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Kines - TMJ Region
TMJ Region
49
Other
Graduate
04/05/2011

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Cards

Term
True/False: Both TMJs have to function together to accomplish the task of eating, chewing, swallowing and speaking.
Definition
True
Term
A __ divides the TMJ into 2 joint spaces.
Definition
articular disc
Term
The Lower TMJ is a ? type joint formed by the mandibular condyle and the inferior disc surface.
Definition
hinge
Term
The lower TMJ joint is formed by the ? and ?
Definition
mandibular condyle and inferior disc surface
Term
The mandibular condyle is covered by what type of tissue?
Definition
dense fibrous connective tissue and fibral cartilage. (THIS IS UNIQUE - IT's not hyaline cartilage) It's built to last, can heal better
Term
What is the advantage of the mandibular condyle being covered by dense fibrous connective tissue and fibral cartilage as opposed to hyaline cartilage?
Definition
It is built to last and can heal better
Term
The upper TMJ is a ? joint formed by the articular eminence and the superior disc surface
Definition
gliding joint (aka sliding joint)
Term
The articular eminence of the upper TMJ joint is covered by ? (type of tissue)
Definition
fibrocartilage (this is unique)
Term
The Intra-Articular disc of the TMJ is made of ? and ? (type of tissue) which increases congruency and cushions surfaces during compression.
Definition
fibrocartilage and dense fibrous connective tissue
Term
The intra-articular disc is a layer of protection between the ? and ? (name the structures)
Definition
condyle and articular eminence
Term
The intra-articular disc is made of 3 divisions. Name the 3.
Definition
Posterior, Intermediate and Anterior
Term
Which of the 3 divisions of the intra-articular discs is the thickest, and most innervated and vascularized.
Definition
Posterior
Term
Which of the 3 divisions of the intra-articular discs is the thinnest, with no innervations.
Definition
Intermediate
Term
Which of the 3 intra-articular discs has the weight bearing surface and sits between the condyle and temporal bone.
Definition
intermediate
Term
The Posterior division of the intra-articular disc sits between the ? and ? (name the structures)
Definition
condyle and mandibular fossa
Term
The intermediate division of the intra-articular disc sits between the ? and ? (name the structures)
Definition
condyle and temporal bone
Term
The anterior attachment of the intra-articular disk of the TMJ is attached to ?, ? and the tendon of the ?
Definition
bone, joint capsule and tendon of lateral pterygoid muscle (superior head).
Term
The posterior attachment of the intra-articular disk of the TMJ is attached to the ?
Definition
bilaminar retrodiscal tissue
Term
The unique fibro-elastic bilaminar retrodiscal tissue is designed as a posterior anchor to limit ? translation of the disc
Definition
anterior
Term
The superior lamina (of the unique fibro-elastic bilaminar retrodiscal tissue) attaches posteriorly to the ?
Definition
temporal bone
Term
The inferior lamina (of the unique fibro-elastic bilaminar retrodiscal tissue) attaches to the ?
Definition
neck of the mandibular condyle
Term
True/False: The joint capsule is highly vascularized and innervated.
Definition
True
Term
The joint capsule is (? tight or loose) anterior and posterior.
Definition
loose
Term
The joint capsule is (?loose or tight) medially and laterally
Definition
tight
Term
Why is the joint capsule tight medially and laterally?
Definition
for lateral stability with chewing.
Term
Name the 3 ligaments of the TMJ
Definition
Temporomandibular, Sphenomandibular and Stylomandibular
Term
The temporomandibular ligament is the lateral ligament for stability of ? and ?
Definition
joint and disc
Term
The sphenomandibular and stylomandibular ligaments help attach the mandible to the ? and limit ? of the TMJ.
Definition
cranium/extreme movements
Term
Osteokinematics. Name all the TMJ motions possible.
Definition
Depression (opening)
Elevation (closing)
Protrusion (chin forward)
Retrusion (chin backward)
Lateral Deviation (lateral jaw excursion)
Term
Arthrokinematics: Name the 2 movements
Definition
Rotation and Translation
Term
Rotation of the TMJ occurs in the (?upper or lower? ) joint space.
Definition
lower
Term
Translation occurs in the (?upper or lower?) joint space
Definition
upper
Term
? movement occurs during the first 50% of opening of the TMJ
Definition
Rotation
Term
? movement occurs during the last 50% for full opening of the TMJ
Definition
translation
Term
? movement is where the mandibular condyle rolls on the inferior surface of the disc.
Definition
Rotation
Term
? movement is where the condyle AND disc slide together
Definition
Translation
Term
? movement occurs in the lower joint space
Definition
rotation
Term
? movement occurs in the upper joint space.
Definition
Translation
Term
For TMJ ? and ?, the movement is all translation of condyle-disc complex.
Definition
Protrusion and Retrusion
Term
For TMJ ?, the movement is mostly translation of condyle-disc complex with some multiplane rotation (mostly horizontal plane)
Definition
lateral deviation
Term
Name the muscles involved in TMJ depression
Definition
lateral pterygoid (inferior head) and suprahyoids
Term
Name the muscles involved in TMJ Elevation
Definition
temporalis, masseter and medial pterygoid
Term
Name the muscle involved in Protrusion
Definition
lateral pterygoids; masseter and medial pterygoid less
Term
Name the muscles involved in Retrusion of the TMJ
Definition
temporalis and suprahyoids
Term
Name the muscles involved in Lateral Deviation
Definition
Pterygoids (contralateral) and temporalis/masseter (ipsalateral)
Term
The suprahyoids help with 2 types of TMJ movements - name the 2
Definition
Depression and Retrusion
Term
Hypomobility of the TMJ is b/c of a placement problem where there is severe ? displacement of the disc which prevents forward and downward motion of the mandible.
Definition
anterior
Term
Hypermobility is due to the disc being displaced ?. The disk shifts under the condyle displacing the disc but the TMJ is still mobile here.
Definition
anteriorly
Term
Pain in the TMJ causes the muscles to be (? hypertonic or hypotonic?)
Definition
hypertonic
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