Anatomy Midterm (Slides 1-158) Flashcards
There are a total of __ vertebrae but only __ of them are moveable
There are a total of 33 vertebrae but only 24 of them are moveable
Fill in the blanks: cervical spine (_ vertebrae) thoracic spine (\_\_ vertebrae) lumbar spine (_ vertebrae) sacrum (_ fused vertebrae) coccyx (_ fused vertebrae)
cervical spine (7 vertebrae) thoracic spine (12 vertebrae) lumbar spine (5 vertebrae) sacrum (5 fused vertebrae) coccyx (4 fused vertebrae)
T/F: Each vertebra is numbered from top to bottom.
True
What is the key function of intervertebral discs?
Weight-bearing
T/F: There is no intervertebral disc between C1 and C2
True
Each Intervertebral disc has a fibrous outer layer called the _______ ______.
Annulus fibrosis
The annulus of an intervertebral disc surrounds the inner substance which is called the ________ _______.
Nucleus pulposus
Are the intervertebral discs innervated? Are they vascularized?
They are aneural, except in the peripheral 1/3rd.
They are avascular.
Are the following spinal segments lordotic or kyphotic? cervical thoracic lumbar sacral
cervical (lordotic)
thoracic (kyphotic)
lumbar (lordotic)
sacral (kyphotic)
The ________ and _______ curves are termed primary (bc they develop during the fetal period)
The thoracic and sacral curves.
The ________ and _______ are termed secondary (bc they develop when the infant starts lifting their head and walking).
The cervical and lumbar curves.
Large, heavy anterior part of the vertebra.
Vertebral body
Vertebral bodies get _______ as you progress inferiorly.
Larger
The part of the vertebra that encloses the vertebral foramen.
Vertebral arch
The arch is formed anteriorly by 2 ______s.
Pedicles
The pedicles project __________ from both sides of the __________ part of the vertebral body
They project posteriorly from both sides of the superior part of the vertebral body.
As the pedicles project posteriorly, they meet 2 ________.
Laminae
The laminae meet posteriorly to form a _______ ________.
Spinous process
A total of _ articular processes arise from the arch of each vertebra.
4
What is the a.k.a. for zygapophysial joints
Articular joints
This is the area between the superior and inferior articular processes (the most common fracture site)
Pars articularis
The vertebral notches of 2 adjacent vertebrae form an almost complete ring called the _________ _______.
Intervertebral foramen
Upper cervical spine: C_-_
Lower cervical spine: C_-_
Upper cervical spine: C 1-2
Lower cervical spine: C 3-7
The C1 vertebra has an articular facet for the ____ of C2.
Dens
The TVPs of C1 are projections from the _______ ______.
Lateral masses
The __________ _________ of C1 allows passage of the vertebral artery.
Transverse foramen allows passage of the vertebral artery.
T/F: C1 has no vertebral body but it has bifid SPs.
False, it has no vertebral body and no SPs.
What is the a.k.a. for the the odontoid process?
The Dens
C_-C_ SPs are bifid
C2-C6 SPs
Which vertebra is aka Vertebra Prominens?
C7
Upward bony projections on the posterolateral rims of the C-spine vertebral bodies.
Uncinate processes
What is an aka for the uncovertebral joints of the C-Spine?
Joints of Lushka
The uncovertebral joints provide stability in the C-Spine preventing excessive ________ translation
Lateral
On C6 the anterior tubercle is called the _______ tubercle.
Carotid tubercle
The largest vertebra is ___.
L5
A horizontal line drawn between the tops of the iliac crests landmarks ___ SP
L4
The top part of the sacrum, the WIDEST part, is called the _____.
Base
The pointed inferior edge of the sacrum.
The Apex
The part of the sacrum that articulates with L5.
Lumbosacral articular surface
The ‘wings’ of the sacrum.
Ala (pl. alae)
The pelvic surface of the sacrum is _________, the dorsal surface is ________.
Pelvic surface is concave, dorsal surface is convex
What type of joint is the lumbosacral joint?
Cartilaginous (with IVD)
What motion do the iliolumbar ligaments limit?
Lateral flexion.
The apex of the sacrum articulates with the base of the coccyx to form which joint?
The sacrococcygeal joint.
What type of joint are the Sacroiliac (SI) joints?
Synovial
These ligaments lie just anterior (deep) to the posterior SI ligaments.
Interosseous Sacroiliac ligaments
the sacrotuberous and sacrospinous ligaments are accessory ligaments to the __ joints
SI joints
The SPs of thoracic vertebra point ________ and _________.
Inferior and posterior
What is an aka for the sternal notch? On which bone is it located?
The jugular notch on the manubrium
On either side of the jugular notch is an articular facet where the manubrium articulates with the _______.
Clavicle
AKA for the body of the sternum.
The gladiolus
AKA for the manubriosternal joint.
Angle of Louis (or sternal angle)
The manubriosternal joint is a landmark for which rib?
Rib 2
Along the side of the gladiolus are costal notches for the articulation of ________ __________.
Costal cartilage
The thin process inferior to the body of the sternum.
Xiphoid process
Ribs __-__ are called ‘true’ ribs because they have a direct connection with the sternum via their own costal cartilage
Ribs 1-7
Ribs __-__ have an indirect connection with sternum (via the 7th ribs costal cartilage).
Ribs 8-10
Ribs __-__ are called ‘typical’ ribs because have the following characteristics: a head, neck, tubercle and shaft.
Ribs 2-10
Typical ribs have a costal groove, through which the ______ _______ passes.
Costal nerve
The _____ of a typical rib has 2 facets (superior and inferior) which articulate with 2 vertebral bodies, and a ________, which articulates with the TVP of the same number vertebra.
The head connects wit the vertebral bodies.
The tubercle connects with the TVP.
The _________ costal demi facet articulates with the head of the rib of the same number. (ie. the ________ costal demi facet on T4 articulates with rib 4)
Superior
The _________ costal facet articulates with the tubercle of the rib of the same number.
Transverse
Ribs 1, 11, 12 are ‘atypical’ because they articulate with only 1 ________ _____.
Vertebral body
T/F: ‘Atypical’ ribs articulate with the numerically corresponding vertebra.
True
Which muscles attach to special tubercles on rib 1?
The scalenes
Rib 1 contains grooves for the _________ artery and vein
Subclavian
Which ribs do not connect with a TVP?
Ribs 11 and 12 (Rib 1 still does)
The facet orientation of thoracic vertebra tends to be in the ________ plane, where as the facet orientation of lumbar vertebra tends to be in the ________ plane.
Thoracic: frontal/coronal
Lumbar: sagital
Superior angle landmarks rib __
Root of the spine of the scapula landmarks rib __
Inferior angle landmarks rib __ or __
superior angle landmarks rib 2
root of the spine of the scapula landmarks rib 3
inferior angle landmarks rib 7 or 8
Intervertebral joints are designed for strength and weight bearing. They are classified as _________ joints.
Cartilaginous
The superior articular facets on the lateral masses of C1 articulate with the __________ ________ of the skull.
Occipital condyles
What type of joint is the Atlanto-Occipital joint?
Synovial condyloid
What ligament supports the atlanto-occipital joint?
Atlanto-occipital membrane
What type of joint is the Atlanto-Axial joint? What movement happens there?
Synovial pivot. Rotation only.
Which ligament holds the dens of C2 against the anterior arch of C1?
Transverse ligament of the atlas
Bands of this ligament travel from transverse ligament superiorly to the occipital bone and inferiorly to the body of C2.
Cruciate/Cruciform ligament
Ligament that goes from the dens to lateral margins of foramen magnum.
Alar ligaments
Ligament that goes from the dens to anterior margin of foramen magnum.
Apical ligament
Ligament that travels/is anchored to the posterior aspect of the vertebral bodies and IVDs from sacrum to C2
Posterior Longitudinal ligament (PLL)
What two things do the Posterior Longitudinal Ligament do?
Checks hyperflexion of the spine.
Prevents posterior protrusion of the IVD.
the most superior part of the PLL is the _________ _________, which attaches onto the occiput.
Tectorial membrane
Ligament that travels/is anchored to the anterior aspect of the vertebral bodies and IVDs from sacrum to occiput.
Anterior Longitudinal ligament
What two things do the Anterior Longitudinal Ligament do?
Checks hyperextension of the spine.
Stabilizes intervertebral joints.
What types of joints are the facet joints?
Synovial plane
What movements are available at the facet joints?
Flexion
Extension
Lateral flexion (L,R)
Rotation (L,R)
Factors Affecting _______ of facet joints:
• size and shape of IVDs
• angle of the facet joints
• laxity of ligaments/joint capsules
Range of Motion
Which ligament connects from lamina to lamina of sacrum up to C1, helps preserve normal curves and helps return spine to normal position after flexion?
Ligamentum Flava
Which ligaments between the SPs limit flexion by preventing excessive forward flexion?
Interspinous ligaments