectual - BDPI Departamento de Estomatologia - FO/ODE Artigos e Materiais de Revistas Científicas - FO/ODE 2012 MRI analysis of the relationship
More information(b) Were all 72 participants symptoms free (i.e., non TMD patients) at time MRIs taken?
Author s response to reviews Title: Disk displacement, eccentric condylar position, osteoarthrosis misnomers for variations of normality? Results and interpretations from an MRI study in two age cohorts
More informationOriginal Article. Articular disc displacement in mandibular asymmetry patients. Boonsiva Buranastidporn, Masataka Hisano and Kunimichi Soma
J Med Dent Sci ; : 8 Original Article Articular disc displacement in mandibular asymmetry patients Boonsiva Buranastidporn, Masataka Hisano and Kunimichi Soma Orthodontic Science, Department of Orofacial
More informationTissue-engineered medical products Evaluation of anisotropic structure of articular cartilage using DT (Diffusion Tensor)-MR Imaging
Provläsningsexemplar / Preview TECHNICAL REPORT ISO/TR 16379 First edition 2014-03-01 Tissue-engineered medical products Evaluation of anisotropic structure of articular cartilage using DT (Diffusion Tensor)-MR
More informationThe posterolateral corner of the knee: the normal and the pathological
The posterolateral corner of the knee: the normal and the pathological Poster No.: P-0104 Congress: ESSR 2014 Type: Educational Poster Authors: M. Bartocci 1, C. Dell'atti 2, E. Federici 1, V. Martinelli
More informationUp Date on TMD WHAT IS TMD? Temporomandibular Disorders (TMD)*: Donald Nixdorf DDS, MS
Up Date on TMD Donald Nixdorf DDS, MS Associate Professor Division of TMD and Orofacial Pain WHAT IS TMD? Temporomandibular Disorders (TMD)*: MUSCLE and JOINT DISORDERS * Temporomandibular Muscle and Joint
More informationEvaluation of Temporomandibular Joint Dysfunction by Magnetic Resonanance Imaging
Turk J Med Sci 31 (2001) 337-343 TÜB TAK Mehmet DALKIZ 1 Emre PAKDEM RL 2 Bedri BEYDEM R 1 Evaluation of Temporomandibular Joint Dysfunction by Magnetic Resonanance Imaging Received: February 01, 2001
More informationOsseous changes and condyle position in TMJ tomograms: impact of RDC/TMD clinical diagnoses on agreement between expected and actual findings
Osseous changes and condyle position in TMJ tomograms: impact of RDC/TMD clinical diagnoses on agreement between expected and actual findings Mie Wiese, DDS, a Ann Wenzel, DrOdont, PhD, DDS, b Hanne Hintze,
More informationImpingement Syndromes of the Ankle. Noaman W Siddiqi MD 5/4/2006
Impingement Syndromes of the Ankle Noaman W Siddiqi MD 5/4/2006 Ankle Impingement Overview Clinical DX Increasingly recognized cause of chronic ankle pain Etiology can be soft tissue or osseous Professional
More informationThree-dimensional evaluation of TMJ parameters in Class II and Class III patients Zane Krisjane, Ilga Urtane, Gaida Krumina, Katrina Zepa
Stomatologija, Baltic Dental and Maxillofacial Journal, 11: 32-36, 2009 Three-dimensional evaluation of TMJ parameters in Class II and Class III patients Zane Krisjane, Ilga Urtane, Gaida Krumina, Katrina
More informationMusculoskeletal Ultrasound. Technical Guidelines SHOULDER
Musculoskeletal Ultrasound Technical Guidelines SHOULDER 1 Although patient s positioning for shoulder US varies widely across different Countries and Institutions reflecting multifaceted opinions and
More informationThe diagnostic value of Computed Tomography in evaluation of maxillofacial Trauma
The diagnostic value of Computed Tomography in evaluation of maxillofacial Trauma Qais H. Muassa FICMS College of Dentistry, Babylon University Ibrahim S. Gataa, BDS, FICMS College of Dentistry, Sulaimania
More informationQuantitative Analysis of Vascular Canals in Vertebral Endplate
Quantitative Analysis of Vascular Canals in Vertebral Endplate Kristine Tan 1, Won C. Bae, PhD 1, Tomonori Yamaguchi, MS 1,2, Kelli Xu, BS 1, Iris Shieh, BS 1, Jade He, BS 1, Robert L. Sah, MD, ScD 1,
More informationAnatomy and physiology of Temporomandibular Joint
Anatomy and physiology of Temporomandibular Joint Temporomandibular joint (TMJ): It is the articulation of the condyle of the mandible, and the inter-articular disc; with the mandibular fossa (glenoid
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 9/22/2012 Radiology Quiz of the Week # 91 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationOriginal Report. The Reverse Segond Fracture: Association with a Tear of the Posterior Cruciate Ligament and Medial Meniscus
Eva M. Escobedo 1 William J. Mills 2 John. Hunter 1 Received July 10, 2001; accepted after revision October 1, 2001. 1 Department of Radiology, University of Washington Harborview Medical enter, 325 Ninth
More informationRECENT ADVANCES IN CLINICAL MR OF ARTICULAR CARTILAGE
In Practice RECENT ADVANCES IN CLINICAL MR OF ARTICULAR CARTILAGE By Atsuya Watanabe, MD, PhD, Director, Advanced Diagnostic Imaging Center and Associate Professor, Department of Orthopedic Surgery, Teikyo
More informationPosttraumatic subchondral bone contusions and fractures of the talotibial joint: Occurrence of kissing lesions
KISSING CONTUSIONS CHAPTER 7 Posttraumatic subchondral bone contusions and fractures of the talotibial joint: Occurrence of kissing lesions Elizabeth S. Sijbrandij 1, Ad P.G. van Gils 1, Jan Willem K.
More informationTemporomandibular Joint. Dr Noman ullah wazir
Temporomandibular Joint Dr Noman ullah wazir Type of Joint TMJ is a Synovial joint between : The condylar head of the mandible. The mandibular fossa of squamous part of temporal bone. The joint cavity
More informationAccuracy of SPECT bone scintigraphy in diagnosis of meniscal tears ABSTRACT
1 Iran J Nucl Med 2005; 23 Accuracy of SPECT bone scintigraphy in diagnosis of meniscal tears M. Saghari 1, M. Moslehi 1, J. Esmaeili 2, M.N. Tahmasebi 3, A. Radmehr 4, M. Eftekhari 1,2, A. Fard-Esfahani
More informationMR imaging of the knee in marathon runners before and after competition
Skeletal Radiol (2001) 30:72 76 International Skeletal Society 2001 ARTICLE W. Krampla R. Mayrhofer J. Malcher K.H. Kristen M. Urban W. Hruby MR imaging of the knee in marathon runners before and after
More informationMagnetic resonance imaging assessment of temporomandibular joint soft tissue injuries of intracapsular condylar fracture,
Available online at www.sciencedirect.com British Journal of Oral and Maxillofacial Surgery 51 (2013) 133 137 Magnetic resonance imaging assessment of temporomandibular joint soft tissue injuries of intracapsular
More informationMR Advance Techniques. Vascular Imaging. Class II
MR Advance Techniques Vascular Imaging Class II 1 Vascular Imaging There are several methods that can be used to evaluate the cardiovascular systems with the use of MRI. MRI will aloud to evaluate morphology
More informationFOR CMS (MEDICARE) MEMBERS ONLY NATIONAL COVERAGE DETERMINATION (NCD) FOR MAGNETIC RESONANCE IMAGING:
National Imaging Associates, Inc. Clinical guidelines SINUS MRI Original Date: November 2007 Page 1 of 5 CPT Codes: 70540, 70542, 70543 Last Review Date: July 2014 NCD 220.2 MRI Last Effective Date: July
More informationComparison of Skeletal and Dental Morphology in Asymptomatic Volunteers and Symptomatic Patients with Bilateral Degenerative Joint Disease
Original Article Comparison of Skeletal and Dental Morphology in Asymptomatic Volunteers and Symptomatic Patients with Bilateral Degenerative Joint Disease Ioanna K. Gidarakou, DDS a ; Ross H. Tallents,
More informationKnee: Cruciate Ligaments
72 Knee: Cruciate Ligaments R. Kent Sanders Sagittal oblique 2.5-mm sequences along the plane of the anterior cruciate ligament (ACL) typically yield three to four images of the ACL, with the first medial
More informationThe Low Sensitivity of Fluid-Attenuated Inversion-Recovery MR in the Detection of Multiple Sclerosis of the Spinal Cord
The Low Sensitivity of Fluid-Attenuated Inversion-Recovery MR in the Detection of Multiple Sclerosis of the Spinal Cord Mark D. Keiper, Robert I. Grossman, John C. Brunson, and Mitchell D. Schnall PURPOSE:
More informationIMAGING TECHNIQUES CHAPTER 4. Imaging techniques
IMAGING TECHNIQUES Imaging techniques 23 4.1. Conventional radiographic findings Conventional radiography, tomography, arthrography and stress views have traditionally been used for imaging the ankle and
More informationEvaluation of Degenerative Changes, Condyle Position and Joint Effusion in Patients with Temporomandibular Joint Disorder via MRI
Original Article J Babol Univ Med Sci Vol 17, Issu 11; Nov 2015. P:13-20 Evaluation of Degenerative Changes, Condyle Position and Joint Effusion in Patients with Temporomandibular Joint Disorder via MRI
More informationCase Report Bipartite Medial Cuneiform: Case Report and Retrospective Review of 1000 Magnetic Resonance (MR) Imaging Studies
Case Reports in Medicine, Article ID 130979, 4 pages http://dx.doi.org/10.1155/2014/130979 Case Report Bipartite Medial Cuneiform: Case Report and Retrospective Review of 1000 Magnetic Resonance (MR) Imaging
More informationAltaf Hussain Chalkoo, Dr. Zahoor Ahmad Bhat and Dr Anum Maqbool. International Journal of Applied Dental Sciences 2017; 3(2): 80-85
2017; 3(2): 80-85 ISSN Print: 2394-7489 ISSN Online: 2394-7497 IJADS 2017; 3(2): 80-85 2017 IJADS www.oraljournal.com Received: 08-02-2017 Accepted: 09-03-2017 Altaf Hussain Chalkoo Professor and HOD government
More informationArthroscopic Eminoplasty of TMJ. Surgical Technique
Archives of Clinical and Medical Case Reports doi: 10.26502/acmcr.96550010 Volume 1, Issue 2 Case Report Arthroscopic Eminoplasty of TMJ. Surgical Technique Blas Garcia Medina 1, Paolo Cariati 2*, Pablo
More informationChanges in the temporomandibular joint after mandibular lengthening with different rates of distraction
Shujuan Zou, DDS, MS Department of Orthodontics Jing Hu, DDS, MS, PhD Dazhang Wang, DDS, FICD Jihua Li, DDS, MS Zhenglong Tang, DDS, MS Department of Oral and Maxillofacial Surgery Huaxi School of Stomatology
More information