Temporomandibular Joint Flashcards Preview

ENT Advanced > Temporomandibular Joint > Flashcards

Flashcards in Temporomandibular Joint Deck (18):
1

What separates the articular surfaces of the TMJ so that they never come into contact?

Articular disk
Splits it into two synovial joint cavities, each lined by a synovial membrane

2

What are the articular surfaces of the TMJ lined with?

Fibrocartilage

3

Name the three ligaments of the TMJ and give each one's function

Lateral aka temporomandibular - prevent posterior dislocation
Sphenomandibular - prevent inferior dislocation
Stylomandibular - supports the weight of the joint along with the facial muscles

4

Function of the stylomandibular ligament?

Separated the parotid gland from the submandibular gland

5

PICTURE Where does the lateral ligament run from and to?

From the beginning of the articular tubercle to the mandibular neck
It is a thickening of the joint capsule

6

Where does the sphenoidmandibular ligament run from and to?

From the sphenoid spine to the mandible

7

Where does the stylomandibular ligament run from and to?

Thickening of the fascia of the parotid gland

8

What are the movements of the TMJ?

Protrusion and retraction
Elevation and depression

9

What are the movements of the TMJ generally produced by?

Muscles of mastication
Hyoid muscles

10

Which muscles carry out protrusion and retraction of the TMJ?

Protrusion - lateral pterygoid
Retraction - geniohyoid and digastric

11

Which muscles carry out elevation and depression of the TMJ?

Depression - gravity. If there is resistance, digastric, geniohyoid and mylohyoid muscles
Elevation - temporalis, masseter, medial pterygoid muscles

12

How can dislocation of the TMJ occur?

Blow to the side of the face
Yawning, large bite

13

What happens in a dislocation of the TMJ?

Head of mandible slips out of the mandibular fossa and pulled anteriorly over the articular tubercle - patient unable to close their mouth

14

What can be damaged in a dislocation of the TMJ?

Facial and auriculotemporal nerves

15

Why are posterior dislocations of the jaw rare?

Need to overcome the postglenoid tubercle and the strong intrinsic lateral ligament

16

What is bruxism?

Grinding teeth when sleeping

17

Function of the superior and inferior cavities?

Inferior - rotation of the jaw for the first few mm of opening the jaw

Superior - translocation of the head of the mandible (moving anteriorly and inferiorly) for opening of the jaw the rest of the way

18

What articulates at the TMJ?

Mandibular fossa and head of mandible with the articular tubercle from the squamous part of the temporal bone