Structural discrepancy of the TMJ disc and joint capsule on magnetic resonance imaging. Literature review

Anne-Marie Kusch, Abell Sovero Gaspar

Article ID: 1759
Vol 5, Issue 2, 2022

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The temporomandibular joint (TMJ) is considered a bicondylar diarthrosis type joint. Imaging evaluation is a fundamental part of its assessment, which should include both bony and soft tissue characteristics and the relationship between them. Magnetic resonance imaging (MRI) represents the gold standard for the study of soft tissues; however, up to now, its main application continues to be the visualization of the articular disc. For this reason, the present article aimed to point out the information available in the literature regarding the visualization of the joint capsule in MRI and to evaluate it as an independent structure.


Temporomandibular Joint; Temporomandibular Joint Disc; Magnetic Resonance Imaging

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1. Manns A, Díaz G. Análisis morfofuncional de los components fisiológicos del sistema estomatognático (Spanish) [Morphofunctional analysis of the fisiological components of the stomatognathic system]. In: Manns A, Díaz G (editors). Stomatognathic system. Santiago: Universidad de Chile; 1988. p. 9–18.

2. Perschbacher S. Disorders of the temporomandibular joint. In: White and Pharoah’s Oral Radiology—Principles and interpretation. 8th edition. Toronto: Elsevier; 2019. p. 1633–1726.

3. Brooks SL, Brand JW, Gibbs SJ, et al. Imaging of the temporomandibular joint: A position paper of the American Academy of Oral and Maxillofacial Radiology review. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 1997; 83(5): 609–618.

4. Baba I, Najmuddin M, Shah A, et al. TMJ imaging: A review. International Journal of Contemporary Medical Research 2016; 3(8): 2253–2256.

5. Ferreira LA, Grossmann E, Januzzi E, et al. Diagnosis of temporomandibular joint disorders: Indication of imaging examinations. Brazilian Journal of Otorhinolaryngology 2016; 82(3): 341–352.

6. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. Journal of Oral & Facial Pain and Headache 2014; 28(1): 6–27.

7. Eren H, Eray Kolsuz M, Orhan K. An overall look for temporomandibular joint pathologies and imaging. International Journal of Orthopaedics 2015; 2(6): 452–461.

8. Bag AK, Gaddikeri S, Singhal A, et al. Imaging of the temporomandibular joint: An update. World Journal of Radiology 2014; 6(8): 567–582.

9. Honda K, Larheim TA, Maruhashi K, et al. Osseous abnormalities of the mandibular condyle: Diagnostic reliability of cone beam computed tomography compared with helical computed tomography based on an autopsy material. Dentomaxillofacial Radiology 2006; 35: 152–157.

10. Zain-Alabdeen EH, Alsadhan RI. A comparative study of accuracy of detection of surface osseous changes in the temporomandibular joint using multidetector CT and cone beam CT. Dentomaxillofacial Radiology 2012; 41: 185–191.

11. Azevedo MQ de A, Barros RQ de A, Donato LFA, et al. Degenerative bone changes in TMJ assessed by cone beam computed tomography. RGO–Revista Gaúcha de Odontologia 2016; 64(2): 171–178.

12. Shahidi S, Salehi P, Abedi P, et al. Comparison of the bony changes of TMJ in patients with and without TMD complaints using CBCT. Journal of Dentistry 2018; 19(2): 142–149.

13. Larheim TA, Abrahamsson AK, Kristensen M, et al. Temporomandibular joint diagnostics using CBCT. Dentomaxillofacial Radiology 2015; 44: 20140235.

14. Concha G. Magnetic resonance imaging of the temporomandibular joint. Revista—Hospital Clínico Universidad de Chile 2007; 18: 121–130.

15. Vilanova JC, Barceló J, Puig J, et al. Diagnostic imaging: Magnetic resonance imaging, computed tomography, and ultrasound. Seminars in Ultrasound, CT and MRI 2007; 28(3): 184–191.

16. Alomar X, Medrano J, Cabratosa J, et al. Anatomy of the temporomandibular joint. Seminars in Ultrasound, CT and MRI 2007; 28(3): 170–183.

17. Wang P, Yang J, Yu Q. MR imaging assessment of temporomandibular joint so tissue injuries in dislocated and nondislocated mandibular condylar fractures. American Journal of Neuroradiology 2009; 30(1): 59–63.

18. Sun WH, Wang PC. Temporomandibular joint capsule rupture presenting as expandable ear canal mass. Journal of the Formosan Medical Association 2018; 117(1): 80–81.

19. Orhan K. Introduction to TMJ imaging. In: Rozylo-Kalinowska I, Orhan K (editors). Imaging of the temporomandibular. Switzerland: Springer; 2018. p. 1–8.

20. Shi J, Xia J, Wei Y, et al. Three-dimensional virtual reality simulation of periarticular tumors using Dextroscope reconstruction and simulated surgery: A preliminary 10-case study. Medical Science Monitor 2014; 20: 1043–1050.

21. Ahmad M, Hollender L, Anderson Q, et al. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): Development of image analysis criteria and examiner reliability for image analysis. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2009; 107: 844–860.

22. Yang Z, Wang M, Ma Y, et al. Magnetic resonance imaging (MRI) evaluation for anterior disc displacement of the temporomandibular joint. Medical Science Monitor 2017; 23: 712–718.

23. Agustsson H. Radiologic evaluation of the temporomandibular joint. In: McKinnins L (editor). Fundamentals of musculoskeletal imaging. 4th edition. Pennsylvania: F.A Davis Company; 2014. p. 212–267.

24. Pedullà E, Meli GA, Garu A, et al. Morphometric evaluation of the temporomandibular joint and the masticatory spaces: The role of high-definition MRI. Minerva Stomatologica 2009; 58(4): 18.

25. Petscavage-Thomas JM, Walker EA. Unlocking the jaw: Advanced imaging of the temporomandibular joint. American Journal of Roentgenology 2014; 203(5): 1047–1058.

26. Tomas X, Pomes J, Berenguer J, et al. MR imaging of temporomandibular joint dysfunction: A pictorial review. RadioGraphics 2006; 26(3): 765–781.

27. Roth C, Ward RJ, Tsai S, et al. MR imaging of the TMJ: A pictorial essay. Applied Radiology 2005; 34: 9–16.

28. Orhan K, Aksoy S. Magnetic resonance imaging of TMJ. In: Rozylo-Kalinowska I, Orhan K (editors). Imaging of the temporomandibular. Switzerland: Springer; 2018. p. 155–204.

29. Omami G. Magnetic resonance imaging of temporomandibular joint disc abnormalities: A pictorial essay. Journal of Oral and Maxillofacial Radiology 2013; 1(3): 99.

30. Aiken A, Bouloux G, Hudgins P. MR imaging of the temporomandibular joint. Magnetic Resonance Imaging Clinics of North America 2012; 20: 397–412.

31. Alonso M, Gamba T, Pereira S, et al. Magnetic resonance imaging of the temporomandibular joint acquired using different parameters. Journal of Morphological Sciences 2014; 31(2): 103–109.

32. Talmaceanu D, Lenghel LM, Hedesiu M, et al. Imaging modalities for temporomandibular joint disorders: An update. Medicine and Pharmacy Reports 2018; 91(3): 280–287.

33. Al-Saleh MAQ, Punithakumar K, Lagravere M, et al. Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. In: Cray JJ (editor). PLOS ONE 2017; 12(1): e0169555.

34. Kim BC, Lee YC, Cha HS, et al. Characteristics of temporomandibular joint structures after mandibular condyle fractures revealed by magnetic resonance imaging. Maxillofacial Plastic and Reconstructive Surgery 2016; 38: 24.

35. Sakhavalkar PU, Bhoosreddy AR, Kotwal HJ. Assessment and comparison of the capsular width of temporomandibular joint on ultrasonography and magnetic resonance imaging. Journal of Indian Academy of Oral Medicine and Radiology 2016; 28: 251–257.

36. Whaites E, Drage N (editors). The radiographic image. Fundamentals of dental radiology. 5th edition. Barcelona: Elsevier Mason; 2014. p. 1–12.

37. Westbrook C, Talbot J. Image weighting and contrast. In: Westbrook C. MRI in practice. 5th edition. Oxford: Wiley Blackwell; 2019. p. 24–57.

38. Okeson PJ, Tamimi D. Introduction to MR imaging. In: Tamimi D, Hatcher D (editors). Specialty temporomandibular imaging. Philadelphia: Elsevier; 2016. p. 346–353.

39. Cissel D. Quantitative MR of cartilage and implications for TMJ imaging. In: Tamimi D, Hatcher D (editors). Specialty imaging: Temporomandibular joint. Philadelphia: Elsevier; 2016. p. 354–357.

40. Gatehouse PD, Bydder GM. Magnetic resonance imaging of short T2 components in tissue. Clinical Radiology 2003; 58(1): 1–19.

41. Cheng Q, Zhao FC. Comparison of 1.5- and 3.0-T magnetic resonance imaging for evaluating lesions of the knee. Medicine (Baltimore) 2018; 97(38): e12401.

42. Orhan K, Ucok O, Delilbasi C, et al. Prevalence of temporomandibular joint sideways disc displacement in symptom-free volunteers and comparison of signal intensity ratios of masticator muscles on magnetic resonance images. Journal of Oral Health and Dental Management 2005; 4(4): 14–18.

43. Hagenkord A, Basel CH. MRI imaging of the temporomandibular joint (TMJ) with regard to degeneration and disk displacement. Stockholm: European Society of Muscoloskeletal Radiology; 2015.

44. Shaefer J, Riley C, Caruso P, et al. Analysis of criteria for MRI diagnosis of TMJ disc displacement and arthralgia. International Journal of Dentistry 2012; 1–8.

45. Steenks MH, Bleys RL, Witkamp TD. Temporomandibular joint structures: A comparison between anatomic and magnetic resonance findings in a sagittal and an angulated plane. Journal of Oral & Facial Pain and Headache 1994; 8(2): 120–135.

46. Chen YJ, Gallo LM, Meier D, et al. Individualized oblique-axial magnetic resonance imaging for improved visualization of mediolateral TMJ disc displacement. Journal of Oral & Facial Pain and Headache 2000; 14(2): 128–139.



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