Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.

Introduction: The temporalis muscle plays an essential role in mastication and is actively involved in the mandibular closing movement. It is covered by a fibroelastic fascia that forms its tendon. Tendinitis is a degenerative and inflammatory process, which originates in the tendon-bone junction. S...

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Main Authors: Veronica Iturriaga., Fernanda Fuentes., Thomas Bornhardt.
Format: Article
Language:English
Published: Universidad de Concepción. 2016-03-01
Series:Journal of Oral Research
Subjects:
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author Veronica Iturriaga.
Fernanda Fuentes.
Thomas Bornhardt.
author_facet Veronica Iturriaga.
Fernanda Fuentes.
Thomas Bornhardt.
author_sort Veronica Iturriaga.
collection DOAJ
description Introduction: The temporalis muscle plays an essential role in mastication and is actively involved in the mandibular closing movement. It is covered by a fibroelastic fascia that forms its tendon. Tendinitis is a degenerative and inflammatory process, which originates in the tendon-bone junction. Signs and symptoms such as swelling, pain, tenderness on palpation, limitation of movement and mouth opening are frequently associated with other temporomandibular disorders and not with tendinitis as a causal factor. Objective: To describe a clinical case identifying the diagnostic process and management of tendinitis of the temporalis muscle. Case report: A 30-year old male patient who sought treatment after continuous squeezing pain in the zygomatic and bilateral temporal regions with increased pain during mouth opening and mandibular function. The patient referred pain in the insertion region of the tendon of the temporalis muscle. Pain was removed after using anesthesia, consequently confirming the diagnosis of tendinitis of the temporalis muscle. Primary management measures were performed and then peritendinous corticosteroids were administered. The patient did not refer spontaneous or functional pain during check-up. Conclusion: Tendinitis of the temporalis muscle is a common condition, although frequently underdiagnosed. A good differential diagnosis must be performed to avoid confusion with other common conditions such as odontogenic pain, sinusitis, arthralgia, myofascial pain and migraine. Management depends on the type of tendinitis. It usually occurs in conjunction with other types of TMD or facial pain, so it is important to know the different clinical characteristics of pathologies with similar manifestations.
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spelling doaj.art-36f7103a5827469785a27ecb8f9321ea2022-12-22T01:59:30ZengUniversidad de Concepción.Journal of Oral Research0719-24600719-24792016-03-0152828610.17126/joralres.2016.017.Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.Veronica Iturriaga.0Fernanda Fuentes.1Thomas Bornhardt.2Universidad de La Frontera, Chile.Universidad de La Frontera, Chile.Universidad de La Frontera, Chile.Introduction: The temporalis muscle plays an essential role in mastication and is actively involved in the mandibular closing movement. It is covered by a fibroelastic fascia that forms its tendon. Tendinitis is a degenerative and inflammatory process, which originates in the tendon-bone junction. Signs and symptoms such as swelling, pain, tenderness on palpation, limitation of movement and mouth opening are frequently associated with other temporomandibular disorders and not with tendinitis as a causal factor. Objective: To describe a clinical case identifying the diagnostic process and management of tendinitis of the temporalis muscle. Case report: A 30-year old male patient who sought treatment after continuous squeezing pain in the zygomatic and bilateral temporal regions with increased pain during mouth opening and mandibular function. The patient referred pain in the insertion region of the tendon of the temporalis muscle. Pain was removed after using anesthesia, consequently confirming the diagnosis of tendinitis of the temporalis muscle. Primary management measures were performed and then peritendinous corticosteroids were administered. The patient did not refer spontaneous or functional pain during check-up. Conclusion: Tendinitis of the temporalis muscle is a common condition, although frequently underdiagnosed. A good differential diagnosis must be performed to avoid confusion with other common conditions such as odontogenic pain, sinusitis, arthralgia, myofascial pain and migraine. Management depends on the type of tendinitis. It usually occurs in conjunction with other types of TMD or facial pain, so it is important to know the different clinical characteristics of pathologies with similar manifestations.TendinopathyTemporalis muscleTendinosisTendinitisTemporomandibular disorders.
spellingShingle Veronica Iturriaga.
Fernanda Fuentes.
Thomas Bornhardt.
Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.
Journal of Oral Research
Tendinopathy
Temporalis muscle
Tendinosis
Tendinitis
Temporomandibular disorders.
title Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.
title_full Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.
title_fullStr Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.
title_full_unstemmed Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.
title_short Tendinitis of the Temporalis muscle: Differential diagnosis and treatment. A Case Report.
title_sort tendinitis of the temporalis muscle differential diagnosis and treatment a case report
topic Tendinopathy
Temporalis muscle
Tendinosis
Tendinitis
Temporomandibular disorders.
work_keys_str_mv AT veronicaiturriaga tendinitisofthetemporalismuscledifferentialdiagnosisandtreatmentacasereport
AT fernandafuentes tendinitisofthetemporalismuscledifferentialdiagnosisandtreatmentacasereport
AT thomasbornhardt tendinitisofthetemporalismuscledifferentialdiagnosisandtreatmentacasereport