顎関節結晶沈着症の診断とそのプロセス

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  • Diagnosis of crystal deposition disease of the temporomandibular joint

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A diagnostic procedure in crystal deposition disease of the temporomandibular joint (TMJ), and a method for detection of crystals in the joint fluid, were studied. Five cases of acute arthritis of the TMJ were examined. These cases were suggested to be suppurative arthritis of the TMJ, based on clinical signs, showing apparent swelling and severe pain, and based on radiological findings. However, no microorganisms were detected in the joint fluid. Therefore, we next examined crystals in the joint fluid, employing polarized light microscopy and an electron probe micro-analyzer (EPMA). Calcium pyrophosphate dihydrate crystals were detected in 2 cases, and thus the lesion was diagnosed as CPPD crystal-induced arthritis of the TMJ.

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