Septic arthritis of the temporomandibular joint: Case series and literature review

Cranio. 2021 Nov;39(6):541-548. doi: 10.1080/08869634.2019.1661943. Epub 2019 Sep 3.

Abstract

Background: Septic arthritis of the temporomandibular joint (SATMJ) is a relatively uncommon condition in the adult population and can result in significant morbidity. This study reviewed seven cases of SATMJ, including their management and complications.Clinical Presentation: A retrospective study was performed on seven cases that developed SATMJ documented from 2011 to 2017. Seven cases demonstrated SATMJ that resulted in joint destruction and complications, such as mandibular osteomyelitis, vertebral osteomyelitis, bone erosion, ankylosis, and death. The management of these seven cases was presented, as well as the treatment outcomes.Clinical Relevance: SATMJ should be treated aggressively, as it may cause severe damage to the TMJs and adjacent tissues, which could lead to loss of function, malocclusion, and potentially fatal complications.

Keywords: Infectious arthritis; infection; mandibular condyle.

Publication types

  • Review

MeSH terms

  • Adult
  • Arthritis, Infectious* / diagnosis
  • Humans
  • Mandibular Condyle
  • Osteomyelitis*
  • Retrospective Studies
  • Temporomandibular Joint
  • Temporomandibular Joint Disorders* / etiology