Int J Stomatol

Int J Stomatol ›› 2021, Vol. 48 ›› Issue (6): 664-667.doi: 10.7518/gjkq.2021113

• Case Report • Previous Articles     Next Articles

Calcium pyrophosphate deposition disease complicated by temporomandibular joint dislocation

Zhang Zhe1(),Liu Jin2,Wang Weihong1,3(),Chen Zhiqiang2,Yang Chun3,Liu Li3   

  1. 1. Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650106, China
    2. Dept. of Orthopedics, Xinping County Hospital of Traditional Chinese Medicine, Yuxi 653400, China
    3. Dept. of Temporomandibular Joint Diseases, Affiliated Stomatological Hospital of Kunming Medical University, Kunming 650106, China
  • Received:2021-03-10 Revised:2021-08-27 Online:2021-11-01 Published:2021-10-28
  • Contact: Weihong Wang E-mail:zhangzhe2200@163.com;wwh2002191@163.com
  • Supported by:
    Medical Leading Talents Project of Yunnan Provincial Health Commission(L-201801)

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Abstract:

Calcium pyrophosphate deposition disease (CPPD) occurred in the temporomandibular joint is relatively rare. This report describes a case of CPPD combined multiple dislocations of the unilateral temporomandibular joint (TMJ) in a 54-year-old male patient who was successively misdiagnosed as having habitual TMJ dislocation, synovial chondroma and gout. Unexpectedly, the postoperative histopathological diagnosis was neoplastic calcium pyrophosphate crystalline deposition disease (pseudogout). Therefore, TMJ calcium pyrophosphate deposition disease should not be excluded in patients with chronic spontaneous unilateral TMJ dislocation, and should also be distinguished from TMJ synovial chondromas and condylar osteochondromas.

Key words: calcium pyrophosphate deposition disease, temporomandibular joint, pseudogout

CLC Number: 

  • R782.6

TrendMD: 

Fig 1

Three-dimensional CT showed dislocation of the right temporomandibular joint"

Fig 2

Imaging examination before operation"

Fig 3

Intraoperatively, the tumor capsule was found to be intact and elastic"

Fig 4

The histopathology showed that neoplastic CPPD with neutrophil and lymphocyte infiltration HE × 20"

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