Case Challenge

Head and Neck

Neuro

Temporomandibular joint (TMJ)

Temporomandibular Joint (TMJ)

Stephen J Pomeranz

Gain confidence interpreting Temporomandibular Joint (TMJ) MRI Cases w/ MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME!

Case Review

Musculoskeletal (MSK)

Neuroradiology

Case 1 - 65-year-old female presents with chronic temporomandibular joint pain

Case 2 - 54-year-old female presents with TMJ pain, clicking, locking, headaches, facial pain

Case 3 - 55-year-old female presents with 40-year history of bilateral temporomandibular joint pain

Case 4 - 53-year-old female presents with disc displacement

Case 5 - 68-year-old female presents with pain to the left sided jaw

Case 6 - 56-year-old female presents with new onset of left-sided TMJ pain

Case 7 - 56-year-old female presents with history of wisdom teeth extraction

Case 8 - 55-year-old male presents with jaw locking

Case 9 - 31-year-old female presents with severe headaches and jaw clicking

Case 10 - 53-year-old female presents with TMJ dysfunction

Case 11 - 66-year-old female presents with bilateral temporomandibular joint dislocation

Case 12 - 31-year-old male presents with extreme jaw, facial, and occipital muscle pain

Case 13 - 59-year-old male presents with temporomandibular joint internal derangement

Case 14 - 49-year-old female presents with bilateral jaw pain

Case 15 - 48-year-old female presents with one year history of right open and close lock

Case 16 - 63-year-old female presents with right temporomandibular joint pain

Case 17 - 39-year-old female presents with pain

Case 18 - 63-year-old male presents with capsulitis of temporomandibular joint

Case 19 - 17-year-old female presents with jaw locking

Case 20 - 24-year-old female presents with left TMJ pain

Case 21 - 28-year-old male presents with difficulty opening mouth wide

Case 22 - 45-year-old female presents with limited range of motion for four months

Case 23 - 17-year-old male presents with TMJ pain

Case 24 - 89-year-old male presents with left jaw pain for four months

Case 25 - 47-year-old female is being evaluated for right disc dislocation

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique TMJ MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Temporomandibular Joint (TMJ) MRI Cases

<div>HISTORY:&#160;This 65-year-old female presents with chronic temporomandibular joint pain, left greater than right. Patient currently unable to open mouth. No history of surgery or trauma.(QUIZ ANSWER) NOT A FINDING IN THIS CASE:&#160;Right temporomandibular joint: Demonstrates subluxation / dislocation.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Right articular disc intact with normal positioning during open mouth and complete capture during closed mouth and closed mouth with wax bite images. Normal appearance of the mandibular condyle, articular eminence, and glenoid fossa. No subcortical osteoedema. No right temporomandibular joint effusion. Bilobed 1.2cm posterior capsular pseudocyst. No temporomandibular joint subluxation/dislocation. Intact superolateral and inferolateral pterygoid muscles.&#160;Left temporomandibular joint demonstrates perforation at the intermediate zone of the articular disc. Disc demonstrates anteromedial displacement on closed mouth view but recaptures on open view and closed with wax bite view. Arthropathic deformity of the mandibular condyle noted with arthropathic shallow articular eminence. No subcortical osteoedema. No joint effusion. No temporomandibular joint subluxation/dislocation. Superolateral and inferolateral pterygoid muscles on the left intact.&#160;CONCLUSION:&#160;1. Left temporomandibular joint demonstrates anteromedial displacement of the articular disc with mouth closure and disc recapture with mouth opening and recapture when biting down on wax. Associated arthropathic deformity of the articular eminence and marked arthropathic deformity of the mandibular condyle with perforation of the articular disc at its intermediate zone.&#160;2. 1.2cm posterior capsular pseudocyst emanating from the right temporomandibular joint capsule.</div>

Case

Right temporomandibular joint: Demonstrates subluxation / dislocation

Left temporomandibular joint: Demonstrates anteromedial displacement of the articular disc with mouth closure

Posterior capsular pseudocyst emanating from the right temporomandibular joint capsule

Which of the following is NOT a finding in this case?