Cranial Midline Bones Flashcards

1
Q

Midline/unpaired bones

A

Cranial - ethmoid, occiput, sphenoid

Facial - mandible, vomer

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2
Q

Motion of the midline bones

A

Usually rotate about TRANSVERSE axis in SAGGITAL plane, in ANTERIOR-POSTERIOR direction.

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3
Q

Paired bones

A

Cranial - parietal, temporal

Facial - inf nasal concha, lacrimal, maxilla, nasal. palantine, zygoma

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4
Q

Motion of paired bones

A

Usually around the AP axis in lateral motion (CORONAL PLANE) in EXTERNAL/INTERNAL ROTATION

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5
Q

Motion of SBS
Inhalation-flexion:
- sphenoid rotation, axis, direction
-occiput rotation, axis, direction

A

Sphenoid:
TRANSVERSE axis
Alae move ANTERIORLY
SBS motion is SUPERIOR

Occiput:
TRANSVERSE axis
Occiput move Posterior
SBS motion is SUPERIOR

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6
Q

SBS motion Cranial Flexion

A
SBS moves SUPERIOR
Occiput - inf/post
Sphenoid - ant/inf
Ethmoid - same as occiput
Palantine - ER
Interpalantine suture - inf with vomer and maxillae
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7
Q

Ethmoid mirrors what bone’s motion?

A

Occiput

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8
Q

Vomer same as what bone’s motion?

A

Sphenoid

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9
Q

SBS and sacral motion - about what axis, in what plane and at what sacral segment

A

Transverse axis, thru 2nd sacral segment, in sagital plane

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10
Q

Sacral base moves in what direction in cranial flexion?

Also called what?

A

Sacral base posterior, apex anterior

Counterutation

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11
Q

Sacral base moves in what direction in cranial extension?

A

Sacral base moves anterior, apex posterior

Nutation

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12
Q

Ethmoid motion when SBS is in flexion is influenced by what?

A

sphenoid and falx cerebri

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13
Q
Lateral mass (ethmoid) motion during cranial flexion?
Cranial extension?
A

Cranial flexion - external rotation

Cranial extension - internal rotation

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14
Q

SBS lateral strain - named for what?
Axis
*Sphenoid and occiput move in same or opposite direction?

A

Named for position of basi-sphenoid relative to basi-occiput
Two vertical axes.
Same direction

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15
Q

Basi-sphenoid shears right around vertical axis, occiput and sphenoid both rotate to the left around their vertical axes.
What is this strain pattern?

A

Right lateral strain

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16
Q

SBS vertical strain - named for what?
Axis
Plane of motion
*Sphenoid and occiput move in what direction?

A

Position of basi-SPHENOID(sup or inf)
Transverse axis
Motion in sagittal plane
Sphenoid and occiput move in opposite directions (one into extension, one into flexion)

17
Q

Posterior direction = what vertical strain pattern?
Occiput into what position?
Sphenoid into what position?

A

inferior vertical strain
Occiput into flexion
Sphenoid into extension

18
Q

Sphenoid extension, occiput flexion “thumbs point to doc”

A

Inferior vertical strain

19
Q

SBS torsion - named for what?
Axis
Plane of motion
*Sphenoid and occiput move in what direction?

A

Named for more CEPHALAD greater wing of sphenoid
CORONAL PLANE
Sphenoid and occiput move in opposite directions

20
Q

Abormal felxion/extension while sphenoid twists R (greater wing elevates on L), occiput twists L at SBS, L basi-sphenoid; “hands twist on each other with left thumb pointing to doc and right thumb moving away.
*What strain pattern is this?

A

left torsion

21
Q

SBS torsion - relative change of other bones

  1. temporal and parietal
  2. mandible
  3. orbit
  4. membranes
A

temporal and parietal - ER on side of torsion
mandible - shifted toward side of torsion
orbit - smaller on side of torsion
membranes - falx (ant end rotates wtih sphenoid, post end rotates with occiput), tentorium (SB in same direction the occiput rotates), spinal dura (inf on side of low occiput)

22
Q
SBS SB and Rotation - named for what?
SB and Rotation:
Axis
Plane of motion
*Sphenoid and occiput move in what direction?
A

Named for the CONVEXITY (wider side)
SB: 2 VERTICAL axes in the TRANSVERSE plane.
SB - sph and occ move in opposite directions
Rotation: 1 AP axis (like torsion) in CORONAL plane
Rot - sph and occ move in same direction

23
Q

Side bending and rotation - rotation occurs to side of what? In what direction?

A

convexity

inferior or caudad

24
Q

Sphenoid rotated L, SB R and occiput rotated R, SB R

A

Right SB rotation

25
Q

SBS SB and Rotation - changes in other bones and membreanes

  1. temporal and parietal
  2. mandible
  3. orbit
  4. membranes
A
  1. temporal and parietal - externally rotated on convex
  2. mandible - shifted to convex side
  3. orbit - anterior on convex side
  4. membranes - falx (SB follows convexity of SBS of SBS), tentorium (follows occipital motion), spinal dura (inf on convexity)
26
Q

Compression of SBS describe:

Due to, cranium feels like

A

due to trauma or pressure to head (i.e. infant cranium at birth)
Cranium feel rigid

27
Q

Flexion of SBS

A

elevation of Sphenobasilar junction. All midline bones rotate around transverse axis. All paired lateral bones move into external rotation.