Psoriatic arthritis is a chronic inflammatory condition that affects joints and skin. It is associated with psoriasis, a skin disorder. The inflammation associated with the condition can damage the joint tissues, including the cartilage and surrounding structures. Over time, this can result in joint stiffness, pain, swelling, and reduced range of motion. In severe cases, the joints may become severely damaged, leading to joint destruction, disability, and functional limitations.
This patient had Double jaw surgery in 2014 which relapsed due to further breakdown of the
temporomandibular joint. She was on biologics methotrexate and humira, these medications
were thought to have preservative effects on the condylar volume which ultimately proved
otherwise. We suggested a total joint replacement which she decided against. In 2017, still
experiencing major joint pain, she decided to proceed with the total joint replacement for a
stable outcome that would not be prone to relapse.