Painful clicking jaw: a pictorial review of internal derangement of the temporomandibular joint We conclude that imaging has an important role to play in the diagnosis of internal derangement-degenerative joint disease spectrum affecting the TMJ. MR is an excellent imaging modality for the same. With its exquisite soft tissue contrast resolution, non-invasive nature, and multiplanar capability with no radiation hazard, MR is capable of demonstrating a broad spectrum of pathologies affecting the TMJ in great detail. MDCT is the standard modality for osseous changes in the TMJ. However, MR in various studies has shown comparable results in terms of osseous changes in internal derangement and hence can be a one-stop shop modality to evaluate the same.
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