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악관절에 발생한 활액막 연골종증: 증례 보고 및 문헌 고찰 KCI 등재

Synovial Chondromatosis of Temporomandibular Joint : A Case Report and Literature Review

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  • URLhttps://db.koreascholar.com/Article/Detail/447629
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대한구강악안면병리학회지 (The Korean Journal of Oral and Maxillofacial Pathology)
대한구강악안면병리학회 (Korean Academy Of Oral And Maxillofacial Pathology)
초록

Synovial chondromatosis is a rare benign metaplastic disorder of the synovial membrane, characterized by the formation of multiple cartilaginous nodules within the joint cavity. Involvement of the temporomandibular joint (TMJ) is particularly uncommon and often presents with clinical features that closely resemble internal derangement or osteoarthritis, frequently resulting in diagnostic delay and inappropriate management. Recognizing the distinctive clinical, radiologic, and histopathological characteristics of synovial chondromatosis is essential for accurate and timely diagnosis. In this report, we review the features of synovial chondormatosis of the TMJ and describe a case involving a 73-year-old female who presented with pain during mastication without limitation of mouth opening. Radiologic examination demonstrated multiple calcified nodules within the left TMJ space. Given the wide range of TMJ-related pathologies, such as myofascial pain and degenerative changes, which often present with similar symptoms, the identification of characteristic imaging and histopathologic findings is crucial for distinguishing synovial chondromatosis from other TMJ disorders and ensuring appropriate treatment. Through presentation of our clinical observations and a review of relevant literature, we aim to assist clinicians in recognizing synovial chondroamtosis of the TMJ and avoiding misdiagnosis, thereby facilitating prompt and effective patient care.

목차

Ⅰ. INTRODUCTION
Ⅱ. CASE PRESENTATION
Ⅲ. DISCUSSION
REFERENCES
저자
  • 김도연(부산대학교 치의학전문대학원 구강병리학교실) | Do Yeon Kim (Department of Oral Pathology, School of Dentistry, Pusan National University)
  • 이지혜(부산대학교 치의학전문대학원 구강병리학교실) | JiHye Lee (Department of Oral Pathology, School of Dentistry, Pusan National University)
  • 박혜련(부산대학교 치의학전문대학원 구강병리학교실) | Hae Ryoun Park (Department of Oral Pathology, School of Dentistry, Pusan National University)
  • 이재열(부산대학교 치의학전문대학원 구강악안면외과학교실) | Jae-Yeol Lee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 송재민(부산대학교 치의학전문대학원 구강악안면외과학교실) | Jae-Min Song (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) Corresponding author