Page 63 - Atlas of Small Animal CT and MRI
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Temporomandibular Joint  53


              Figure 1.3.16  Temporomandibular Osteoarthrosis (Canine)                                    CT
                                                                             6y MC Miniature Schnauzer with a history of
                                                                             difficulty opening its mouth. Tests to assess
                                                                             for  the  presence  of  immune‐mediated joint
                                                                             disease were negative. In the sagittal image,
                                                                             rostral is oriented to the left and  caudal is to
                                                                             the right. Marked narrowing of the
                                                                               temporomandibular joint space is evident on
                                                                             both the transverse and sagittal images
                                                                             (a,b),  implying a loss of articular   cartilage
                                                                             and meniscal degeneration. Imaging findings
                                                                             are consistent with temporomandibular
                                                                             osteoarthrosis.


            (a) CT, TP                       (b) CT, SP






              Figure 1.3.17  Temporomandibular Partial Ankylosis (Canine)                                 CT
                                                                             5y  FS Labrador  Retriever with  a history of
                                                                             chronic otitis externa, a 1‐year history of pain
                                                                             on opening the mouth, and more recent in-
                                                                             ability to open mouth. Image b represents a
                                                                             magnified view of the left temporomandibu-
                                                                             lar joint from image a. In the sagittal image
                                                                             (c), rostral is oriented to the left and caudal is
                                                                             to the right. Subchondral bone remodeling of
                                                                             the left condylar process (b,c: asterisk)
                                                                             and  marked periarticular bone proliferation
                                                                             surround the left temporomandibular joint.
                                                                             Reactive bone surrounds  the medial and
                                                                               ventral aspect of the condylar process (b:
                                                                             arrowheads) and the angular process (b,c:
            (a) CT, TP                       (b) CT, TP                      large arrows). The left zygomatic process is
                                                                             thickened and sclerotic (b: small arrow).
                                                                             Milder changes to the right temporomandib-
                                                                             ular joint are also evident (d).















            (c) CT, SP                       (d) CT, TP







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