+++
CONDITION/DISORDER SYNONYMS
++
Costen syndrome
Temporomandibular joint dysfunction (TMJD)
Temporomandibular joint dysfunction syndrome
Temporomandibular joint internal derangement
Temporomandibular joint pain
++
524.6 Temporomandibular joint disorders
524.60 Temporomandibular joint disorders, unspecified
524.61 Temporomandibular joint disorders, adhesions and ankylosis (bony or fibrous)
524.62 Temporomandibular joint disorders, arthralgia of temporomandibular joint
524.63 Temporomandibular joint disorders, articular disk disorder (reducing or nonreducing)
524.64 Temporomandibular joint disorders, temporomandibular joint sounds on opening and/or closing the jaw
524.69 Other specified temporomandibular joint disorders
++
M26.60 Temporomandibular joint disorder, unspecified
M26.61 Adhesions and ankylosis of temporomandibular joint
M26.62 Arthralgia of temporomandibular joint
M26.63 Articular disk disorder of temporomandibular joint
M26.69 Other specified disorders of temporomandibular joint
+++
PREFERRED PRACTICE PATTERNS3
++
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation
++
PATIENT PRESENTATION
A 32-year-old female presents at the clinic with right lateral jaw pain. The patient states she thought she had an ear infection, but the family physician stated the ear was clear. She states she has been under a lot of stress. Her husband states she grinds her teeth at night. Patient has complaints of headaches and difficulty eating apples that are uncut. Upon opening of her jaw, it is noted that the mandible deviates to the left.
++++
++
Often referred to as TMJ (temporomandibular joint) which is the name of the joint, but does not describe any specific dysfunction
Syndrome is an umbrella term describing acute or chronic inflammation of the TMJ
Diagnosis covers an array or acute or chronic problems of the TMJ
Originally described by James B. Costen in 1934 and initially known as Costen syndrome
Five stages of disk displacement
+++
Essentials of Diagnosis
++
Dysfunction of the joint, muscle imbalances4
Alignment problems between the temporal and mandible bones and the cervical spine
+++
General Considerations
++