Ch 14 Temporomandibular joint Flashcards
Temporomandibular joint motion in terms of plane and axis and range of normal motion at this joint
mandibular depression, elevation, lateral deviation, protrusion, retrusion
Key bones and bony landmarks of TMJ
Mandibular angle, body of mandible, mandibular condyle, coronoid process, mental spine, neck, notch, ramus, mastoid process, articular tubercle, mandibular fossa, styloid process, external auditory meatus, zygomatic process
Primary ligaments of TMJ
lateral ligament, temporomandibular ligament, sphenomandibular ligament, stylomandibular ligament, stylohyoid ligament
Joint of TMJ
joint capsule, articular disk pg 228
Temporalis muscle
O- temporal fossa
I- coronoid process and ramus of mandible
A- Bilaterally: elevation, retrusion, Unilaterally: ipsilateral lateral deviation
N- trigeminal nerve (CNV)
Masseter muscle
O- zygomatic arch of temporal bone & zygomatic process of maxilla
I- Angle of ramus and coronoid process of mandible
A- Bilaterally: elevation, Unilaterally: ipsilateral lateral deviation
N- trigeminal nerve (CNV)
Medial pterygoid
O- lateral pterygoid plate of sphenoid & tuberosity of maxilla
I- ramus & angle of mandible
A- Bilaterally: elevation, protrusion, Unilaterally: contralateral lateral deviation
N- trigeminal (CNV)
Lateral pterygoid
O- Lateral pterygoid plate & greater wing of sphenoid
I- mandibular condyle & articular disk
A- Bilaterally: depression, protrusion, Unilaterally: contralateral lateral deviation
N- trigeminal (CNV)
Suprahyoid muscles
group of muscles located above the hyoid bone, they connect the hyoid bone to the skull primarily to the mandible; they assist in depressing the mandible, includes mylohyoid, geniohyoid, stylohyoid, and digastric
Mylohyoid muscle
O- Inferior medial mandible
I- Hyoid
A- assists in depressing mandible
N- trigeminal (CNV)
Geniohyoid muscle
O- Mental spine
I- Hyoid
A- Assists in depressing mandible
N- C1 via hypoglossal nerve (CN XII)
Stylohyoid muscle
O- Styloid process of temporal bone
I- Hyoid
A- assists in depressing mandible
N- facial nerve (CN VII)
Digastric muscle
O- Anterior: internal inferior mandible, Posterior: mastoid process
I- via pulleylike tendon to hyoid
A- assists in depressing mandible
N- trigeminal nerve (CN V), facial nerve (CN VII)
Infrahyoid muscles
located below hyoid bone and serve to depress it, stabilize the hyoid bone allowing the suprahyoid muscles to depress the mandible, includes sternohyoid, sternothyroid, thyrohyoid, and omohyoid; lesion to C1 to C3 would paralyze these muscles, but lesion to hypoglossal wouldn’t
Sternohyoid muscle
O- medial end of clavicle, sternoclavicular ligament, and manubrium of sternum
I- inferior border of hyoid bone
A- stabilize hyoid
N- C1 to C3 via hypoglossal