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TMJ on Crack: Compound ginglyoarthroidal joint Ligaments: Retrodiscal Tissue: Superior Tissue is loost CT and has elastic fibers

bers Sits behind disc and is attached to post disc and tympanic plate superiorly Superior Restrodiscal Ligament or Lamina This in effect is to oppose the forward pull of the lat pterygoids during mouth opening to avoid anterior dislocation of the disc and also results in posterior meniscus rotation Allows maintains the thin intermiediate portion to stay in between the articular eminenece and condyle So superior = Elastic Inferior: Collagneous fibers on the lower border of the retrodiscal tissues attached inferior portion of the disc to the posterior disc and codyle and the posterior eminence Anterior Superior and Inferior portions of the disc ate attached to capsular ligaments Larger and more anterior Also attached to the superior head of the lateral pterygoid muscle Collateral Ligament: Medial and lateral poles of the condyle are attached to the disc Collagenous fribous tissue does not stretch Maintian disc from slipping while ant-posterior hinging TEmporomandibular Ligament: 2 parts Outer Oblique: from condylar tubercle to the sygomatic process in a posteriorinferior direction to avoid excess opening of the mouth is also initiaties translation of the condyle Inner Horizontal: same attachedment but runs posterior and horizontal, limits posterior movement of the condyle, avoiding restrodiscal trauma, also protects lateral pterygoids from over lengthening Meniscus: Travels down nd forward on the rticulr eminence during translation Sphenomandibular: Spenhoid spine to the lingual often damaged by IA Derived from Meckels Cart Sytlomandibular: Styloid process to the ramus of the mandible avoid exces protrusion Capsule: Attached to the joint in all directions and seperates the joint into two cavities

Each cavity is surrounded by a lining with specialized endothelial cells which sit anteriorly and produce synovial fluid Upper compartments: translational movements and is between the disc and the temporal bone articular emnince Lower Compartment: Rotations, this is between the disc and the condyle Manibular fossa anf condyle are covered in dense fibrous CT rather than hyaline because less sucpetible to break down and wear Synovial membrane covers both both upper and lower joint compartment Allows diffusion of plasma filtrate and its own synovial fluid production to fill the compartments Can be divided into 3 layers: The lining (intimate with the joint surfaces) Subsynovial tissue which is like th eintima but its more advanced CT Capsule acellular with thick bands of collagen Also produced collogenase to avoid surface adhesion Synovial Fluid: Lubricates the articular surfaces by boundary and weeping lubrication Boundary: when joint moves and synovial fluid is forced from one cavity into another so that there is no friction during mvmt Weeping: articular surfaces adsorb some small amount of synovial fuid and so under compressive force, the small amount is relased Proteoglycans: GAGs : present in abundance in the collagen matrix allows for tissue resilience Allows for compressive loading because of imbibitions For a healthy joint you need: Plenty of water for diffusion of nutrients and lubrication GAG because they are amniotic nd hydrophilic serve to maintain wate rmolecules Collogenous mass for the proteoglycans to bind so we dont want collagen disorders because there will be less hydraulic pressure in the joint Bones: Condyle of the mandible Articular (glenoid fossa)of the temporal bone Temporal bone has 5 portions: squamous, petrous, internal acoustic meatus, zygomatic, middle cranial fossa Connection between the TMJ and the middle ear is petro-tympnic fissue Blood Supply: Blood Vessels: Superifical Temporal Deep Auricular

Acendign pharyngeal Anterior tympanic Venous Plexus: Sits in posteriorly and fills with blood each time the condyle moves forward Synovial Joint Articular disc is primary source of synovial lubrication Free repaid eschange between the joint and the capsule Minimize friction More fluid on top than on bottom compartment

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