Anatomy/Biomechanics
Muscles
Examination
100

Is the there more laxity A/P or M/L in the capsule?

A/P

100

Masseter action

bilaterally: elevates strongly; protrudes slightly 


unilateral: creates ipsilateral excursion

100

Name 2 MOI. 

-trauma

-posture

-emotional factors

-parafunctional habits

-breathing

200

What is the capsule attached to anteriorly?

superior head of lateral pterygoid muscle 

200

which muscles are involved in opening of the mouth?

inferior head of lateral pterygoid and suprahyoid muscles

200

What is considered functional opening of the mouth?

2 knuckles or 40 mm. 

300

Early phase is primarily ______ until this ligament _____ gets tensioned. 

rotation; oblique lateral ligament

300

which muscles are involved in closing of the mouth?

Bonus: which on of the ones that close the mouth also retrude??

masster, medial pretygoid, temporalis. 


retrudes: temporalis 

300
How many mm is normal protrusion?

3-6 mm 

400

Full opening pulls disc anteriorly but is limited in part by what?

superior portion of retrodiscal lamina 

400

Which muscle eccentrically helps to maintain optimal position of disc on condyle?

superior head of lateral pterygoid 

400

How can you assess strength of tongue? 

When you push on patient's cheek while patient matches force with tongue

500

What are the arthrokinematics during right excursion?

Right side (ipsilateral) pivots within the joint

Left side (contralateral) moves anterior and medially and inferiorl along articular eminence

500

which muscles unilterally produce contralateral excursion?

lateral and medial pterygoid

500

What is a C pattern associated with?

hypomobility due to internal derangement and reduction 

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