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10.1186/s12969-015-0056-2 http://scihub22266oqcxt.onion/10.1186/s12969-015-0056-2 C4673741!4673741 !26646650     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26646650 &cmd=llinks): Failed to open stream: HTTP request failed! 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Is early TMJ involvement in children with juvenile idiopathic arthritis clinically detectable? Clinical examination of the TMJ in comparison with contrast enhanced MRI in patients with juvenile idiopathic arthritis |pdf=|usr=}}{{26646650 }} gab.com Text Is early TMJ involvement in children with juvenile idiopathic arthritis clinically detectable Clinical examination of the TMJ in comparison with contrast enhanced MRI in patients with juvenile idiopathic arthritis JO: Pediatr Rheumatol Online J http://www.kidney.de/pget.php?&tw=1&pmid=26646650 #FOAvip BACKGROUND: To test clinical findings associated with early temporomandibular joint (TMJ) arthritis in comparison to the current gold standard contrast enhanced magnetic resonance imaging (MRI) in children with juvenile idiopathic arthritis (JIA). METHODS: Seventy-six consecutive JIA patients were included in this study. Rheumatological and orthodontic examinations were performed blinded to MRI findings. Joint effusion and/or increased contrast enhancement of synovium or bone as well as TMJ deformity were assessed on MRI and compared to clinical findings. The maximal mouth opening capacity (MOC) of the JIA patients was compared to normative values obtained from a cohort of 20719 school children from Zürich, Switzerland. RESULTS: On MRI a total of 54/76 (71%) patients and 92/152 (61%) joints had signs of TMJ involvement. MRI showed enhancement in 85/152 (56%) and deformity in 39/152 (26%) joints. MOC, asymmetry and restriction in condylar translation showed significant correlation to TMJ enhancement and deformity, whereas antegonial notching was correlated with TMJ deformity only. When joints with deformity were excluded, enhancement alone did not show a significant correlation with any clinical factor. CONCLUSIONS: Clinical findings in affected TMJs are correlated with structural damage only. Therefore clinical assessment of TMJs does not allow to diagnose early arthritis accurately and will still depend on contrast enhanced MRI. Twit Text FOAVip Is early TMJ involvement in children with juvenile idiopathic arthritis clinically detectable Clinical examination of the TMJ in comparison with contrast enhanced MRI in patients with juvenile idiopathic arthritis ????Pediatr Rheumatol Online J http://www.kidney.de/pget.php?&tw=1&pmid=26646650 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26646650 #FOAvip English Wikipedia <ref>{{Cite pmid|26646650 }}</ref> Is early TMJ involvement in children with juvenile idiopathic arthritis clinically detectable? Clinical examination of the TMJ in comparison with contrast enhanced MRI in patients with juvenile idiopathic arthritis #MMPMID26646650 Keller H ; Müller LM ; Markic G ; Schraner T ; Kellenberger CJ ; Saurenmann RK Pediatr Rheumatol Online J 2015[Dec]; 13 (ä): 56 PMID26646650 show ga BACKGROUND: To test clinical findings associated with early temporomandibular joint (TMJ) arthritis in comparison to the current gold standard contrast enhanced magnetic resonance imaging (MRI) in children with juvenile idiopathic arthritis (JIA). METHODS: Seventy-six consecutive JIA patients were included in this study. Rheumatological and orthodontic examinations were performed blinded to MRI findings. Joint effusion and/or increased contrast enhancement of synovium or bone as well as TMJ deformity were assessed on MRI and compared to clinical findings. The maximal mouth opening capacity (MOC) of the JIA patients was compared to normative values obtained from a cohort of 20719 school children from Zürich, Switzerland. RESULTS: On MRI a total of 54/76 (71%) patients and 92/152 (61%) joints had signs of TMJ involvement. MRI showed enhancement in 85/152 (56%) and deformity in 39/152 (26%) joints. MOC, asymmetry and restriction in condylar translation showed significant correlation to TMJ enhancement and deformity, whereas antegonial notching was correlated with TMJ deformity only. When joints with deformity were excluded, enhancement alone did not show a significant correlation with any clinical factor. CONCLUSIONS: Clinical findings in affected TMJs are correlated with structural damage only. Therefore clinical assessment of TMJs does not allow to diagnose early arthritis accurately and will still depend on contrast enhanced MRI. |Adolescent [MESH] |Arthritis, Juvenile/*complications/pathology [MESH] |Child [MESH] |Child, Preschool [MESH] |Female [MESH] |Humans [MESH] |Infant [MESH] |Magnetic Resonance Imaging/methods [MESH] |Male [MESH] |Physical Examination [MESH] |Temporomandibular Joint Disorders/*diagnosis/etiology/pathology [MESH]Is early TMJ involvement in children with juvenile idiopathic arthriti(epmc).pdf DeepDyve Pubget Overpricing