Temporomandibular Joint Synovial Chondromatosis Posing as Diagnostic Dilemma: A Case Report

  • Philip MathewEmail author
  • Rahul V. C. Tiwari
  • Nikhil O. Govindan
Case Report


Synovial Chondromatosis is a chronic process and a benign tumor-like disorder which forms a loose cartilaginous nodule in the synovial membrane. These nodules can be in different shape and form, pedunculated, single or multiple in number, free or attached to joint space, can be detached from synovial membrane and also process a chance of calcification. It was first described by Auhausen in 1933 in the literature. Patients usually report with a history of difficulty in mouth opening gradually with time and pain with mild swelling on the preauricular area when involving temporomandibular joint. The lesion hinders the normal movements of temporomandibular joint. It is commonly reported in the long bones [1]. In temporomandibular joint, both unilateral and bilateral cases are reported with more gravity to right side in unilateral cases [2]. Male/female ratio is 1:1.5 in occurrence [2, 3]. It mainly occurs at the age of 30–50 [3]. It has an idiopathic etiology, but the...



  1. 1.
    Fuller E, Bharatha A, Yeung R, Kassel EE, Aviv RI, Howard P, Symons SP (2011) Case of the month #166: synovial chondromatosis of the temporal mandibular joint. Can Assoc Radiol J 62(2):151–153CrossRefGoogle Scholar
  2. 2.
    Guijarro-Martínez R, Torres MP, Mateo MM, García IS, Alba LM, Gimilio MEI et al (2011) Bilateral synovial chondromatosis of the temporomandibular joint. J Cranio Maxillofac Facial Surg 39:261–265CrossRefGoogle Scholar
  3. 3.
    Bonatti BDS, Patrocinio LG, Costa SAA, Costa JMC, Patrocinio JA (2008) Condromatose sinovial de articulac¸a˜o teˆmporo-mandibular. Rev Bras Otorrinolaringol 74(3):480CrossRefGoogle Scholar
  4. 4.
    Munk PL, Helms CA (1989) Temporomandibular joint synovial chondromatosis: CT manifestations. J Can Assoc Radiol 40:274–276Google Scholar
  5. 5.
    Nitzan DW, Marmary Y et al (1991) The diagnostic value of computed tomography in temporomandibular joint synovial chondromatosis. Comput Med Imaging Graph 15:53–56CrossRefGoogle Scholar
  6. 6.
    Doran EA, Vogler JB, Angelillo JC (1989) Synovial chondromatosis of the temporo-mandibular joint diagnosed by magnetic resonance imaging. J Oral Maxillofac Surg 47:411–413CrossRefGoogle Scholar
  7. 7.
    Noyek AM, Holgate RC, Fireman SM, Rosen P, Pritzker KPH (1977) The radiological findings in synovial chondromatosis (chondrometaplasia) of the temporomandibular joint. J Otolaryngol 6:45–48Google Scholar
  8. 8.
    Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA (2007) Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics 27:1465–1488CrossRefGoogle Scholar
  9. 9.
    Kunkel KA, Rochat MC (2008) A review of lameness attributable to the shoulder in the dog: part two. J Am Anim Hosp Assoc 44:163–170CrossRefGoogle Scholar
  10. 10.
    Shah SB, Ramanojam S, Gadre PK, Gadre KS (2011) Synovial chondromatosis of temporomandibular joint. Journey through 25 decades and a case report. J Oral Maxillofac Surg 69:2795–2814CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  • Philip Mathew
    • 1
    Email author
  • Rahul V. C. Tiwari
    • 1
  • Nikhil O. Govindan
    • 2
  1. 1.Department of Oral and Maxillofacial Surgery and DentistryJubilee Mission Medical College Hospital and Research InstituteThrissurIndia
  2. 2.Department of Oral and Maxillofacial surgerySree Anjaneya Institute of Dental SciencesModakkalloor, CalicutIndia

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