Atlas · Plate I · Head and Neck Anatomy · 02
Temporomandibular joint
The TMJ joins the mandibular condyle to the articular fossa and eminence of the temporal bone. Its disc splits the joint into a lower space that hinges and an upper space that glides, so opening starts with rotation and then the condyle slides forward. Normal opening is about 40-50 mm, and a click on opening usually means the disc sits too far forward.
High-yield facts · 7
- The TMJ is a ginglymoarthrodial joint: it both hinges (rotates) and glides (translates).T4
- The articular disc divides the joint into an upper (gliding/translation) and a lower (hinge/rotation) space.T4
- The joint is formed by the mandibular condyle and the articular fossa and eminence of the temporal bone.T4
- The lateral pterygoid inserts partly on the disc and the condylar neck and pulls the condyle forward.T4
- Normal maximum opening is about 40-50 mm measured between incisal edges; under about 35-40 mm suggests limitation (trismus).T2
- Clicking on opening usually reflects anterior disc displacement with reduction.T4
- Dislocation happens when the condyle moves anterior to the articular eminence and locks open.T4
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