TMJ muscles

• Figure 10-8 The lateral pterygoid is the main protrusive and opening muscle of the mandible. It is arranged in parallel-fibered units that allow for greater displacement and velocity than that of the multipennated closing muscles. The lateral pterygoid muscle is divided into two parts. The inferior part arises from the outer surface of the lateral pterygoid plate of the sphenoid and the pyramidal process of the palatine bone. The superior part originates from the greater wing of the sphenoid and the pterygoid ridge. The fibers of the upper and lower heads course posteriorly and laterally, fusing in front of the temporo-mandibular joint. They insert into the anteromedial aspect of the condylar neck. Some of the fibers insert into the most anterior medial portion of the disk, but most of the lateral pterygoid fibers insert into the condyle. Translation of the condylar head onto the articular eminence is produced by contraction of the lateral pterygoid. 

• Figure 10-7 The digastric muscle is a paired muscle with two bellies. The anterior belly attaches to the lingual aspect of the mandible at the parasymphysis and courses backward to insert into a round tendon attached to the hyoid bone. Contraction produces a depression and retropositioning of the mandible. The mylohyoid and geniohyoid muscles contribute to depressing the mandible when the infrahyoid muscles stabilize the hyoid bone during mandibular movement. These muscles may also contribute to retrusion of the mandible. The temporalis muscle is broadly attached to the lateral skull. The muscle fibers converge to insert on the coronoid process and anterior aspect of the mandibular ramus. The posterior part traverses anteriorly then curves around the anterior root of the zygomatic process before insertion. The posterior part of the temporalis contributes to mandibular retrusion. 

• Figure 10-6 The masseter and medial pterygoid muscles have their insertions at the inferior border of the mandibular angle. They join together to form a sling that cradles the ramus of the mandible and produces the powerful forces required for chewing. The masseter muscle has been divided into a deep portion and a superficial portion.

Source:  Temporomandibular Disorders Download Chapter 10 (1MB)


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