10/8 Questions Flashcards

1
Q

What other joint space does the atlanto-occipital joint communicate with?

A

the posterior bursa of the median atlanto-axial joint

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2
Q

What is the classic function of the anterior atlanto-occipital ligament?

A

it brakes or limits extension of the skull over the cervical spine

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3
Q

Ossification of the free margin of the posterior atlanto-occipital ligament results in which atypical bone classification?

A

accessory bone

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4
Q

What other name may be used to identify a ponticulus posticus?

A

Kimmerle’s anomaly

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5
Q

What names are given to the opening formed by the ponticulus posticus?

A

arcuate foramen or retroarticular canal

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6
Q

What is the classic function of the posterior atlanto-occipital ligament?

A

it brakes or limits axial rotation, flexion, and perhaps lateral bending of the skull on atlas

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7
Q

What amount of flexion-extension is accommodated by the atlanto-occipital joint?

A

about 25 degrees

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8
Q

What amount of axial rotation is accommodated by the atlanto-occipital joint?

A

about three to eight degrees one side axial rotation

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9
Q

What amount of lateral bending is accommodated by the atlanto-occipital joint?

A

about 5 degrees

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10
Q

Which motion is best accommodated by the atlanto-occipital joint?

A

flexion-extension

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11
Q

Which atlanto-axial joint is identified as a synovial pivot (diarthrosis trochoid)?

A

the median atlanto-axial joint

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12
Q

Which atlanto-axial joint is identified as a synovial plane (diarthrosis arthrodia)?

A

the lateral atlanto-axial joint

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13
Q

What are the names given to the synovial joint spaces of the median atlanto-axial joint?

A

the anterior bursa and the posterior bursa

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14
Q

What is the function of the transverse atlantal ligament?

A

it is the primary stabilizer of the atlanto-axial joint restricting the distance of C2 from the anterior arch of C1

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15
Q

What is the ADI?

A

the atlanto-dental interspace, a radiographic distance between the surfaces of the anterior bursa of the median atlanto-axial joint

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16
Q

The ADI is observed between which surfaces?

A

the fovea dentis of C1 and the facet for fovea dentis of C2

17
Q

What is the ADI of children compared with that of adults?

A

about 4.5 mm in children

a range of 2-3 mm or about 2.5 mm in adults

18
Q

What are the attachment sites for the accessory atlanto-axial ligament?

A

the base of the odontoid process and vertebral body of axis to the tubercle for the transverse atlantal ligament on the lateral mass of C1; a superior continuation may attach on the occipital bone just behind that of the alar ligament

19
Q

What are the degrees of movement facilitated at the atlanto-axial joint?

A

about 20 degrees flexion-extension
40 degrees one side axial rotation
5 degrees of lateral bending

20
Q

The occiput-C1-C2 joint complex accounts for what percent of all cervical axial rotation?

A

about 60%

21
Q

What ligament attaches to the anterior margin of the foramen magnum and the tip of the odontoid process of C2?

A

the apical ligament of the dens or the apicodental ligament

22
Q

What is the embryonic derivative of the apical ligament of the dens or the apicodental ligament?

A

the notochord

23
Q

What is the function of the alar ligament?

A

together they function to resist axial rotation

24
Q

What forms the cranial continuation of the posterior longitudinal ligament?

A

the membrana tectoria or tectorial membrane

25
Q

What are the attachment sites for the superficial layer of the membrana tectoria or tectorial membrane?

A

the posterior part of the inferior epiphyseal rim and vertebral body of C2 to the capsular ligament of the atlanto-occipital joint and cranial dura of the posterior cranial fossa

26
Q

List in order, the ligaments in a midsagittal plane from the dura mater at the level of the medulla oblongata to the anterior bursa of the median atlanto-axial joint?

A

the membrana tectoria
the cruciate ligament
the capsular ligament of the posterior bursa of the median atlanto-axial joint
the apical ligament of the dens

27
Q

For the cervical spine below C2, what is the range of flexion-extension?

A

about 90 degrees or about 18 degrees per couple

28
Q

For the cervical spine below C2, what is the range of one side lateral bending?

A

about 50 degrees or about 10 degrees per couple

29
Q

For the cervical spine below C2, what is the range of one side axial rotation?

A

about 33 degrees or about 6 degrees per couple

30
Q

What are the locations for costovertebral joints on the vertebra?

A

the costocentral joint at the vertebral body and the costotransverse joint at the transverse process

31
Q

Which costocentral ligament forms part of the anterior boundary of the intervertebral foramen?

A

the costocentral capsular ligament

32
Q

The costocentral radiate/stellate ligament is identified with which joint classification?

A

fibrous (amphiarthrosis) syndesmosis

33
Q

An intra-articular ligament will be identified with which ribs?

A

ribs 2-9

34
Q

What are the attaching surfaces of the intra-articular ligament?

A

the intra-articular crest of the head of the rib and the intervertebral disc

35
Q

Which vertebrae will have a synovial plane (diarthrosis arthrodia)costotransverse joint?

A

typically T1-T10

36
Q

What are the accessory ligaments of the costotransverse joint?

A

the superior costotransverse ligament, the inferior costotransverse ligament and the lateral costotransverse ligament

37
Q

At what rib will the superior costotransverse ligament be absent?

A

the first rib

38
Q

What ligaments will attach to the neck of the twelfth rib?

A

the superior costotransverse ligament from T11 and the lumbocostal ligament from L1

39
Q

What is the classification of the atlanto-occipital joint?

A

synovial (diarthrosis) ellipsoidal