TMJ Flashcards
Anatomy of TMJ
Condyle
Glenoid Fossa
Articular Eminence
- Interarticular disc
what divides joint cavity in two
interarticular disc
Retrodiscal laminae attaches to disc
posteriorly
Retrodiscal Laminae prevents disc from translating
anteriorly
Lateral Pterygoid - superior and inferior heads
Superior head attaches to
disc
lateral pterygoid prevents
posterior translation
Lateral Ligament
deep horizontal fibers
superficial oblique fibers
Joint capsule made of
fibrous CT
Joint capsule - Superior attachment to rim of
Temporal articular surfaces
Inferior joint capsule attaches to
condylar neck
Joint caosule
Medial and lateral attachments only in inferior joint space to
medial and lateral poles
Lateral capsule becomes
TMJ ligament
- Anterior capsule blends with lower head of
External (superior) pterygoid and superior disc
Posterior capsule attaches near
Post glenoid spine
Lateral Temporal Mandibular Ligament prevents excessive
A-P and lateral movements
Lateral Temporal Mandibular Ligament main suspension ligament during
moderate opening
Temporomandibular Ligament
Outer oblique
Inner horizontal
Stylomandibular ligament limits excessive
protrusion
Stylomandibular ligament attaches from Styloid process of temporal bone to
posterior aspect of mandible
Stylomandibular ligament acts as a stop to
extreme opening
Sphenomandibular Ligament limits
inferior displacement
Sphenomandibular Ligament superior attachment to angular spine of
sphenoid bone
Sphenomandibular Ligament inferior attachment on
lingual of mandibular foramen
Sphenomandibular Ligament suspends mandible during
wide opening
Posterior superior disc attaches to
Superior lamina or stratum
Posterior Inferior disc attaches to
Inferior lamina or stratum
Anterior attachment to capsule and superior fibers of the
Superior lateral pterygoid
articular disc attached to medial and lateral poles by
Medial and lateral collateral ligaments
Articular disc attachment restricts movement
medially and laterally
Articular disc attaches to capsule
anteriorly and posteriorly
Commonly seen
disc pushed _______
Retrodiscal lamina gets ______ and causes pain
anteriorly
pinched
Retrodiscal lamina attaches to posterior capsule and
anterior tympanic plate
Superior belly of lateral pterygoid attaches
anteriorly to disc
superior belly of lateral pterygoid controls
posterior movement during mouth closing
Retro-discal tissue attaches to
Posterior capsule and to anterior tympanic plate
Upper Compartment
disc and mandibular fossa
Lower compartment
disc and condyle of mandibular bone
coronal axis passes through
the condyles
Lower compartment rolls ______ glides ______
posteriorly, anteriorly
Opening and closing occurs in two phases
Phase I: Early
Phase II: Late