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Conditions and Diseases > TMJ Forum > Arthroscopic surgery ?
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Q: Arthroscopic surgery ?
asked by: dove2008 on April 21st, 2008
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My MRI report states (RIGHT) I have anterior subluxation of the meniscus and there is narrowing of the tmj joint space with diffuse cartilage thinning and mild subchondral sclerosis of the mandibular condyle. With jaw opened, there is anterior rotation and translation of the condyle without meniscal recapture. The meniscus demonstrates abnormal morphology. There is a small to moderate joint effusion present.

Should I consider arthroscopic surgery?

Thanks...
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edgaras
replied on April 22nd, 2008
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Wow, your MRI results are so detailed, do you mind telling us where was this done? Mine was pretty vague - on one part it said there is a cyst, then on a next sentence, it says cyst(S). I'm lost - is it on cyst, many cyst.. I was pretty
confused by the report, but yours is very precise and informative.
I am also considering arthroscopic surgery, I'm just waiting to see how much longer I can live with this pain before doing anything too invasive.
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dove2008
replied on April 22nd, 2008
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Arthroscopic Surgery?
My MRI was done @ Baptist Health South Florida at Coral Gables.

I am currently in a lot of pain. The oral surgeon I was seeing recommended I have Arthroscopic Surgery because in his opinion I was past night guards, splints, etc. etc. So he referred me to another oral surgeon that specializes in Arthroscopic Surgery of TMJ; the appointment is this Thursday and wanted to get some opinons on the surgery (whether to do it or not).

Thanks!
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TMJWorld
replied on April 22nd, 2008
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yes consider it---but ask if there is sometjhng else that you can try before that---try all conservative methods firsts
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edgaras
replied on April 23rd, 2008
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translation
I was lost when I first read the report so..
subluxation = partial dislocation of a joint.
sclerosis = Literally, "scar"; the hardening of tissue.
morphology = The form and structure of an organism, in particular its outside features.

Hope that helps Smile
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edgaras
replied on April 23rd, 2008
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position of meniscus
MRI showing normal position of meniscus in closed mouth view:




MRI showing anterior dislocation of meniscus in closed mouth view:

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dove2008
replied on April 23rd, 2008
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Thanks so much for the info.
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dove2008
replied on April 25th, 2008
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Update---
Went to see my new doctor. He recommended doing a arthrocentisis first. I am scheduled for the procedure July 3rd.....

Fingers crossed!
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TMJWorld
replied on April 25th, 2008
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yes arthrocentises is the least invasive and is always done first--its a peice of cake dont worry about it
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