Periarticular chondrocalcinosis of the left temporomandibular joint: A case report

Melisa Garip; Pieter-Jan Verhelst; Fréderic Van der Cruyssen; Raf Sciot; Frank P. Luyten; Michel Bila; Ruxandra Coropciuc; Constantinus Politis

Oral and Maxillofacial Surgery Cases (Jun 2020)

Periarticular chondrocalcinosis of the left temporomandibular joint: A case report

Melisa Garip,
Pieter-Jan Verhelst,
Fréderic Van der Cruyssen,
Raf Sciot,
Frank P. Luyten,
Michel Bila,
Ruxandra Coropciuc,
Constantinus Politis

Affiliations

Melisa Garip: Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium; Corresponding author.
Pieter-Jan Verhelst: 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, Belgium
Fréderic Van der Cruyssen: 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, Belgium
Raf Sciot: Laboratory for Precision Cancer Medicine, Department of Imaging and Pathology, KU Leuven and University Hospitals Leuven, Belgium
Frank P. Luyten: Department of Rheumatology, University Hospitals Leuven, Leuven, Belgium
Michel Bila: 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, Belgium
Ruxandra Coropciuc: 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, Belgium
Constantinus Politis: 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, Belgium

Journal volume & issue: Vol. 6, no. 2

Abstract

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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.

Published in Oral and Maxillofacial Surgery Cases

ISSN: 2214-5419 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/oral-and-maxillofacial-surgery-cases/

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