Musculo Skeletal Anatomy - Week 2 - Intervertebral joints, articulations and ligaments Flashcards

1
Q

What are the types of articulation in the vertebral column?

A
  • Cartilaginous articulation of this
    type i.e., between vertebral bodies
    and discs
  • Synovial articulation i.e., between zygapophyseal/facet joints
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2
Q

What are the two main joints in the vertebral column?

A

Intervertebral joints
* Formed by adjacent vertebral
bodies and the intervening
intervertebral disc

Zygapophyseal (facet) joints
* Between the superior and
inferior articular processes of
adjacent vertebral bodies.

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3
Q

What are the articulations/orientations of the Zygapophyseal (facet) joints?

A

Orientation varies depending on the spinal region:

  • Cervical: oriented in a 45-degree oblique plane
    (between the coronal and transverse planes).
  • Thoracic: angled at approximately 60 degrees.
  • Lumbar: mainly in the sagittal plane, oriented at
    approximately 90 degrees.
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4
Q

What are the 6 main ligaments of the vertebral column/lower cervical
spine?

A
  1. Anterior longitudinal
    ligaments
  2. Posterior longitudinal
    ligaments
  3. Ligamentum flavum
  4. Interspinous ligaments
  5. Supraspinous ligaments
  6. Intertransverse
    ligaments
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5
Q

Explain the Anterior longitudinal ligament.
Is it a primary stabilizer? Where is it located?
What does it prevent?
How can it get injured?

A
  • A primary spine stabilizer
  • Runs along the anterior surface of
    the vertebral bodies from the skull
    to the sacrum.
  • Prevents hyperextension of the
    spine
  • Can be injured in whiplash injuries.
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6
Q

Explain the Posterior longitudinal ligament.
Is it a primary stabilizer? Where is it located?
What does it prevent?
Is it as strong as the ALL?

A
  • A primary spine stabilizer
  • Runs along the posterior surface of
    the vertebral bodies, inside the
    vertebral canal from the base of the
    skull to the sacrum
  • Prevents hyperflexion and posterior
    disc herniation
  • Not as strong as the ALL, which is
    why posterolateral disc herniations
    are more common
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7
Q

Explain the interspinous ligament.
Where is it located?
What does it attach to?
What does it resist?

A
  • Located between adjacent spinous
    processes.
  • Thin ligament attaches to another
    ligament called the ligamentum
    flavum that runs deep into the
    spinal column
  • Resists excessive flexion.
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8
Q

Explain the supraspinous ligament.
Where is it located / What does it attach to?
What does it resist?

A
  • Attaches the tip of spinous process
    to the other (C7 to the Sacrum)
  • Provides additional support against
    hyperflexion.
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9
Q

Explain the Ligamentum Flavum.
What does it connect?
Where is it located/where does it run?
Is it the strongest ligament?
What are its functions?

A
  • Connects the laminae of adjacent
    vertebrae.
  • Runs from the base of the skull to
    the pelvis, also runs in front of the
    facet joint capsules
  • The strongest

Functions:
* Protects the spinal cord and nerves
* Maintains spinal posture and assists in
returning the spine to neutral position
after flexion.

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10
Q

Where are the intertransverse ligaments located and what do they resist?

A
  • They are located between adjacent transverse
    processes
  • Resists lateral bending.
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11
Q

What are the main movements of the spine?

What regions of the spine have the greatest freedom of movement?

What region of the spine has the greatest flexion movement and what area has the greatest extension movement?

A
  • The essential movements of the spine
    are flexion, extension, lateral flexion
    (lateral bending), and rotation
  • The greatest freedom of movement
    occurs in the cervical and lumbar
    spine, with the neck having the greatest
    range of motion.
  • Flexion is greatest in the cervical
    region, and extension is greatest in the
    lumbar region.
  • The thoracic region is relatively stable,
    as is the sacrum.
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12
Q

Movements of the spine function what?

A
  • Size and compressibility of the intervertebral discs
  • Tightness of the joint capsules
  • Orientation of the articular facets (zygapophysial joints)
  • Muscle and ligament function
  • Articulations with the thoracic cage.
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