12) TMJ and Infratemporal Fossa Flashcards
What are the articulations in the temporomandibular joint?
Condyle of mandible
Mandibular fossa
Articular tubercle (temporal bone)
What separates the articular surfaces?
Articular disk
What covers the articular surfaces?
Fibrocartilage
What are the 3 extra-capsular ligaments of the TMJ?
Lateral (temporomandibular)
Stylomandibular
Sphenomandibular
What muscles cause elevation of the TMJ?
Temporal, masseter and medial pterygoid
What muscles cause depression of the TMJ?
Lateral pterygoid and supra/infrahyoid muscles (mainly gravity)
What muscle causes protrusion of the TMJ?
Lateral pterygoid
What muscle causes retrusion of the TMJ?
Temporal
What muscles cause lateral movements of the TMJ?
Temporal on same side, pterygoids on opposite side and masseter
What is the nerve supply to the muscles of mastication?
Mandibular branch of trigeminal
Describe a TMJ dislocation:
Anterior causing head of mandible to move out of mandibular fossa (anterior to articular tubercle)
What can be damaged in a TMJ dislocation?
Facial and auriculotemporal nerves
What can cause a TMJ dislocation?
Blow to side of face, yawning or taking a large bite
What other TMJ disorders are there?
Bruxism (teeth grinding)
Osteoarthritis
Inter-articular disk derangement
How do TMJ disorders usually present?
Pain in region of auriculotemporal nerve (V3)