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[翼外肌上外侧头与颞下颌关节盘关系的宏观与微观研究]

[A macroscopic and microscopic study of the relationship between the superior lateral pterygoid muscle and the disc of the temporomandibular joint].

作者信息

Zhang L, Sun L, Ma X

机构信息

School of Stomatology, Beijing Medical University, Beijing 100081.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 1998 Sep;33(5):267-9.

Abstract

OBJECTIVE

To find out the relationship between the superior lateral pterygoid muscle (SLP) and the disc of the temporomandibular joint.

METHODS

The cadavers consisted of 47 TMJ specimens from old humans, were used for the macroscopic and microscopic study.

RESULTS

(1) The SLP may insert to the disc, the capsule, the anterior discal attachment of TMJ and to the condyle; (2) On average, 52% of the SLP fibres insert to the condyle, 10% to the articular disc, 24% to the capsule and 14% to the anterior attachment of the disc; (3) There is no association between displacement of disc and the proportion of the SLP insert to the disc; (4) The SLP fibres are jointed into the disc fibres by node or tendon, or jointed and to end.

CONCLUSION

The majority of the SLP inserts to the condyle and the contraction of the little part of the SLP, which insert to the disc, should not result in the anterior displacement of the disc.

摘要

目的

探究颞肌上外侧头(SLP)与颞下颌关节盘之间的关系。

方法

采用47例老年人体颞下颌关节标本进行大体及显微镜观察。

结果

(1)颞肌上外侧头可附着于关节盘、关节囊、关节盘前方附着处及髁突;(2)平均而言,52%的颞肌上外侧头纤维附着于髁突,10%附着于关节盘,24%附着于关节囊,14%附着于关节盘前方附着处;(3)关节盘移位与颞肌上外侧头附着于关节盘的比例之间无关联;(4)颞肌上外侧头纤维通过结节或肌腱与关节盘纤维相连,或相连并终止。

结论

大部分颞肌上外侧头附着于髁突,附着于关节盘的小部分颞肌上外侧头收缩不应导致关节盘前移。

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