Ligament Quiz Questions Flashcards

1
Q

What ligaments are present at the occipito-axial joint?

A

the apical ligament of the dens/apicodental ligament, alar ligament and membrana tectoria/tectorial membrane

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2
Q

What is the embryonic derivative of the apicodental ligament?

A

the notchord

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3
Q

What is the function of the alar ligament?

A

together they function to resist axial rotation

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4
Q

What forms the cranial continuation of the posterior longitudinal ligament?

A

the membrana tectoria or tectorial membrane?

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5
Q

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

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

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6
Q

What are the attachment sites for the deep layer of the membrana tectoria?

A

the posterior part of the inferior epiphyseal rim and vertebral body of C2 to the periosteum behind the cruciate ligament attachment site on the anterior rim of the foramen magnum

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7
Q

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

A

about 90 degrees or about 18 degrees per couple

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8
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

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9
Q

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

A

about 33 degrees or about six degrees per couple

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10
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

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11
Q

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

A

the costocentral capsular ligament

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12
Q

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

A

fibrous (amphiarthrosis) syndesmosis

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13
Q

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

A

ribs 2-9

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14
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

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15
Q

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

A

Typically T1-T10

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16
Q

What are the accessory ligaments of the costotransverse joint?

A

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

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17
Q

At what rib will the superior costotransverse ligament be absent?

A

The first rib

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18
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

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19
Q

What are the attachment sites for the lumbocostal ligament?

A

the neck of the twelfth rib and the transverse process of L1

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20
Q

What is the function of the superior costotransverse ligament?

A

limitation of lateral bending or maintaining lateral stability

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21
Q

What are the attachment sites for the inferior costotransverse ligament?

A

the neck of the rib and the transverse process of the vertebra at that level

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22
Q

Which vertebrae will have an attachment for the inferior costotransverse ligament?

A

T1-T11

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23
Q

At what rib will the inferior costotransverse ligament be absent?

A

the twelfth rib

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24
Q

What is the name of the space between the transverse process and the neck of the rib?

A

the costotransverse foramen

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25
Q

Which ligament “fills” the costotransverse foramen?

A

the inferior costotransverse ligament

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26
Q

What are the attachment sites for the lateral costotransverse ligament?

A

the non-articular surface of the tubercle of the rib and the transverse tubercle of the transverse process of the vertebra at that level

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27
Q

Which vertebrae will have an attachment for the lateral costotransverse ligament?

A

T1-T11

28
Q

Which vertebra will lack an attachment for the lateral costotransverse ligament?

A

T12

29
Q

Which vertebral couples of the thoracic spine have the greatest motion?

A

T11/T12 and T12/L1

30
Q

Which range of motion is greatest for lower thoracic vertebral couples?

A

flexion-extension

31
Q

Which range of motion is least for lower thoracic vertebral couples?

A

one side axial rotation

32
Q

Based on current literature what common ligaments are absent at the lumbosacral joint?

A

ligamentum nuchae, interspinous ligament, and supraspinous ligament

33
Q

Which ligaments replace the intertransverse ligament at the the lumbosacral joint?

A

the iliolumbar ligament and lumbosacral

34
Q

Which of the current ligaments from the iliolumbar ligament complex represens the iliolumbar ligament of classical descriptions?

A

the superior iliolumbar ligament

35
Q

Which ligament from the iliolumbar ligament complex will attach to the sacral ala?

A

the inferior iliolumbar ligament

36
Q

Which ligament from the iliolumbar ligament complex represents the lumbosacral ligament of classical descriptions?

A

the inferior iliolumbar ligament

37
Q

What are the attachment sites for the accessory iliolumbar ligament?

A

the transverse process of L4 and the iliac crest

38
Q

Which vertebral couple of the lumbar spine has the greatest range of motion?

A

L5/S1

39
Q

Which range of motion is greatest for all lumbar vertebral couples?

A

felxion-extension

40
Q

Which range of motion is least for L1-L5 vertebral couples?

A

one side axial rotaion

41
Q

Which range of motion is least for the L5/S1 vertebral couple?

A

one side lateral bending

42
Q

List, in order, from cranial to caudal the ligaments forming the anterior boundary of the spinal column.

A

the anterior atlanto-occipital ligament, anterior atlanto-axial ligament, anteriror longitudinal ligament, and the anterior sacrococcygeal ligament

43
Q

List, in order, from cranial to caudal the ligaments forming the anterior boundary of the spinal canal

A

the membrana tectoria, posterior longitudinal ligament, and the deep posterior sacrococcygeal ligament

44
Q

List, in order, from cranial to caudal the ligaments forming the posterior boundary of the spinal canal.

A

the posterior atlanto-occipital ligament, posterior atlanto-axial ligament, ligamentum flavum, and the superficial posterior sacrococcygeal ligament

45
Q

What forms the closure for the spinal canal inferiorly?

A

the fusion of the deep posterior sacrococcygeal ligament with the superficial posterior sacrococcygeal ligament

46
Q

What is the homolog of the intertransverse ligament at the sacrococcygeal joint?

A

the lateral sacrococcygeal ligament

47
Q

What is the homolog of the capsular ligament at the sacrococcygeal joint?

A

the intercornual ligament

48
Q

What does the sacral cornu represent?

A

the inferior articular process and facet of S5

49
Q

What is the auricular surface of the ilium composed of?

A

articular cartilage, interspersed with fibrocartilage

50
Q

What is the superficial appearance of the auricular surfaces of the sacro-iliac joint by age 15?

A

the sacrum develops a sacral groove while the ilium develops an iliac ridge

51
Q

Which gender is biased with greater unevenness of the auricular surface of the sacro-iliac joint?

A

males

52
Q

What forms the accessory sacro-iliac joint?

A

the sacral tuberosity and the iliac sulcus

53
Q

What pathological or age-related modifications of the sacro-iliac joint may occur?

A

degenerative arthrosis and ankylosis

54
Q

What does degenerative arthrosis mean?

A

a condition of degeneration of the joint, sometimes referred to as degenerative joint disease (DJD)

55
Q

What does ankylosis mean?

A

a condition of fibrous adhesion occurs within the joint

56
Q

What is the age and surface bias associated with degenerative arthrosis of the sacro-iliac joint?

A

age 40, the iliac auricular surface

57
Q

What is the age and gender bias associated with ankylosis of the sacro-iliac joint?

A

age 50 and male bias particularly in African American males

58
Q

What movements at the sacro-iliac joint are described as forward nodding and backward nodding?

A

nutation and counternutation, respectively

59
Q

What is the age and gender bias associated with ossification of the anterior sacro-iliac ligament?

A

age 40 and male bias

60
Q

Which is the strongest of the sacro-iliac ligaments?

A

the interosseus sacro-iliac ligament

61
Q

What are the attachment sites of the interosseus sacroiliac ligament?

A

at the sacral tuberosity and the iliac sulcus

62
Q

What is the relationship between the capsular and interosseus scaroiliac ligaments?

A

the interosseus sacro-iliac ligament replaces the capsular ligament posteriorly

63
Q

What passes between the layers of the interosseus sacro-iliac ligament?

A

dorsal rami from the sacral spinal nerves

64
Q

What ligament blends with the lateral border of the long posterior sacro-iliac ligament?

A

the sacrotuberous ligament

65
Q

What forms the falciform process?

A

the contiuation of the sacrotuberous ligament along the ischial ramus

66
Q

What seperates the greater sciatic and lesser sciatic foramina?

A

the sacrospinous ligament