The angioarchitecture of the rat mandibular joint bilaminar zone

The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications

PURPOSE

The aim of this study was to analyze three-dimensional images of the arterial supply to the temporomandibular joint.

MATERIALS AND METHODS

Ten patients (five men and five women, mean age 36 years) without signs or symptoms of temporomandibular disorders, who underwent contrast-enhanced computed tomographic (CT) scanning with intravenous contrast, were studied. The direct volume rendering technique of CT images was used, and a data set of images to visualize the vasculature of the human temporomandibular joint in three dimensions was created. After elaboration of the data through post-processing, the arterial supply of the temporomandibular joint was studied.

RESULTS

The analysis revealed the superficial temporal artery, the anterior tympanic artery, the deep temporal artery, the auricular posterior artery, the transverse facial artery, the middle meningeal artery, and the maxillary artery with their branches as the main arterial sources for the lateral and medial temporomandibular joint.

CONCLUSION

The direct volume rendering technique was found to be successful in the assessment of the arterial supply to the temporomandibular joint. The superficial temporal artery and maxillary artery ran along the lateral and medial sides of the condylar neck, suggesting that these arteries are at increased risk during soft-tissue procedures such as an elective arthroplasty of the temporomandibular joint.

Nutrition pathways to the symphysis pubis

The blood supply of the symphysis pubis is still the subject of some debate. Classic anatomy books state that this joint is avascular, whereas some published works have shown blood vessels in young specimens. As several articular discs such as the knee menisci are known to have blood vessels in their peripheries, we decided to investigate the possible nutrition pathways to the interpubic disc and ligaments. We used 60 Wistar rats, male and female, aged between 28 and 32 days, or between 90 and 100 days. Samples were processed using a variety of techniques: regular histology, immunohistochemestry, India ink injection and corrosion casting. The interpubic disc consisted of an inner bearing portion and an outer fibrous rim. The interpubic ligaments and the fibrous rim were well vascularized in all groups. Marrow contacts between the interpubic disc and the subchondral bone were also observed. Blood vessels formed an authentic arterial circle embracing the joint, from which blood vessels branched into capillary loops facing the avascular inner bearing portion of the disc. These results confirm the need for future studies on the human symphysis pubis, to provide more details on its structure, which would enable clinicians such as physiotherapists to improve prognosis and treatment design. Future studies may also explain the pathways down which the hormone relaxin reaches its targets within this joint.

Movement of temporomandibular joint tissues during mastication and passive manipulation in miniature pigs

Movement is an important aspect of the biomechanics of the temporomandibular joint (TMJ). To track the relative movements of TMJ components, radio-opaque markers were implanted in the left squamosal bone, mandible and retrodiscal tissue of miniature pigs. Medial-lateral (ML) and dorsal-ventral (DV) fluoroscopic records were made 8-10 weeks later during chewing and passive manipulation. Marker movements were digitized from the videotapes. During passive manipulation, the deformation of the lateral capsule was also measured with a differential variable-reluctance transducer. The results provide new details about porcine chewing pattern, which is distinguished by a regularly alternating chewing side. During masticatory opening, the mandible had a centre of rotation (CR) well inferior to the condyle and close to the angle. In contrast, the passive opening movement showed a higher CR location close to the condylar neck, indicating a different motion from masticatory opening. The retrodiscal tissue followed the movements of the mandibular condyle during both mastication and passive manipulation. The lateral capsule elongated during ipsilateral shifts and retrusion, implying a possible role in limiting such movements. These movement characteristics provide a useful reference for studies on the TMJ using pigs.

The structure of the bilaminar zone in the human temporomandibular joint: a light and scanning electron microscopy study in young and elderly subjects

The bilaminar zone (BZ) in the human temporomandibular joint (TMJ) of toothed adults (GI) and toothless, elderly humans (GII) were analysed using light and scanning electron microscopy (SEM). In both groups the BZ consists of an upper and a lower stratum of connective tissue separated by a vascularized middle region. The superior stratum contains bundles of collagen fibres disposed in different directions. The fibres are fairly thick and transversely oriented immediately posterior to the TMJ disc. The initial part of the inferior stratum contains curved bundles of collagen fibres oriented anterio-posteriorly. From the middle to the posterior part of the inferior stratum, the fibres are right-aligned in GI and clearly sinuous in nature in GII. In both groups, the middle and posterior portions of the middle region are distinguished by the presence of vessels and vascular spaces. Loosely arranged connective and adipose tissues are also evident. The vascular spaces are wider in GII than in GI. The predominance of type I collagen fibres is clear in all regions of the BZ in both groups. The elastic fibres lie parallel to the collagen fibres in both groups and they are thicker and more abundant in GI, apparently decreasing in GII.