Page 129 - Edited - Webster HEAD AND NECK - part 1
P. 129

OTHER ACCESSORY LIGAMENTS OF THE TEMPOROMANDIBULAR JOINT

                                                                                                           HN107

                                                                        SPINE OF
                                                                      SPHENOID


                              CUT EDGE OF LATERAL
                            PTERYGOID PLATE -
                            LOWER PART REMOVED
                                                         SML


                   HAMULUS OF MEDIAL
                   PTERYGOID PLATE
                   PTERYGOMANDIBULA
                        R RAPHE                                          STYLOMANDIBULAR
                  3rd MOLAR TOOTH                                       LIGAMENT (SHEETS)
                                                                          SML = SPHENOMANDIBULAR
                                                                                 LIGAMENT




                                                     LINGULA

                 These collagenous bands contribute little to
                the stability of the joint. HOWEVER, they
               distort the mandible’s movements so that THE
               MANDIBLE DOES NOT SWING AROUND
                 ITS CONDYLES AS A SIMPLE HINGE.
                  Instead, the axis of rotation shifts as the                                     NOTION
                 mandible moves. A fixed notional axis of                                        AL AXIS
                 rotation passes transversely through both                                          OF
                lingulae. THE CONDYLES THEREFORE                                                ROTATION:
                TRAVEL BACKWARDS & FORWARDS,                                                      TIP OF
                    WITHIN THE PROFILE OF THE                                                    LINGULA
               MANDIBULAR FOSSA, AS THE MOUTH
                          OPENS & CLOSES.                                                K.E.W.







            OPEN/CLOSE
          MOVEMENTS IF
          JOINT WERE A
          SIMPLE HINGE:
          IMAGINE
          MANDIBLE
          SUSPENDED BY A
          STIFF WIRE
          THROUGH THE
          CONDYLES.









                                                       A BETTER APPROXIMATION: MANDIBLE SUSPENDED ON A STIFF
                                                      WIRE (AXIS OF ROTATION) THROUGH LINGULA OF EACH RAMUS
                                                                                    K.E.W.
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