1 - Zill - Craniovertebral Joint Flashcards
Cervical Vertebra
Movement?
Articular Facets - Superior/Medial
- Flextion/Extension (C1)
- Rotation (C2)
Ligaments of Back
- Anterior Longitudinal Ligament (strong, anterior)
- Posterior Longitudinal Ligament (weak, posterior of front)
- Ligamenta Flava (elastic band, connect laminae)
Anterior Atlanto-occipital Membrane
C1 - Occipital
Anterior Longitudinal Ligament
Membrana Tectoria
C2-Occipital
Posterior Longitidinal Ligament
Posterior Atlanto-Occipital Membrane
C1 - Occipital
Ligamenta Flavum
What ligaments of cranio-vertebral joints fuse to the dura?
Post. Atlano-occipital membrane
Membrana tectoria
Cruciate (Cross) Ligament Parts
- Transverse Ligament of Atlas
- Superior Ban to Occipital Bone
- Inferior Band to Body of C2
Keep Dens Anteriorly
- Transverse Ligament of Atlas - Attaches to inner side of Atlas (C1)
- Superior Ban to Occipital Bone
- Inferior Band to Body of C2
Hangman’s Fracture
Knot posterior to C1-C2 (only rotate)
Flexion/Extension of C1-C2
Fractures DENS, vertebrae penetrate CNS, instantaneous death
Can also happen in autowrecks, falls in elderly
What reduces C2 fractures in automobile wrecks?
Seat Belts
Air Bags
Alar “Check” Ligaments
Dens to Occipital Bone
Prevent excessive rotation
Prevertebral Muscles
Longus Colli
Longus Capitis
Rectus Capitis Lateralis
Rectus Capitis Anterior
Act - Flex Neck/Head
Inn - Cervical Ventral Rami
Suboccipital Muscles
Rectus Capitis Posterior Minor
Rectus Capitis Posterior Major
Obliquus Capitis Superior
Obliquus Capitis Inferior
Innervation:
Dorsal Ramus C1
Clinical:
Tension Headaches, Proprioception of Neck
Suboccipital Muscles
Extend
Rotate
Extend:
Rectus Capitis Pisterior Minor
Rectus Capitis Posterior Major (also rotate)
Obliquus Capitis Superior
Rotate:
Rectus Capitis Posterior Major (also extend)
Obliquus Capitis Inferior
Suboccipital Triangle
Arteries
Nerves
Arteries:
Vertebral
Occipital
Nerves:
Suboccipital Nerve - Dorsal Ramus C1 (motor to Suboccipital Muscles)
Greater Occipital Nerve - Dorsal Ramus C2 (sensory to skin)
Clinical Anatomy of Headache
Trigeminal branches V1, V2, V3 innervate dura
Upper cervical spinal nerves (vagus) too