Department of Orthodontics and Dentofacial Orthopedics, The University of Tokushima Graduate School of Oral Sciences, Tokushima, Japan.
Osteoarthritis Cartilage. 2009 Nov;17(11):1408-15. doi: 10.1016/j.joca.2009.04.025. Epub 2009 May 18.
The human masticatory system consists of a mandible which is able to move with respect to the skull at its bilateral temporomandibular joint (TMJ) through contractions of the masticatory muscles. Like other synovial joints, the TMJ is loaded mechanically during function. The articular surface of the mandibular condyle is covered with cartilage that is composed mainly of collagen fibers and proteoglycans. This construction results in a viscoelastic response to loading and enables the cartilage to play an important role as a stress absorber during function. To understand its mechanical functions properly, and to assess its limitations, detailed information about the viscoelastic behavior of the mandibular condylar cartilage is required. The purpose of this paper is to review the fundamental concepts of the biomechanical behavior of the mandibular condylar cartilage. This review consists of four parts. Part 1 is a brief introduction of the structure and function of the mandibular condylar cartilage. In Part 2, the biochemical composition of the mandibular condylar cartilage is summarized. Part 3 explores the biomechanical properties of the mandibular condylar cartilage. Finally, Part 4 relates this behavior to the breakdown mechanism of the mandibular condylar cartilage which is associated with the progression of osteoarthritis in the TMJ.
人类咀嚼系统由下颌骨组成,它通过咀嚼肌的收缩能够相对于颅骨在其双侧颞下颌关节(TMJ)处移动。像其他滑膜关节一样,TMJ 在功能期间会受到机械负荷。下颌骨髁突的关节面覆盖着软骨,主要由胶原纤维和蛋白聚糖组成。这种结构导致对加载的粘弹性响应,并使软骨在功能期间作为应力吸收器发挥重要作用。为了正确理解其力学功能并评估其局限性,需要有关下颌髁突软骨粘弹性行为的详细信息。本文旨在回顾下颌髁突软骨生物力学行为的基本概念。本综述分为四部分。第 1 部分简要介绍了下颌髁突软骨的结构和功能。第 2 部分总结了下颌髁突软骨的生化组成。第 3 部分探讨了下颌髁突软骨的生物力学特性。最后,第 4 部分将这种行为与与 TMJ 中骨关节炎进展相关的下颌髁突软骨的破坏机制联系起来。