Skip to main content
SpringerLink
Log in

Synoviale Chondromatose (Chondrometaplasie)

Synovial chondromatosis: a contribution to differential diagnosis of diseases of the temporomandibular joint

Beitrag zur Differentialdiagnose von Kiefergelenkerkrankungen

  • Originalien
  • Published:
Oral and Maxillofacial Surgery Aims and scope Submit manuscript

Zusammenfassung

Der beschriebene Fall einer synovialen Chondromatose des Kiefergelenks ist durch unspezifische Symptome gekennzeichnet. Daraus resultieren erhebliche Schwierigkeiten der differentialdiagnostischen Zuordnung der verschiedenen klinischen und technischen Befunde. Die Vorstellung der Chondrometaplasie als dreiphasige selbstlimitierende Erkrankung wird untermauert. Es wird vorgeschlagen, bei der Therapie unter Würdigung des benignen Charakters der Erkrankung auf jede unnötige Destruktion zu verzichten. In diesem Fall muß kausal eine reaktive metaplastische Proliferation durch langjährige parafunktionelle Belastung des Kapsel-Band-Strukturen des Kiefergelenks angenommen werden. Artikuläre Fehlbelastungen sollten gezielt aufgedeckt und abgestellt werden.

Summary

A rare case of synovial chondromatosis of the temporomandibular joint with unspecific symptoms is presented. This causes difficulties in classifying the different clinically and technically acquired features at differential diagnosis. The concept of chondrometaplasia as being triphasic and self-limiting is strongly supported and extreme care should be taken during therapie in order to avoid any unnecessary destruction and mutilation. This case seems to indicate that chronic parafunctional overload was the initiating stimulus for this reactive metaplastic process. Nonphysiologic overstrain of any cause should be diagnosed and corrected.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Axhausen G (1933) Pathologie und Therapie des Kiefergelenkes. Fortschr Zahnheilkd 9:171–186

    Google Scholar 

  2. De Bont LGM, Liem RSB, Boering G (1988) Synovial chrondromatosis of the temporomandibular joint: a light and electron microscopic study. Oral Surg Oral Med Oral Pathol 66:593–598

    Article  PubMed  Google Scholar 

  3. Demeulemeester LJM, Bossuyt M, Casselman J, Deschepper C, Ectors N, Van Damme B (1988) Synovial chondromatosis of the temporomandibular joint. Int J Oral Maxillofac Surg 17:181–182

    Article  CAS  PubMed  Google Scholar 

  4. Dolan EA, Vogler JB, Angelillo JC (1989) Synovial chrondromatosis of the temporomandibular joint diagnosed by magnetic resonance imaging: report of a case. J Oral Maxillofac Surg 47:411–413

    Article  CAS  PubMed  Google Scholar 

  5. Fechner RE (1976) Neoplasms and neoplasm-like lesions of the synovium. In: Ackerman LV, Spjut JH, Abell RM (eds) International academy of pathology monograph — bones and joints. Williams & Wilkins, Baltimore, pp 163–186

    Google Scholar 

  6. Fujita S, Iizuka T, Teboi Y, Hyou Y (1991) Synovial chondromatosis of the temporomandibular joint with immunohistochemical findings: report of a case. J Oral Maxillofac Surg 49:880–883

    Article  CAS  PubMed  Google Scholar 

  7. Geiler G (1984) Geschwulstartige Hyperplasien. In: Doerr W, Seifert G, Uehlinger E (Hrsg) Spezielle pathologische Anatomie, Bd 18/I. Pathologie der Gelenke und Weichteiltumoren. Springer Berlin Heidelberg New York, S 704–713

    Google Scholar 

  8. Greenwood RE, Goldstein LM (1988) Synovial chondromatosis of the temporomandibular joint: report of a case. J Craniomand Practice 6:252–255

    Google Scholar 

  9. Helmy ES, Bays RA, Sharawy MM (1989) Synovial chondromatosis associated with experimental osteoarthritis in adult monkeys. J Oral Maxillofac Surg 47:823–827

    Article  CAS  PubMed  Google Scholar 

  10. Holmlund A, Reinhold F, Bergstedt H (1992) Synovial chondromatosis of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 73:266–268

    Article  CAS  PubMed  Google Scholar 

  11. Jaffé HL (1961) Tumors and tumorous conditions of the bone and joints. Lea & Febiger, Philadelphia, pp 246–251

    Google Scholar 

  12. Lustmann J, Zeltser R (1989) Synovial chondromatosis of the temporomandibular joint. Int J Oral Maxillofac Surg 18:90–94

    Article  CAS  PubMed  Google Scholar 

  13. McCain JP, Rue H de la (1989) Arthroscopic observation and treatment of synovial chondromatosis of the tempromandibular joint. Int J Oral Maxillofac Surg 18:233–236

    Article  CAS  PubMed  Google Scholar 

  14. Mendonca-Caridad JJ, Schwartz HC (1994) Synovial chondromatosis of the temporomandibular joint: arthoscopic diagnosis and treatment of a case. J Oral Maxillofac Surg 52:624–625

    Article  CAS  PubMed  Google Scholar 

  15. Milgram JW (1977) Synovial chondromatosis. A histopathologic study of thirty cases. J Bone Joint Surg 59:792–796

    Article  CAS  PubMed  Google Scholar 

  16. Moses JJ, Hosaka H (1993) Arthroscopic punch for definitive diagnosis of synovial chondromatosis of the temporomandibular joint. Oral Surg Oral Med Cral Pathol 75: 12–17

    Article  CAS  Google Scholar 

  17. Murphy FP, Dahlin DC, Sullivan CR (1962) Articular synovial chondromatosis. J Bone Joint Surg 44:77–86

    Article  Google Scholar 

  18. Musgrove BT, Moody GH (1991) Synovial chondromatosis of the temporomandibular joint. Int J Oral Maxillofac Surg 20:93–95

    Article  CAS  PubMed  Google Scholar 

  19. Reinert S, Hammer U (1989) Die synoviale Chondromatose des Kiefergelenkes — Eine Differentialdiagnose zum Tumor der Glandula parotis. Laryngorhinootologie 68:216–220

    Article  CAS  PubMed  Google Scholar 

  20. Ronald JB, Keller EE, Weiland LH (1978) Synovial chondromatosis of the temporomandibular joint. J Oral Surg 36:13–19

    CAS  PubMed  Google Scholar 

  21. Saint Martin MC, Castelli MJ, Gattuso P (1994) Letters to the editor: fine-needle aspiration biopsy of synovial chondromatosis of the temporomandibular joint. Diagn Cytopathol 11:93–94

    Article  CAS  PubMed  Google Scholar 

  22. Van Ingen JM, Man K de, Bakri I (1990) CT diagnosis of synovial chondromatosis of the temporomandibular joint. Br J Oral Maxillofac Surg 28:164–167.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Kieferchirurgie und Plastische Gesichtschirurgie, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin, Hindenburgdamm 30, D-12200, Berlin, Deutschland

    T. Plath & B. Hoffmeister

  2. Institut für Pathologie Klinikum Benjamin Franklin, Freie Universität Berlin, Berlin, Deutschland

    H. Dallenbach

  3. Klinik und Poliklinik für Radiologie, Nuklearmedizin und Strahlentherapie Klinikum Benjamin Franklin, Freie Universität Berlin, Berlin, Deutschland

    I. Ohnesorge

Authors
  1. T. Plath
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Dallenbach
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. Ohnesorge
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. Hoffmeister
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Plath, T., Dallenbach, H., Ohnesorge, I. et al. Synoviale Chondromatose (Chondrometaplasie). Mund Kiefer GesichtsChir 1, 349–352 (1997). https://doi.org/10.1007/BF03043582

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03043582

Schlüsselwörter

Key words

Search

Navigation