Ultrasound Guided Injections for the TMJ

Ultrasound-guided TMJ Injection for the Management of Osteoarthritis

 Workshop Description:

The management of temporomandibular joint (TMJ) osteoarthritis typically begins with conservative therapies. However, for cases that are refractory to these treatments or in advanced stages, minimally invasive procedures—such as joint lysis and lavage via arthrocentesis, followed by intra-articular injections of biologically active products—can provide substantial benefits. Biologics, including hyaluronic acid and platelet concentrates, have shown efficacy in controlling tissue damage and alleviating associated symptoms, offering hope for improved quality of life for affected individuals.

Historically, these procedures relied on anatomical landmarks for guidance. However, with recent advances in medical imaging—specifically ultrasound-guided techniques—the landscape of TMJ interventions has undergone a transformation. Ultrasound guidance enables real-time visualization, greatly enhancing both the precision and effectiveness of these procedures. This technological shift marks a pivotal advancement, optimizing patient outcomes and minimizing procedural risks.

Despite the potential benefits of ultrasound-guided procedures, teaching these advanced techniques presents unique challenges. Unlike other medical interventions that can be easily simulated, TMJ procedures require a deep understanding of the joint’s complex anatomy and pathology. Furthermore, opportunities for hands-on practice in clinical settings are often limited, making it crucial to provide extensive training to ensure competency.

To overcome these challenges, this workshop aims to bridge the gap between theory and practice by offering participants comprehensive training in minimally invasive TMJ procedures, with a particular focus on ultrasound guidance. Through a blend of didactic lectures, practical demonstrations, and hands-on exercises, participants will acquire the knowledge and skills necessary to confidently integrate these techniques into their clinical practice.

 Educational Learning Objectives:

Treatment Selection: Gain a comprehensive understanding of the indications and contraindications for lysis and lavage therapies, as well as intra-articular injections, in patients with TMJ osteoarthritis.

 Blind Techniques: Master the techniques for performing blind arthrocentesis and intra-articular injections using anatomical landmarks in the upper TMJ compartment.

 Ultrasound Guidance: Learn to perform arthrocentesis and intra-articular injections in the lower TMJ compartment using ultrasound guidance, including proper probe manipulation and interpretation of ultrasound images.