Periarticular chondrocalcinosis of the left temporomandibular joint: A case report

Chondrocalcinosis is a non-infectious, inflammatory arthropathy which is typically characterized by intra-articular deposition of calcium pyrophosphate dihydrate crystals. The occurrence of chondrocalcinosis in the temporomandibular joint is uncommon. This report describes the case of a 51-year-old...

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Main Authors: Melisa Garip, Pieter-Jan Verhelst, Fréderic Van der Cruyssen, Raf Sciot, Frank P. Luyten, Michel Bila, Ruxandra Coropciuc, Constantinus Politis
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Oral and Maxillofacial Surgery Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214541920300067
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author Melisa Garip
Pieter-Jan Verhelst
Fréderic Van der Cruyssen
Raf Sciot
Frank P. Luyten
Michel Bila
Ruxandra Coropciuc
Constantinus Politis
author_facet Melisa Garip
Pieter-Jan Verhelst
Fréderic Van der Cruyssen
Raf Sciot
Frank P. Luyten
Michel Bila
Ruxandra Coropciuc
Constantinus Politis
author_sort Melisa Garip
collection DOAJ
description Chondrocalcinosis is a non-infectious, inflammatory arthropathy which is typically characterized by intra-articular deposition of calcium pyrophosphate dihydrate crystals. The occurrence of chondrocalcinosis in the temporomandibular joint is uncommon. This report describes the case of a 51-year-old female with periarticular chondrocalcinosis of the left temporomandibular joint. Disease progression and prolonged complaints of pain and limitation of mouth opening were indications for surgical treatment. The placement of an alloprosthesis of the left temporomandibular joint was performed simultaneously with a unilateral sagittal split ramus osteotomy of the right side of the mandible, to correct the class 2 malocclusion in this patient. In this case, an initial clinical diagnosis of synovial chondromatosis was made. Postoperative histopathological analysis changed the diagnosis to chondrocalcinosis. The deposition of calcium pyrophosphate dihydrate crystals was located in the outer joint capsule, which is an atypical localization of chondrocalcinosis of the temporomandibular joint.
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spelling doaj.art-e9b5acad300e46dab738cbd87fafceb22022-12-21T22:45:03ZengElsevierOral and Maxillofacial Surgery Cases2214-54192020-06-0162Periarticular chondrocalcinosis of the left temporomandibular joint: A case reportMelisa Garip0Pieter-Jan Verhelst1Fréderic Van der Cruyssen2Raf Sciot3Frank P. Luyten4Michel Bila5Ruxandra Coropciuc6Constantinus Politis7Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; Corresponding author.Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, BelgiumDepartment of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, BelgiumLaboratory for Precision Cancer Medicine, Department of Imaging and Pathology, KU Leuven and University Hospitals Leuven, BelgiumDepartment of Rheumatology, University Hospitals Leuven, Leuven, BelgiumDepartment of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, BelgiumDepartment of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, BelgiumDepartment of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Leuven, BelgiumChondrocalcinosis is a non-infectious, inflammatory arthropathy which is typically characterized by intra-articular deposition of calcium pyrophosphate dihydrate crystals. The occurrence of chondrocalcinosis in the temporomandibular joint is uncommon. This report describes the case of a 51-year-old female with periarticular chondrocalcinosis of the left temporomandibular joint. Disease progression and prolonged complaints of pain and limitation of mouth opening were indications for surgical treatment. The placement of an alloprosthesis of the left temporomandibular joint was performed simultaneously with a unilateral sagittal split ramus osteotomy of the right side of the mandible, to correct the class 2 malocclusion in this patient. In this case, an initial clinical diagnosis of synovial chondromatosis was made. Postoperative histopathological analysis changed the diagnosis to chondrocalcinosis. The deposition of calcium pyrophosphate dihydrate crystals was located in the outer joint capsule, which is an atypical localization of chondrocalcinosis of the temporomandibular joint.http://www.sciencedirect.com/science/article/pii/S2214541920300067ChondrocalcinosisTemporomandibular jointPeriarticularArthroplastyProsthesisSagittal split ramus osteotomy
spellingShingle Melisa Garip
Pieter-Jan Verhelst
Fréderic Van der Cruyssen
Raf Sciot
Frank P. Luyten
Michel Bila
Ruxandra Coropciuc
Constantinus Politis
Periarticular chondrocalcinosis of the left temporomandibular joint: A case report
Oral and Maxillofacial Surgery Cases
Chondrocalcinosis
Temporomandibular joint
Periarticular
Arthroplasty
Prosthesis
Sagittal split ramus osteotomy
title Periarticular chondrocalcinosis of the left temporomandibular joint: A case report
title_full Periarticular chondrocalcinosis of the left temporomandibular joint: A case report
title_fullStr Periarticular chondrocalcinosis of the left temporomandibular joint: A case report
title_full_unstemmed Periarticular chondrocalcinosis of the left temporomandibular joint: A case report
title_short Periarticular chondrocalcinosis of the left temporomandibular joint: A case report
title_sort periarticular chondrocalcinosis of the left temporomandibular joint a case report
topic Chondrocalcinosis
Temporomandibular joint
Periarticular
Arthroplasty
Prosthesis
Sagittal split ramus osteotomy
url http://www.sciencedirect.com/science/article/pii/S2214541920300067
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