MSK Session 4 Flashcards
What does a sclerotome give rise to?
Vertebrae and ribs
What are the ventral somites called?
Sclerotomes
Which somites are found dorsally?
Dermamyotomes
What do dermamyotomes give rise to?
Dermis and muscle
What does a dermamyotome develop in association with?
A specific neural level of the neural tube tissue
What does the neural tube eventually become?
Adult spinal cord
Why does the differentiated skin and muscle units from a common dermamyotome have a common source of nervous supply?
They take their neural supply with them irrespective of where they end up in the adult
What is the common source of nervous supply to the muscle and skin units of a dermamyotome?
Spinal segmental nerve
What are the parts of the spinal cord from head to tail end?
Medulla of brain ends Nerve cell bodies Neuronal axons Conus medullaris Film terminae
What makes up the grey matter of the spinal cord?
Nerve cell bodies
What makes up the white matter of the spinal cord?
Neuronal axons
How does the length of the spinal cord vary during growth?
In the baby it effectively extends its whole length
In the adult it is shorter than the vertebral column
What is a vertebral segment?
A single vertebra
How many vertebral segments are there in the spinal column?
33
What do the vertebral foramen form?
Spinal canal
What can be seen when looking at the spinal column from the side?
Inter-vertebral foramen
Describe the path of the spinal cord in the spinal column.
Runs through vertebral foramina
Gives off a pair of nerves at each vertebral level (L+R)
Where do the left and right spinal segmental nerves exit the vertebral column?
Intervertebral foramina
Where do spinal nerves emerge in the cervical cord?
Superior to their corresponding vertebral level
Which area of the body does the bulge in the cervical spinal cord provide innervation for?
UL
Why is there a bulge in the lumbar spinal cord?
To provide innervation to the LL
Along which axis does the distribution of sensory and motor neurones in the spinal cord vary?
Rostro-caudal
What can be seen in cross section of the spinal cord?
Specialisations that match the 4 vertebral regions
Where do spinal nerves emerge in the non-cervical spinal cord?
Inferior to their corresponding vertebral levels
What is a vertebral level?
Level of vertebra itself
How are the intervertebral foramina arranged in relation to the spinal cord?
Heavily offset
What is a fundamental feature of the design of the CNS?
Segmented throughout its extent
What does each segment of nervous tissue have?
Independence of connection to the periphery
What does each neural level have?
R + L sides
What are discrete territories of skin innervated by?
Sensory nerves
What do motor nerves innervate?
Myotomal territories
What is the function of the dorsal root of a segmented nerve?
Sensory/afferent
What is the function of a ventral root of a segmental nerve?
Motor and autonomic/efferent
Where can the spinal segmental nerves become strangulated?
Where they exit the vertebral column
What is a spinal segmental nerve?
One of the L or R branches given off at a vertebral level by the spinal cord
What is known as a mixed spinal nerve?
A vertebral level and a neuronal spinal level
What does a neurovascular bundle consist of?
Mixed spinal nerve
Equivalent segmental spinal nerves
Veins
What is a ramus?
A branch containing all functional modalities for that segmental level