Fuss F K
I. Anatomische Lehrkanzel der Universität Wien, Osterreich.
Gegenbaurs Morphol Jahrb. 1990;136(1):37-68.
In order to analyze the complicated movements of the mandible as the open-closing movement and the protrusio are, it is useful to evaluate the basic kinematic principles and reduce them to simple technical constructions. Both the open-closing movement and the protrusio could be reduced to 4-bar links, which were used to simulate the movements with help of a computer. Besides, the polodes and the curves of points in the muscular attachments could be constructed. The 2 entirely different 4-bar links have 3 things in common: The resting system - cranium, the moving system - mandibula, and 1 of the 2 arms connecting these 2 systems - the ligamentum laterale. As this ligament is taut during movements it can be considered a "guiding ligament" representing 1 of the 3 determining components of the mandibular movements. The other of the 2 arms has no anatomical equivalent; this arm, however, is "replaced" by the 2 other determining components of the mandibular movements: the joint and the muscles. The curves, which the Caput mandibulae describes, are practically identical for the open-closing movement and the protrusio despite of the different 4-bar links and these curves exactly correspond to the Discus articularis, taut by the upper part of the M. pterygoideus lateralis. The muscles do not only just move the mandibula, but they are also the component, which can choose between the different mandibular movements. By means of the curves, which points in the muscular attachments describe, the function of the masticatory muscles could be analyzed exactly.
为了分析下颌骨复杂的运动,如开闭运动和前伸运动,评估基本的运动学原理并将其简化为简单的技术结构是很有用的。开闭运动和前伸运动都可以简化为四杆连杆机构,借助计算机用其模拟运动。此外,还可以构建瞬心线和肌肉附着点的曲线。这两种完全不同的四杆连杆机构有三点共同之处:静止系统——颅骨,运动系统——下颌骨,以及连接这两个系统的两个臂中的一个——外侧韧带。由于该韧带在运动过程中是绷紧的,所以可以将其视为代表下颌运动三个决定性组成部分之一的“引导韧带”。两个臂中的另一个在解剖学上没有对应物;然而,这个臂被下颌运动的另外两个决定性组成部分“替代”:关节和肌肉。尽管四杆连杆机构不同,但下颌头在开闭运动和前伸运动中所描绘的曲线实际上是相同的,并且这些曲线与被翼外肌上部拉紧的关节盘完全对应。肌肉不仅只是移动下颌骨,而且它们也是可以在不同下颌运动之间进行选择的组成部分。通过肌肉附着点所描绘的曲线,可以准确地分析咀嚼肌的功能。