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Functional anatomy of the human lateral pterygoid muscle

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Abstract

The authors studied the lateral pterygoid muscle of 179 fresh cadavers by both anatomical dissection and magnetic resonance imaging. The aim was to define the general morphology and the architectural organisation of the lateral pterygoid muscle. Dissection plane by plane, anatomical sections in different planes of space and dissections via multiple approaches on harvested blocks allowed the demonstration that the lateral pterygoid shows an architectural arrangement different from that which is usually described but similar to that, from its typically penniform structure of the masseter and the medial pterygoid. The anatomical situation of this muscle gives rise to numerous differences in opinion much to its morphology as to its functional examination. This study has shown that one part of the muscle has a typical penniform structure made up of alternating musculo-aponeurotic layers and by the absence of individual muscle bellies. In addition the particular shape of this muscle makes it useless to insert intramuscular electrodes in its only accessible portion, which makes the results of electromyographic studies debatable.

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References

  1. Abe S, Takasaki I, Ichikawa K, Ide Y (1993) Investigations of the run and the attachement of the lateral pterygoid muscle. Bull Tokyo Dent Coll 34:135–139

    PubMed  CAS  Google Scholar 

  2. Abjean J, Lauret JF, Le Gall M (1987) Etude des muscles et des mouvements mandibulaires. J Parodontol 6(3):259–266

    PubMed  CAS  Google Scholar 

  3. Bertilsson O, Stom D (1995) the anatomical relationship of the insertion of the superior lateral pterygoid muscle to the articular disc in the temporomandibular joint of human cadavers. J Orofac Pain 8(1):17–23

    Google Scholar 

  4. Bravetti P (1998) Etude histologique de l’articulation temporo-mandibulaire et des muscles environnants. Thèse 3ème cycle: Odontologie, Paris V

  5. Brunel G, El Haddioui A, Bravetti P, Zouaoui A, Gaudy JF (2003) General organization of the human intra-masseteric aponeuroses: changes with ageing. Surg Radiol Anat 25:270–283

    Article  PubMed  CAS  Google Scholar 

  6. Carpentier P, Yung J, Bonnet RM (1988) Insertions of the lateral pterygoid muscle: an anatomical study of the human temporomandibular joint. J Oral Maxillofac Surg 46:477

    PubMed  CAS  Google Scholar 

  7. Cho H, Lee VS (1972) A variety of heads of external pterygoid muscle. J Korean Dental Assoc 10:305

    CAS  Google Scholar 

  8. Couly G (1989) Anatomie maxillo-faciale 2ème ed. CdP, Paris

    Google Scholar 

  9. Couly G, Hureau J, Vaillant JM (1975) Le complexe dynamique du ménisque temporo-mandibulaire . Rev Stomatol 76(8):597–605

    CAS  Google Scholar 

  10. Cruveiher J (1851) Traité d’Anatomie Humaine. 3ème éd Labé, Paris, t. II, pp 139–244

  11. Dauber W (1987) Die Nachbarschaftsbeziehunge des Discus Articularis des Kiefergelenks und ihre functionelle Bedeutung. Scheiz Monatssschrift für Zahnmedizin 97:427

    CAS  Google Scholar 

  12. Eisler P (1910) Die Muskeln des Stammes. In: Fick R. Hg. Et Bardeleben. Kv. Jena/Handbuch der Anatomie des Menschen: G. Fischer, pp 197–220

  13. Fujita S, Hzuka T, Dauber W (2001) Variation of the heads of lateral pterygoid muscle and morphology of articular disc of human temporomandibular joint—anatomical and histological analysis. J Oral Rehab 28:506–571

    Google Scholar 

  14. Gaspard M, Laison F, Mailland M (1973) Organisation architecturale et texture du muscle masséter chez les Primates et l’Homme. J Biol Buccale 1(1):7–20

    PubMed  CAS  Google Scholar 

  15. Gaudy JF (1993) Architecture des muscles élévateurs de la mandibule et leurs rapports avec le complexe disco-capsulaire de l’articulation temporo-mandibulaire. 2 tomes, 424f, Thèse 3ème cycle: Biol. Hum. Paris V

  16. Gaudy JF, Zouaoui A, Bravetti P. Charrier JL, Guettaf A (2000) Functional organization of the human masseter muscle. Surg Radiol Anat 22:181–190

    Article  PubMed  CAS  Google Scholar 

  17. Gaudy JF, Zouaoui A, Bravetti P, Charrier JL, Laison F (2001) Fonctional anatomy of the human temporal muscle. Surg Radiol Anat 23:389–398

    Article  PubMed  CAS  Google Scholar 

  18. Gibbs CH, Mahan PE, Wilkinson TM (1984) EMG activity of the superior belly of the lateral pterygoid muscle in relation to other jaw muscles. J Prosthet Dent 51:691–702

    Article  PubMed  CAS  Google Scholar 

  19. Griffin CJ, Sharpe CJ (1960) Distribution of elastic tissue especially in respect to ≪compression≫ areas. Aust Dent J 7:72–78

    Google Scholar 

  20. Heylings DJA, Nielsen L, Mc Neill C (1995) Lateral pterygoid muscle and the temporomandibular disc. J Orofac Pain 9(1):9–15

    PubMed  CAS  Google Scholar 

  21. Lehr RP, Owens SE (1980) An electromyographic study of the lateral pterygoid muscles. Anat Rec 196:441–448

    Article  PubMed  Google Scholar 

  22. Le Toux G, Duval JM, Darnault TP (1989) The human temporo-mandibular joint: current anatomic and physiologic status. Surg Radiol Anat 111:283–288

    Article  Google Scholar 

  23. Mac Namara JA (1973) The independent functions of the two heads of the lateral pterygoïd muscle. Am J Anat 138:197–204

    Article  PubMed  Google Scholar 

  24. Mahan PE, Wilkinson TM, Gibbs CH, Mauderli A., Brannon L.S (1983) Superior and inferior bellies of the lateral pterygoid muscle EMG activity at basic jaw positions. J Prothet Dent 50:710–718

    Article  CAS  Google Scholar 

  25. Myers LJ (1988) Newly described muscle attachements to the anterior band of the articular disk of the temporomandibular joint. J Am Dent Assoc 117(3):437–439

    PubMed  CAS  Google Scholar 

  26. Meyerberg K, Kubik S, Pallas (1986) Relationships of the temporomandibular joint. Helv Odontol Acta 30(1):815/821–834/854

    Google Scholar 

  27. Møller E(1974) Action of the muscles of mastication .In: Kawamura Y/Frontiers of oral physiologie 1: Physiologie of mastication. Karger, Osaka, pp 134–156

  28. Paturet G (1951) Traité d’anatomie humaine. tome I, Masson, Paris, p 994, 588 Figs

  29. Poirier A (1912) Les muscles de la tête et du cou. Traité d’anatomie humaine, Tome 21: myologie. In: Poirier A Charpy A, Masson, Paris, pp 216–228

  30. Porter MR (1970) The attachment of the lateral pterygoid muscle to the meniscus. J Prosth Dentistry 24:555

    Article  CAS  Google Scholar 

  31. Rees JA (1954) Structure and fonction of the mandibular joint. Brit Dent J 96(2):125–133

    Google Scholar 

  32. Rouviere H, revu par Delmas A (1985) Anatomie humaine. Masson, Paris

    Google Scholar 

  33. Rouviere H, revu par Delmas V. (2003) Anatomie humaine. Masson, Paris

    Google Scholar 

  34. Schumacher GH (1961) Funcktionnelle morphologie der kaumuskulatur. Jena: V.G. Fischer, pp 13–98

  35. Sebileau P (1892) Démonstration d’anatomie . G. Steinheil, Paris, pp357, ill

    Google Scholar 

  36. Sicher H, Dubrul EL (1970) Oral anatomy, 5th ed. St Louis, Mosby, pp 120–126

    Google Scholar 

  37. Sugizaki M, Komori E, Nakazawa M (1986) Anatomical studies of the lateral pterygoid muscle by the superior approach and a view of the literature. Jpn J Oral Maxillofac surg 32:718

    Google Scholar 

  38. Testut L, Jacob O (1909)Traité d’anatomie avec applications médico-chirurgicales. Doin& fils, 1er tome, 2ème éd. Paris, 876 p

  39. Troiano MF (1967) New concept of insertion of lateral pterygoid muscle. J Oral Surg 25:337–340

    PubMed  CAS  Google Scholar 

  40. Vitti M, Basmajian JV (1977) Integrated actions of masticatory muscles: simultaneous E.M.G. from eight intramuscular electrodes. Anat Rec 187:172–190

    Article  Google Scholar 

  41. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson (1995) Gray’s anatomy, 38th ed. Churchill Livingstone, Edinburgh, pp779–802

    Google Scholar 

  42. Wilkinson TM (1989) The anatomic relationship of the insertion of the supérior latéral pterygoid muscle to the articular disc in the temporomandibular joint of human cadavers. Aust Dent J 34:315–322

    Article  PubMed  CAS  Google Scholar 

  43. Wongwatana S, Kronman JH, Clark RE, Kabani S, Mehta N (1994) Anatomic basis for disc displacement in temporomandibular jointTM dysfunction. Am J Orthod Dentofacial Orthop 105:257–264

    Article  PubMed  CAS  Google Scholar 

  44. Wood WW (1987) A review of masticatory muscle function. J Prostet Dent 57(2):22–231

    Google Scholar 

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Correspondence to J. F. Gaudy.

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El. Haddioui, A., Laison, F., Zouaoui, A. et al. Functional anatomy of the human lateral pterygoid muscle. Surg Radiol Anat 27, 271–286 (2005). https://doi.org/10.1007/s00276-005-0324-9

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