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Chapter 13 Clincal Kinesiology and anatomy Lynn Lippert
Chapter 13 TMJ
37
Health Care
Undergraduate 1
11/06/2010

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Cards

Term
What are the osteokinimatic motions of the jaw?
Definition

Elevation/Depression

Retrusion/Protrusion

Lateral Deviation

 

Closing the mouth is elevation

Opening the mouth Depression

Jutting out the jaw is protrusion, return to normal is retrusion

Lateral deviation is side to side motion as in chewing

Term
The TMJ is not a true hinge joint only hinge like.  Why?
Definition
The TMJ joint allows for some gliding motion, yet it's primary motion is hinge like.  The TMJ is a synovial joint and has a joint capsule.
Term
When there is a low level of activity in the Temporalis muscle what position will the TMJ and Jaw be in?
Definition

Resting position.  The mouth is relaxed, closed and the teeth are not touching.

 

The mouth should be able to open far enough to put two to three fingers between the upper and lower teeth.

Term
What bones make up the TMJ joint?
Definition

The mandible (which has two condyles) and two temporal bones which each have an Articular Fossa. 

 

Although the mandible is only one bone, each of the condyles articulating with an articular fossa of a Temporal bone. Each is considered it's own joint.

Term

Be able to visulize the following bony landmarks of the Mandible.

 

Condyle

Neck

Notch

Coronoid process

Ramus

Angle

Body

Definition
See page 171
Term

The articular portion of the temoral bone is made up of the concave articular fossa in the middle with the convex articular tubercle located ________ and the convex postglenoid tubercle located _______.

 

 

page 171

Definition

Anteriorly

Posteriorly

 

The articular portion of the temoral bone is made up of the concave articular fossa in the middle with the convex articular tubercle located Anteriorly and the convex postglenoid tubercle located Posteriorly.

 

Page 172  13-6

Term
When the mandible is depressed the condyle of the mandible rests under what bony landmark?
Definition

Articular tubercle 

 

Page 171

Term
The articular fossa is also called what?
Definition
The mandibular fossa.  But it's on the temporal bone.
Term
The zygomatic arch is made up of what two bones?
Definition

The zygomatic process of the temporal bone (posterior)

the temporal process of the zygomatic bone (anterior)

Term
The temporal fossa includes which bones?
Definition

Temporal, Frontal, Sphenoid, Parietal, and zygomatic.

 

The picture on 173 does not show how the zygomatic is part of the fossa.

Term
The hyoid bone is at the same level as which cervical vertebra?
Definition
C3
Term
The medial pterygoid attaches(origin) where on the maxilla?
Definition
Tuberosity of Maxilla
Term
What nerve innervates the Temporalis, Masseter, medial pterygoid, and lateral pterygoid muscles?
Definition
Trigeminal nerve (cranial nerve V)
Term
Name two muscles that attach to the mastoid process of the temporal bone.
Definition

Diagastric

Sternocleidomastoid

Term
The lateral pterygoid plate is part of what bone?  Name two muscles that attach here.
Definition

Sphenoid bone.

 

Lateral and Medial pterygoid muscles

Term
The lateral ligament is also known as the ___________
Definition
Temporomandibular ligament.
Term
The function of the lateral ligament is ___________________
Definition

It limits downward, posterior, and lateral motions of the mandible.

 

Anteriorly it attaches on the neck of the mandibular condyle and disk.   

 

superiorly it attaches to Articular tubercle of the temporal bone

 

page 174 fig 13-10

 

 

Term
The sphenomandibular ligament functions to ____________________
Definition

suspends the mandible and limits excessive anterior motion.

 

the spenomandibular ligament attaches to the spine of the spenoid bone.

 

It attaches to the middle of the anterior (internal) surface of the ramus of the mandible.

 

13-10  p 174

Term
The Stylomandibular ligaments function is ______________
Definition

limit excessive anterior motion.

 

It attaches on the styloid process and the posterior inferior border of the ramus of the mandible.

Term
The TMJ is a snyovial joint and has a joint capsule.  it attaches superiorly to the articular tubercle and borders of the fossa of the temporal bone.  inferiorly it attaches to the  ________________
Definition
neck of the condyle of the mandible.
Term
The articular disk of the TMJ divides the joint space into two separate compartments.  The disk _______ in an anterior/posteror direction on the condyle.  The condyle then _______ downward over the articular eminence.(tuberosity)
Definition

rotates.

 

Glides.

 

174 13-13

Term
Opening the mouth involves two motions.  They are
Definition

anterior rotation of the mandibular condyle on the disk

gliding of the disk and condyle forward and downward under the articular tubercle.

 

 

Closing the mouth is just the opposite.  it involvs gliding posterior and superiorly which rotates the condyle posterior on the disk.

Term
Elevation/depression occur in what plane?
Definition
Sagittal
Term

Lateral deviation of the mandible occurs in what plane?

 

It involves one condyle rotating in the articular fossa while the other condyle ______________

Definition

horizontal.

 

glides/slides forward.

 

Lat dev to R R condyle rotates/spins  and the  L glides/slides

 

 

Term
The Temporalis muscle OIAN
Definition

O  Temporal fossa

I   Coronoid process and ramus of mandible

A  Bilaterally: elevation, retrusion

A  Unilaterally:  Ipsilateral lateral deviation

N  Trigeminal V

Term
Masseter OIAN
Definition

O   Zygomatic arch of temporal bone and temporal process of        zygomatic bone

 

I    Angle of the ramus and coronoid process of mandible

 

A   Bilateral:  Elevation

     Unilateral:  ipsilateral lateral deviation

N   trigeminal V

Term
Lateral Pterygoid  OIAN
Definition

O  Lateral pterygoid plate and greater wing of the sphenoid bone

 

I  Mandibular condyle and articular disk

 

A  Bilaterally: depression, protrusion

A  Unilaterally:  contralateral lateral deviation

 

N Trigeminal V

Term
Medial Pterygoid OIAN
Definition

O  Lateral pterygoid plate of the sphenoid bone and tuberosity of the maxilla

 

I Ramus and angle of the mandible

 

A  Bilaterally:  elevation, protrusion

    Unilateraly:  contralateral lateral deviation

 

N Trigeminal V

 

 

Term
The suprahyoid muscles are located above the hyoid bone.  They elevate the hyoid.  Name them
Definition

Diagastric

mylohyoid

geniohyoid

stylohyoid

 

Term
The infrahyoid muscles are below the hyoid bone and their function is to depress the hyoid bone.  name them
Definition

sternothyroid,

thyrohyoid

sternohyoid

omohyoid

Term
Which muscles open the mouth?
Definition
Lateral pterygoid - depression of mandible
Term
Which muscles close the mouth?
Definition

Temporalis

masseter

medial pterygoid

Term
When laterally deviating your jaw to the right which muscles are you using and on what side?
Definition

Right Temporalis  - Ipsilateral lateral deviation

Left Medial and lateral pterygoids  - contralateral lateral deviation

 

page 179

Term
If the trigeminal nerve were damaged the motor functions of the mouth would be effected.  What sensory area would be effected?
Definition
Sensory to face
Term
What are the four ligaments of the TMJ?
Definition

Tempomandibular  also known as Lateral ligament

Sphenomandibular

stylomandibular

stylohyoid

Term
The articular disk is more firmly attached to the ______ than the _________
Definition

Mandible

temporal bone

 

This allows the disk to move forward when the mouth opens it returns posteriorly when the mouth closes.  It moves forward with the mandibular condyle

Term
During protrusion/retrusion the mandible move forward but there is no ________
Definition
rotation of the condyles
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