Abstract
Juvenile Idiopathic Arthritis (JIA) is the most common childhood rheumatic disease. JIA frequently affects the temporomandibular joints (TMJs) and, when this occurs, intra-articular steroid injection (IASI) is one option for treatment. IASI is typically performed by an oral and maxillofacial surgeon (OMS) using facial landmarks and joint palpation, but some authors have suggested that superior results can be achieved when the procedure is performed by an Interventional Radiologist (IR) using image guidance.1 The purpose of this study is to compare outcomes of TMJ IASI performed by an OMS without intraoperative imaging versus by an IR using ultrasound guidance in a series of patients with JIA and TMJ synovitis. We hypothesized that there would be no measurable difference in treatment outcomes based on injection technique.
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