Dominant form of arthrogryposis multiplex congenita with limited mouth opening: A clinical and imaging study

Dominant form of arthrogryposis multiplex congenita with limited mouth opening: A clinical and imaging study

Author Guimaraes, Antonio Sergio Google Scholar
Marie, Suely Kazue Nagahashi Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Abstract Aims: Arthrogryposis multiplex congenita (AMC) is characterized by congenital contractures and joint deformities, but there are only a few reports of temporomandibular joint (TMJ) involvement. The objective of this investigation was to study the cause of limited mouth movement in this disease. Materials and Methods: Four individuals from a family affected by AMC over 5 generations were examined clinically and by magnetic resonance imaging (MRI) and 3-dimensional computerized tomography (3D-CT). Results: The CT scans of the 4 individuals showed hyperplasia of the coronoid process protruding into the infratemporal fossa in 2 of them and cranially to the zygomatic arch in the other 2; the hyperplasia was associated with mechanical limitation of the mouth opening. The MRI showed a disc displacement with reduction in 1 patient and a disc displacement without reduction in another; disc displacement could not be evaluated because of the limited mouth opening in the other 2. The condyle-disc complex of these last 2 individuals could only rotate. The MRI on T2-weighted images showed disc hyposignal in all cases but no alterations in the masticatory muscle tissue. The pedigree of the family suggests an autosomal dominant form of inheritance. Conclusions: The restriction of mouth opening in the 4 individuals affected by AMC was likely due to osseous dysplasia.
Keywords arthrogryposis
coronoid process
jaw locking
magnetic resonance imaging
mouth opening
3-dimensional computed tomography
Language English
Date 2005-12-01
Published in Journal Of Orofacial Pain. Carol Stream: Quintessence Publ Co Inc, v. 19, n. 1, p. 82-88, 2005.
ISSN 1064-6655 (Sherpa/Romeo, impact factor)
Publisher Quintessence Publ Co Inc
Extent 82-88
Origin http://www.quintpub.com/journals/ofph/full_txt_pdf_alert.php?article_id=1623
Access rights Closed access
Type Article
Web of Science ID WOS:000226846500010
URI http://repositorio.unifesp.br/11600/44527

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