TMJ + posture Flashcards
where do the condyles sit
mandibular fossa
what 2 structures surround the mandibular fossa
postglenoid tubercle
articular eminence
why is TMJ an ‘atypical’ synovial
surfaces are covered in fibrocartilage
deep layer fibers of fibrocartilage go __(parallel/perpendicular)___ to bony surface
perpendicular
(helps withstand stress)
superficial layer fibers of fibrocartilage go __(parallel/perpendicular)___ to bony surface
parallel
(helps with sliding)
where does the temporalis muscle attach
coronoid process
inferior TMJ function vs superior TMJ function
inf = hinge joint (rolling posterior during opening)
sup = plane joint (sliding anterior during opening)
which part of the disc is not innervated and not vascularized
anterior band
intermediate zone
what is the “open-packed” position of the TMJ?
mouth slightly opened, at rest
articular disc is made up of 3 things
collagen
proteoglycans
elastin
3 structures the articular disc of TMJ attaches to
medial/lateral poles of mandible condyle
lateral pterygoid anteriorly
bilaminar retorodiscal pad posteriorly
which part of the disc is vascularized and innervated
posterior band
3 ligaments of TMJ
TM joint
stylomandibular ligament
sphenomandibular ligament
which direction is the TMJ strongest
lateral
TM ligament resists (oblique/horizontal parts)….
oblique = limits downward + posterior motion/rotation
horizontal (inner) = resist posterior motion of condyle
MOST IMPORTANT FOR STABILITY
stylomandibular ligament resists….
protrusion (weakest tho)
sphenomandibular ligament resists …
forward translation (protrusion?)
osteokinematic motions of TMJ (6)
depression
elevation
protrusion
retrusion
L lateral deviation
R lateral deviation
arthrokinematic movements of TMJ
rolling
anterior slide
distraction
lateral glide
normal depression ROM in TMJ (fingers test and mm value)
40-50mm
2 fingers = functional
3 fingers = normal
2 movements of TMJ
- posterior roll of mandible
- anterior slide of condyle
t/f: there is no active contraction of the superior lateral pterygoid in TMJ depression
true, the inferior fibers may help but gravity does most of the work
is the depression of TMJ more passive or active
passive due to gravity
what structures help elevation of TMJ passively
elasticity of superior retrodisc lamina
sphenomandibular ligament