3 CME
34 Videos
10 Clinical Cases
3 CME
Not much is scarier to a patient than a locked jaw. And for many of your colleagues, having to read a TMJ MRI (after not seeing any for a while) can be almost equally scary. You might be lucky enough to have informed DMD/DDS/oral surgeons who routinely order these, but it is likelier that they come around once in a while, and maybe one of your colleagues has “cornered the market,” leaving you with a less varied and interesting worklist.
This integral S-shaped joint with its various open and closed lock mechanisms, disc displacements, reduction and partial translation can be mastered with a reasonable amount of study. Changes in the architecture of the bone and articular cartilage generally result in older patients needing this study, women more so than men, but patients of any age can experience pain. Inflammation, osteoarthritis and internal derangement are common diagnoses, and the central location of the joint also makes it susceptible to effects from surgical procedures in the general area (e.g., parotidectomies). There’s much more than the maxilla and the mandible going on here – this is an opportunity for you to distinguish yourself from your colleagues by mastering this quirky joint and demonstrating your versatility.
Recapture the unique magic of TMJ MRI! Whether you see a fair number of temporomandibular joints or just want to be prepared for this less common but very useful study, we’ve combined our practical and visually memorable TMJ tutorials into a comprehensive anatomical and case review tour de force. Our diagrammatic illustrations of the joint mechanism are well-known for their clarity in depicting the surrounding anatomy as well as the mechanics. We include methodology not only for determining and grading the status of the temporomandibular joint and surrounding tissues, but also reviewing the “film edges” for other findings which could complicate your reporting. Our TMJ Mastery Series is the most efficient way to introduce yourself to this joint, or brush up on dormant skills. Your patient’s jaw may be clicking, but with the right CME resources your eye and brain can also be “clicking” with ready recognition of their TMJ joint status and the ability to describe it accurately and succinctly for your referring clinicians!
Learning Outcomes & CME Information
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
1 Clinical Cases
7 min.
1 Clinical Cases
1 hr. 25 min.
Introduction to MRI of the Temporomandibular Joint
2Â m.
TMJ Anatomy Overview
5Â m.
TMJ Anatomy: The Articular Disc
7Â m.
TMJ Anatomy: The Mandibular Condyle
5Â m.
TMJ Anatomy: Closed Mouth
8Â m.
TMJ Anatomy: Open Mouth
6Â m.
Normal Meniscal Capture from Closed to Open Mouth View
4Â m.
Failed Meniscal Capture
6Â m.
V & A Grading System
6Â m.
Defining Internal Derangement
6Â m.
TMJ: Imaging Pitfalls
5Â m.
Indications for Temporomandibular Joint Imaging
2Â m.
Condylar Shapes & Variations
3Â m.
Skeletal Anatomy
5Â m.
Meniscus, Capsule & Bilaminar Zone
4Â m.
TMJ Anatomy: Meniscus in Open and Closed Mouth
9Â m.
TMJ: Clinical Significance
5Â m.
Grading System Summary
7Â m.
9 Clinical Cases
1 hr. 19 min.
Internal Derangement with Capture: Posterior Pseudodisc
5Â m.
Internal Derangement with Capture: Anterior Pseudodisc
5Â m.
Posterior Pseudodisc from Bilaminar Scarring and Swelling
5Â m.
Meniscal Adhesion with Decreased Excursion
6Â m.
Meniscal Rupture with Increased Excursion
3Â m.
Closed lock State with Meniscal Obliteration
5Â m.
Identifying Meniscus in Closed Lock State
5Â m.
Temporomandibular Joint: Applying the Grading Systems
3Â m.
Partial and Complete Internal Derangements
6Â m.
Partial and Complete Internal Derangements
8Â m.
TMJ Hypermobility
5Â m.
Severe TMJ Arthritis
8Â m.
Bilateral Closed Lock with Complete Derangement
9Â m.
Open and Closed Lock State
7Â m.
Wilkes Classification of Internal Derangement
8Â m.
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