Cerrn Jorge Maria

Huamn Alanya Lizbeth

Ortega Bonilla Gabriela
Vlchez Rafael ngela
Paucar flores diana carolina
Ollero Huamn maylee
Yap Crdova mara Elena
Quispe huaraccallo Lisbeth
Ojeda miranda juan
Quiones correa victoria
Rivera cotera Patrick
Romero brayan
It is anatomically a ball and socket and a mobile functionally
diartrosis
Articulating jaw and skull, which is formed by the condyle and
mandibular fossa and articular eminence of the temporal bone.
 Articular disc
DEFINITION:
It is a fibro cartilaginous structure, located between the two joint surfaces, the
upper surface of the disc adapts to the contours of the pit and the eminence
of the temporal bone and the lower surface is adapted to the contour of the
mandibular condyle.
According ress, The disc is divided into three zones
previous band
intermediate zone
posterior band
The intermediate zone
It is considerably thinner, this allows the disc is more flexible and easy conversion
between concave and convex, enabling in turn the condyle moves in a circular arc:

It lacks blood vessels

Nerve endings
The disk has a series of joints, joins medially and
laterally joins the capsule, holding the medial and
lateral condylar pole condyle and allowing
rotation relative to the disc.
The disc and articular joints dividing the space into an upper
region and a lower volumes being 1 and 0.5 ml, respectively.
Anterior view: the disk is thicker medially corresponding with an
increase of the medial joint space in the joint.
Lateral view: the condyle is positioned on the thinnest region of
the disk, the intermediate portion being thicker than the previous
trailing edge.
Atm both as the articular disc, they are composed of cartilage tissues. The
cartilage is a type of connective tissue, consisting of cells (chondrocytes) and
surrounded by extracellular matrix.
Chondrocytes:
organic synthesize and secrete components of the extracellular matrix, which
are basically: Collagen, glucans prote mino glucose and glucans.
3 types of cartilaginous tissue is distinguished

hyaline
Elastic
fibrous
Type I collagen is the predominant component in the articular
disc. These fibers both fibers of the intermediate area as the
fibers of the front and rear bands are arranged in parallel.
ELASTIN:
It has been shown that is present in all regions of the disk and
subsequent articular joints, although on a much smaller
proportion than the collagen fibers, elastin fibers were positioned
in parallel with the collagen fibers. In the intermediate, front and
rear area of the human disc.
It is very likely that some pterygoid muscle fibers are connected
with the portion of the disc, pulling it forward.
Also some parafunctions (like nail biting) lead the jaw forward,
pushing and holding the front drive.
Date of consultation: 09/09/2013
63 year old patient has pain in temporomandibular joint (TMJ) left since 2006. Currently
has pain in both joints, especially on the right, referring difficulty in mouth opening (3 cm).
Presentation of tests: Degenerative changes in ATM severe left with osteophytes
(arthrosis) and anterior dislocation of the meniscal cartilage normal right side.
Qualifying pain "consumed" in a score of 3 on 3 (severe) during the last week
Pain of 8.4 out of 10 during the last week.
At the time of the consultation, a score of 3 out of 5 (severe).
A scanning active joint mobility, has marked deduction or right lateral sliding during
opening, with slight turn to the starting position
HISTORY CLINICA 2:
32 year old patient presenting a somewhat dysfunctional syndrome of the temporo-
mandibular joint (SADAM). This patient presented joint pain, joint crunch, deviation of the
mandible to the right to open his mouth, ear ringing, cervical pain and headaches.
o TREATMENT:
In this patient, because of the symptoms that we had to address both the ATM as the neck.
For ATM use mobilization techniques to the meniscus and condyle and massage
techniques to the masticatory muscles and the external pterygoid
For cervical osteopathic techniques used to remove the attachment of the upper
vertebrae and massage to remove the upper trapezius spasm.
The bad position of the condyle did not improve until we get a balance between the
cervical and ATM. In the first session we focus on releasing the cervical and masticatory
muscles. Once the muscles relaxed, we focus on removing the cervical fixation and
improve the poor position of the ATM.
In three sessions, combining the cervical and ATM treatment, the patient improved
dramatically.