Ultrasound Evaluation In Temporomandibular Arthritis In Patients With Chronic Juvenile Arthritis

Iordache Cristina, Ancuta Codrina, Iordache O., Ancuta E., Pirlia Carmen, Zenaida Surlari, Chirieac Rodica
 
The EULAR classification defines the CJA as a systemic manifestation affecting both sexes before 16 years old and registers 3 clinical forms: the systemic disease (Still‘s disease), oligo- and poly-articular.
Ultrasonography has remarkable contribution in the diagnosis of musculoskeletal apparatus‘ lesions. Due to the advantages (non-invasive, low cost, no negative effects and contraindications), this method allows the static and dynamic evaluation of the hard and soft structures.
The purpose of the paper: to assess TMJ involvement in CJA patients by ultrasonography and to define characteristic patterns of the disease.
Material and method: the research was conducted on 2 patients with CJA, hospitalized in Rheumatology Department, Rehabilitation Hospital of Iasi during 01.01.2005-31.07.2006. Assessment was done according to a standard protocol in all patients and included: inflammatory and immune parameters and a complex, both static and dynamic, ultrasound evaluation of TMJ. Descriptive statistical analysis was done using SPSS-11.
Results and discussions 86.36% patients featured either inflammatory-destructive or degenerative types ultrasound lesions, the majority of them (59.09%) being inflammatory and destructive.
Conclusions a non-invasive, easy, low cost and easily reproducible method, ultrasonography, reconfirmed its diagnostic function in the small joints evaluation, including TMJ.

The EULAR classification defines the CJA as a systemic manifestation affecting both sexes before 16 years old and registers 3 clinical forms: the systemic disease (Still‘s disease), oligo- and poly-articular.
Ultrasonography has remarkable contribution in the diagnosis of musculoskeletal apparatus‘ lesions. Due to the advantages (non-invasive, low cost, no negative effects and contraindications), this method allows the static and dynamic evaluation of the hard and soft structures.
The purpose of the paper: to assess TMJ involvement in CJA patients by ultrasonography and to define characteristic patterns of the disease.
Material and method: the research was conducted on 2 patients with CJA, hospitalized in Rheumatology Department, Rehabilitation Hospital of Iasi during 01.01.2005-31.07.2006. Assessment was done according to a standard protocol in all patients and included: inflammatory and immune parameters and a complex, both static and dynamic, ultrasound evaluation of TMJ. Descriptive statistical analysis was done using SPSS-11.
Results and discussions 86.36% patients featured either inflammatory-destructive or degenerative types ultrasound lesions, the majority of them (59.09%) being inflammatory and destructive.
Conclusions a non-invasive, easy, low cost and easily reproducible method, ultrasonography, reconfirmed its diagnostic function in the small joints evaluation, including TMJ.

 

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