Anatomy & Histology · single question

When the articular disc of the TMJ is anteriorly displaced, which muscle is primarily involved?

  1. Medial pterygoid
  2. Superior head of the lateral pterygoid
  3. Masseter
  4. Temporalis
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Correct answer: B. Superior head of the lateral pterygoid

The superior head of the lateral pterygoid attaches directly to the articular disc (and condylar neck). During jaw opening, the inferior head contracts; the superior head controls and stabilizes the disc. In disc displacement, the superior head of the lateral pterygoid is dysfunctional/hyperactive, pulling the disc anteriorly.
  • A. ❌ Medial pterygoid elevates the mandible — it does NOT attach to or control the articular disc.
  • B. ✅ Superior head of the lateral pterygoid attaches to the articular disc — its dysfunction is the primary muscle involvement in disc displacement.
  • C. ❌ Masseter elevates the mandible — does not attach to the articular disc.
  • D. ❌ Temporalis elevates and retrudes the mandible — does not attach to the articular disc.

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