Professional Documents
Culture Documents
ANATOMY
OF TMJ
PART 2
Capsular
ligament
attachment
medially
and
laterally also
dividing joint into
2 cavities.
Superior cavity
mandibular fossa
and
superior
surface of disc.
Inferior cavity
mandibular
condyle
and
inferior surface of
disc
Boundary lubrication
Occurs when joint is moved and synovial
fluid is forced from one area of cavity into
another.
The synovial fluid located in the border or
recess areas is forced on the articular
surface thus providing lubrication.
Weeping lubrication
Refers to the ability of articular surfaces to
absorb a small amount of synovial fluid
During function of a joint , forces are
created between the articular surfaces
These forces drive a small amount of
synovial fluid in and out of articular tissues.
This is the mechanism by which metabolic
exchange occurs.
HISTOLOGYOF
ARTICULAR
SURFACES
The articular
surfaces of the
condyle and the
mandibular fossa
are composed of
four
distinct
layers or zones.
Articular zone
Most superficial layer
Found adjacent to the joint cavity and
forms the outermost functional surface.
Made up of dense fibrous connective tissue
.
The collagen fibres are arranged in bundles
and oriented nearly parallel to the articular
surface.
Proliferative zone
Undifferentiated mesenchymal tissue
This is responsible for the proliferation of
articular cartilage in response to the
functional demands placed on articular
surfaces during loading.
Fibrocartilagenous zone
Collagen fibrils are arranged in bundles in a
crossing pattern.
The fibrocartilage appears in a random
orientation ,providing three dimensional
network that offers resistance against
compressive and lateral forces.
Calcified zone
Made up of chondrocytes and
chondroblasts distributed throughout the
articular cartilage.
In this zone , the chondrocytes become
hypertrophic, die and have their
cytoplasm evacuated , forming bone cells
from within the medullary cavity.
INNERVATION OF TMJ
Most innervation is
provided by the
auriculotemporal nerve as
it leaves the mandibular
nerve behind the joint and
ascends laterally and
superiorly to wrap around
the posterior region of the
joint
Additional innervations by
deep temporal and
massetric nerve.
VASCULARIZATION OF TMJ
Predominant vessels are
Superficial temporal artery - from the
posterior
Middle meningeal artery - from the anterior
Internal maxillary artery from the inferior
Other important arteries are the deep
auricular ,anterior tympanic and ascending
pharyngeal arteries.
The condyle through marrow spaces by
way of the inferior alveolar artery .
LIGAMENTS
Ligaments play an important role in
protecting the structures
The ligaments of the joints are made up of
collagenous connective tissue, which do
not stretch.
They do not enter actively into joint
function but instead act as a passive
restraining devices to limit and restrict
border movements.
Collateral (discal)
ligaments
Attach the medial and
lateral borders of the
articular disc to the poles of
the condyle
Commonely called as discal
ligaments medial and
laterlal
Medial discal ligament
attaches the medial edge of
the disc to the medial pole
of the condyle.
Lateral discal ligament
attaches the lateral edge of
the disc to the lateral pole
of the condyle,
Capsular ligament
The entire TMJ is
surrounded
and
encompassed by the
capsular ligament .
The fibres of the
capsular ligament are
attached superiorly to
the temporal bone
along the borders of
the articular surface of
the mandibular fossa
and articular eminence
Temporomandibular
ligament
The lateral aspect of
the capsular ligament
is
reinforced
by
strong , tight fibres
lateral ligament or TM
ligament.
TM ligament has 2
parts
Outer oblique portion
Inner horizontal portion