TEMPORO-MANDIBULAR ARTICULATION

This joint (Articulatio mandibularis) is the only diarthrosis formed

between bones of the skull.

The =articular surfaces= are dissimilar in form and size. That on the

squamous temporal bone is concavo-convex, and the long axis is directed

outward and somewhat forward; it consists of a glenoid cavity, which is

continued upon the postglenoid process behind, and a condyle in front.

The mandible presents a transversely elongated condyle.

The =articular disc= is placed between the joint surfaces, which it

renders congruent. Its upper and lower surfaces are molded upon the

temporal and mandibular surfaces respectively, and its circumference is

attached to the joint capsule; thus it divides the joint cavity into

upper and lower compartments, the former being the more roomy.

The =joint capsule= is strong and tight. It is reinforced by two

ligaments. The =external ligament= (Ligamentum laterale) extends

obliquely across the anterior part of the outer surface of the capsule,

from which it is not distinctly separable. The =posterior ligament=

(Ligamentum posterius) is an elastic band which is attached above to the

postglenoid process, and below to a line on the posterior face of the

neck of the mandible.

=Movements.=—The chief movements take place around a transverse axis

passing through both joints. Associated with this hinge-like action is

slight gliding movement, as in opening and shutting the mouth. When the

mouth is shut, the condyle lies under the glenoid cavity. When the

mandible is depressed, the condyle moves forward under the articular

eminence of the temporal bone, carrying the disc with it. In protrusion

and retraction of the lower jaw the gliding movement just described

occurs without the hinge-like rotation of the condyle. These movements

are similar in both joints. In the lateral movements (as usually

performed in mastication) the action consists of rotation of the

condyles around a vertical axis, while the disc glides forward on one

side and backward on the other.

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