Atlato axial and occipito axial joints Flashcards

1
Q

WHich atlato axial joint is identified as a synovail pivot (diarthrosis trochoid)

A

the median atlanto axial joint

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2
Q

which atlanto axial joint is identified as a synovail plane (diarthrosis arthrodia)

A

the lateral atlanto axial joint

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3
Q

what are the names given to the synovail joint spaces of the median atlanto axial joint

A

the anterior bursa and the posterior bursa

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4
Q

what part of the vertical crus ligament may be absent

A

the inferior crus ligament

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5
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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6
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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7
Q

What is the ADI of children compared to adults

A

about 4.5 mm in children; a range of 2-3 mm or about 2.5 mm in adults

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8
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

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9
Q

What is the homolog of the posterior atlanto axial ligament

A

the ligamentum flavum

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10
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 and 5 degrees of lateral bending

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11
Q

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

A

about 60%

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12
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

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13
Q

what is the embryonic derivative of the apical ligament of the dens or the apicodental ligament

A

the notochord

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14
Q

What is the function of the alar ligament

A

together thy function to resist axial rotation

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15
Q

what forms the cranial continuation of the posterior longitudinal ligament

A

membrana tectoria or tectorial membrane

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16
Q

What are the attachment sites for the superficial layer of the membrana tectoria

A

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

17
Q

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

A

about 90 degrees or about 18 degrees/couple

18
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

19
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