Temporomandibular joint Flashcards

1
Q

What bones form the Temporomandibular joint?

A

Mandible

Temporal bone of the cranium

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2
Q

What are the main movements allowed by the Temporomandibular joint?

A

Opening
Closing
Side to side movement

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3
Q

Where is the Temporomandibular joint?

A

Anterior to the tragus

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4
Q

What 3 bones articulate at the Temporomandibular joint?

A

Mandibular fossa
Articular tubercle (Squamous part of Temporal bone)
Head of the Mandible

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5
Q

What is unique about the Temporomandibular joint?

A

Articulating surfaces never touch due to the articular disc separating them.

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6
Q

What does the articulating disc split the joint into?

A

2 cavities;
Superior
Inferior

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7
Q

What type of joint is the Temporomandibular joint?

A

Synovial (Has a synovial membrane)

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8
Q

What type of cartilage covers the articulation surfaces?

A

Fibrocartilage (Not Hyaline as would b expected)

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9
Q

What are the 3 extra capsular ligaments?

A

Lateral ligament
Sphenomandibular ligament
Stylomandibular ligament

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10
Q

What is the lateral ligament attached to?

A

Beginning of the articular tubule to the mandibular neck

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11
Q

What is the function of the lateral ligament?

A

Thickening of the joint capsule

Prevents posterior dislocation of the joint

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12
Q

What is the Spenomandibular ligament attached to?

A

Sphenoid spine to mandible

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13
Q

What is the Stylomandibular ligament formed from?

A

Thickening of the fascia of the Parotid gland and facial muscles

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14
Q

What is the function of the Stylomandibular ligament?

A

Supports the weight of the jaw

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15
Q

What muscles control the movement of the Temporomandibular joint?

A

Muscles of mastication

Muscles of Hyoid bone

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16
Q

What movements does the upper section of the joint do?

A

Protrusion of mandible

Retraction of mandible

17
Q

What muscle performs Protrusion of the mandible?

A

Lateral Pterygoid

18
Q

What muscle performs Retraction of the mandible?

A

Geniohyoid

Digastric

19
Q

What movements does the lower section of the joint do?

A

Elevation of mandible

Depression of mandible

20
Q

What is the main cause of depression of the mandible?

A

Gravity

21
Q

What muscles aid with depression of the mandible?

A

Digastric
Geniohyoid
Mylohyoid

22
Q

What muscles aid elevation of the mandible?

A

Temporalis
Masseter
Medial Pterygoid
Contraction of them, very strong movement

23
Q

How can arthritis effect the Temporomandibular joint?

A

Inflammation occurs in the joint causing the patient to commonly to have jaw pain, stiffness and joint grating

24
Q

What can cause dislocation of the Temporomandibular joint?

A

Blow to the side of the face
Yawning
Taking a large bite

25
Q

What occurs in a dislocation of the Temporomandibular joint?

A

Head of mandible slips out of the mandibular fossa and is pulled anteriorly so the patient is unable to close their mouth.

26
Q

Why are posterior dislocations of the Temporomandibular joint rare?

A

A lot of force is needed to overcome the postglenoid tubercle and strong intrinsic lateral ligament

27
Q

What can be damaged in a traumatic dislocation of the Temporomandibular joint?

A

Facial nerve

Auriculotemporal nerve