Cervical Spine Flashcards

1
Q

Action of Longus Colli

A

flexion and rotation

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2
Q

Action of Splenius Capitis

A

Unilateral contraction producing ipsilateral rotation and Bilateral Extension of the head

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3
Q

Action of Rectus Capitis Anterior and Lateralis

A

Lateralis- Unilateral contraction producing Ipsilateral side flexion
Anterior- Bilateral Flexion of the Head

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4
Q

Origin of Upper Trapezius

A
  • External Occipital protuberance
  • Superior Nuchal line
  • Nuchal Ligament
  • SP of C7 Vertebrae
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5
Q

Insertion of Upper Trapezius

A
  • Post Lat 1/3 of Clavicle

- Acromion of scapula

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6
Q

Action of Upper Trapezius

A

-Bilateral extension of the Head and Neck
-Unilateral contraction resulting in Ipsilateral side flexion of the Head and Neck
As well as Elevation, retraction and rotation of the shoulder

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7
Q

Origin of Scalene

A

Anterior- Transverse processes C3-C6
Medius- Transverse processes of C2-C7
Posterior- Transverse processes of C4-C6

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8
Q

Origin of Scalene

A

Anterior- Transverse processes C3-C6
Medius- Transverse processes of C2-C7
Posterior- Transverse processes of C4-C6

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9
Q

Action of Longus Colli

A

Bilaterally Extends and unilaterally side flexes the neck at cervical vertebral joints

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10
Q

Action of Longissimus Colli

A

Bilaterally Extends and unilaterally side flexes the neck at cervical vertebral joints

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11
Q

Action of Longissimus Capitis

A

Bilateral extension , unilateral contraction producing ipsilateral rotation and side flexion of the head.

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12
Q

Origin of Sternocleidomastoid

A

Sternal Head- Anterior surface of manubrium of sternum

Clavicular Head- Med 1/3 of clavicle

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13
Q

Insertion of Sternocleidomastoid

A

Sternal Head and Clavicular Head - Mastoid process , Superior nuchal line

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14
Q

Action of Sternocleidomastoid

A

Bilateral Flexion, Unilaterally contraction resulting in ipsilateral side flexion and rotation.

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15
Q

Origin of Levator Scapulae

A
  • Transverse processes of C1-C2

- Posterior tubercles of C3 - C4

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16
Q

Insertion of Levator Scapulae

A
  • Superior Angle of Scapula

- Medial border of Scapular superior to spine of scapula

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17
Q

Action of Levator Scapulae

A
  • Bilateral extension of the neck

- Unilateral contraction resulting in ipsilateral side flexion.

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18
Q

Brief overview of Semispinalis Capitis

A
  • Bilateral extension of the head
  • Ipsilateral rotation of the head
  • O - Articular process C4-C7 , TP T1-T6
  • I - Between superior and inferior nuchal lines of occipital bone.
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19
Q

Brief overview of Semispinalis Colli

A
  • Bilateral extension of the neck
  • Ipsilateral rotation of the neck
  • O - TP of T1-6
  • I- SP of C2-C5
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20
Q

Give the overall function of the Cervical Spine

A
  • Mobility
  • Support
  • Protection of spinal canal and neural structures.
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21
Q

Give the Overall structure of the Cervical Spine

A
  • 7 Vertebrae
  • 6 Intervertebral discs
  • Lordosis - 40 degrees
  • 8 pairs of nerve roots
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22
Q

Give some fundamental features of movement in the Cervical Spine

A
  • 50% of flexion occurring at the Occiput c0-c1

- 50% of rotation occurring at C1-C2 , + side flex and extension

23
Q

What are the specific joints of the cervical spine called and state their significance

A
  • Joints of Luschka

- Stability and protection surrounding structures at risk of disc herniation

24
Q

Give the features of a typical cervical vertebrae

A
  • C3- C6

- Bifid spinous process

25
Q

Give the features of Atypical vertebrae C1 ( Atlas)

A
  • No vertebral body or spinous process
  • Ring shaped
  • 2 Lat Masses
  • 2 Foramen
  • Biconcave superior articular surface
  • Ant and Post arch - articular facet for Odontoid Peg
26
Q

Give the features of Atypical Vertebrae C2 ( Axis)

A
  • Odontoid Peg ( Dens)
  • Bifid Spinous process
  • X2 narrow lamina
  • X2 Transverse process
  • X2 Foramen
  • X2 Lateral articular surfaces
27
Q

Give the features of Atypical Vertebrae C7 ( Prominens) Vertebrae

A
  • Long palpable Spinous Process - non bifid
  • 2x Foramen
  • Large Vertebral body
  • Facets becoming gradually more vertical into the thoracic spine
28
Q

Give the features of the AtlantoOccipital Joint.

A
  • Occipital condyles (Convex)

- Superior articular facet on the atlas ( Concave)

29
Q

Give the features of the Median Atlanto- Axial Joint

A
  • Synovial joint
  • Convex rectangular facet on the facet of Dens
  • Concave facet inner aspect of Anterior arch of the atlas.
  • Posterior surface of the Dens articulates with the Transverse ligament.
30
Q

Give the features of the Lateral Atlanto - Axial Joint

A
  • Plane Synovial Joint

- Two Concave facets of the atlas articulate with the two convex facts of the Axis.

31
Q

Give the key features of Ligamentum Nuchae

A
  • Continuation of Supraspinous Ligament
  • From SP C7 - Occipital protuberance
  • Deep - Post tubercle of Atlas
32
Q

Give the Location of the Aypical Ligament

A

Apex of the Dens to the anterior edge of the foramen Magnum

- Limits flexion , stabilising odontoid peg

33
Q

Give the Location of the Tectorial Membrane

A
  • Continuation of PLL
  • Extends the Post aspect of Dens to the Occipital bone within the anterior edge of the foramen magnum
  • Limiting flexion and rotation
34
Q

Give the Location of the Transverse Ligament

A
  • Anterior to Dens
  • Post to spinal cord
  • Prevention of anterior displacement of the atlas on axis
  • Holds Dens and Atlas close
35
Q

Give the Location of the Alar Ligament

A
  • Lateral side of Dens to medial aspect of Occiput
    -Relaxed in extension - taught in flexion
    Prevents distraction C1 om C2
  • Limits flexion, rotation and side flex
36
Q

Give the Location of the Posterior Atlanto-Axial Membrane

A
  • Continuation of Ligamentum Flavum

- Connects to Lamina of C1 - C2

37
Q

Give the Location of the Anterior Atlanto-Occipital Membrane

A
  • Continuation of ALL

- Attaches anterior to Dens and Anterior aspect of Atlas

38
Q

Give the Arterial Supply of the Cervical Spine

A

Vertebral Artery , connected to the Circle of Willis via the Basilar Artery

39
Q

Give the Ranges of movement in the Cervical Spine

A

Flexion = 70-80 degrees
Extension=60 degrees
Side Flexion= 45 degrees
Rotation=90 degrees

40
Q

Write out the bony points you would feature in your OSCE ( all three spinal regions)

A
  • Atypical Vertebrae
  • Transverse process C1
  • Mastoid Process
  • Occipital Protuberance
  • Nuchal line
  • Angle of Mandible
  • Bifid Spinous Process
  • Occipital Condyles
  • Articular Pillar
  • Foramen Magnum
41
Q

Give the Accessory movements you would include in your OSCE

A
  • Central PA
  • Unilateral PA
  • Transverse Glide
42
Q

State a Joint line you would mark in your OSCE

A
  • Temporovestibular joint
43
Q

State the Additional Ligaments present in the Lower Cervical Spine

A
  • ALL
  • PLL
  • Ligamentum Flavum
  • `Inter-transverse Ligaments
  • Interspinous ligaments
  • Ligamentum Nuchae
  • Supraspinous Ligament
44
Q

Give the Boundaries of the Anterior Triangle of the Neck

A
  • Lower border of the Mandible
  • Sternocleidomastoid
  • Anterior Midline of the Neck
45
Q

Give the contents of the Anterior Triangle of the Neck

A
  • Carotids
  • Cranial and Cervical nerves
  • Muscles - Supra and Infra-hyoid
46
Q

Give the Boundaries of the Posterior Triangle of the Neck

A

-Trapezius
-Sternocleidomastoid
-Middle third of the Clavicle
Apex = Superior Nuchal line

47
Q

Give the contents of the Posterior Triangle of the Neck

A
  • Subclavian Artery and Jugular Vein
  • Spinal nerve (XI) and Cervical and Brachial Plexus
  • Scaleni , Levator Scap and Splenis Capitis
48
Q

Flexors of cervical spine

A
  • sternocleidomastoid
  • longus colli and capitis
  • rectus capitis post min and major
  • obliques
  • anterior scalene
49
Q

Extensors of cervical spine

A
  • levator scapulae
  • Splenius cervicis
  • upper traps
  • erector spinae
50
Q

Side flexion of cervical spine

A
  • scalènes
  • levator scapulae
  • sternocleidomastoid
  • trapezius
  • erector spinae
51
Q

Rotators of cervical spine

A
  • semispinalis cervicis
  • splenius cervicis and capitis
  • levator scapulae
  • sternocleidomastoid
52
Q

Protractors of cervical spine

A
Lower c flexors 
- sternocleidomastoid 
- longus colli 
Upper c extensors 
- semispinalis + longissimus capitis 
- Splenius capitis 
- suboccipitals
53
Q

Retractors of cervical spine

A
Lower c extensors 
- Splenius cervicis 
- semispinalis cervicis 
- longissimus cervicis 
Upper c flexors 
- longus and rectus capitis