{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:55:08Z","timestamp":1792054508012,"version":"4.4.0"},"reference-count":6,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,2,2]],"date-time":"2005-02-02T00:00:00Z","timestamp":1107302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Oral Pathology Medicine"],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:p><jats:bold>Background:\u2002<\/jats:bold> Steroid injections into joints are frequently used to control symptomatic pain. Risks associated with intra\u2010articular steroid injections are not well documented.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> We report the case of a 29\u2010year\u2010old woman who was referred to a dental surgeon because of a suspected relationship between persisting chronic back pain and an arthrosis of the temporomandibular joint (TMJ).<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The dental surgeon diagnosed capsulitis of the right TMJ and injected 40\u2003mg triamcinolone into the joint. Within 4\u2003months the patient developed progressive pain and trismus of the right TMJ and the intra\u2010articular injection was repeated. An occlusal splint slightly improved the patients\u2019 symptoms but induced crepitus. Magnetic resonance imaging revealed a disk dislocation in the right TMJ and severe necrosis of the condyle. The patient had persisting pain and ankylosis. Surgical restoration of the TMJ revealed a bony apposition in the fossa deformed with the socket of the joint, extensive medial erosion of the condyle and complete destruction of the disk.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> This case report supports earlier observations that intra\u2010articular glucocorticoid injections, if used in a wrong way, may cause severe destruction of a joint.<\/jats:p>","DOI":"10.1111\/j.1600-0714.2004.00247.x","type":"journal-article","created":{"date-parts":[[2005,2,2]],"date-time":"2005-02-02T15:02:53Z","timestamp":1107356573000},"page":"184-186","source":"Crossref","is-referenced-by-count":31,"title":["Severe temporomandibular dysfunction and joint destruction after intra\u2010articular injection of triamcinolone"],"prefix":"10.1111","volume":"34","author":[{"given":"C.","family":"Schindler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Paessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Eckelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Kirch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,2,2]]},"reference":[{"key":"e_1_2_3_2_2","first-page":"1","article-title":"Inflammatory involvement of the temporomandibular joint. Diagnostic and therapeutic aspects and a study of individuals with ankylosing spondylitis","volume":"20","author":"Wenneberg B.","year":"1983","journal-title":"Swed Dent J Suppl"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198906000-00053"},{"key":"e_1_2_3_4_2","unstructured":"HatzH.Glucocorticoids. Immunological principles pharmacology and guidelines for therapy German edition. Stuttgart:Scientific Publishing House 1998."},{"key":"e_1_2_3_5_2","unstructured":"Triam Inject.Product information: Triam inject.Lichtenstein Pharmaceuticals 2002."},{"key":"e_1_2_3_6_2","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1001\/archinte.1978.03630290052018","article-title":"Aseptic necrosis of bone in systemic lupus erythematosus. Relationship to corticosteroid therapy","volume":"138","author":"Abeles M","year":"1978","journal-title":"Arch Intern Med"},{"key":"e_1_2_3_7_2","first-page":"675","article-title":"Temporomandibular joint osteoarthrosis. Histopathological study of the effects of intra\u2010articular injection of triamcinolone acetonide","volume":"21","author":"Haddad IK.","year":"2000","journal-title":"Saudi Med J"}],"container-title":["Journal of Oral Pathology &amp; Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1600-0714.2004.00247.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1600-0714.2004.00247.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T10:03:28Z","timestamp":1697364208000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1600-0714.2004.00247.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,2,2]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2005,3]]}},"alternative-id":["10.1111\/j.1600-0714.2004.00247.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1600-0714.2004.00247.x","archive":["Portico"],"relation":{},"ISSN":["0904-2512","1600-0714"],"issn-type":[{"value":"0904-2512","type":"print"},{"value":"1600-0714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,2,2]]}}}