O&A Neck Flashcards
Excessive movement in what direction would cause damage to the anterior longitudinal ligament?
Extension
How do spinal nerves pass through in the cervical spine?
The same number nerve goes through the same number vertebrae (C5 nerve goes through C5 vertebrae)
How do the facets of the cervical spine glide in flexion?
Anterior superior glide
How do the facets of the cervical spine glide in extension?
Posterior inferior glide
How do the facets glide in the cervical spine with lateral flexion?
Superior anterior glide contralateral
Inferior posterior glide ipsilateral
How do facets glide in the cervical spine during rotation?
Superior anterior glide contralateral
Inferior posterior glide ipsilateral
What does the transverse cervical ligament restrict?
Anterior translation (protect vertebral canal)
What do the Alar ligaments restrict bilaterally?
Restrict anterior translation
What do the Alar ligaments restrict unilaterally?
Contralateral lateral flexion and rotation
How many atlanto-axial joints are there?
3
(2 lateral)
(1 median)
How does rotation work in the atlanto-axial joint?
Ipsilateral side slides posterior inferior
Contralateral side slides anterior inferior
What are the coupled movements of the upper cervical spine?
Opposite (contralateral)
What are the coupled movements of the lower cervical spine?
Same (ipsilateral)
What is the purpose of coupled movements?
Able to keep the eyes forward during lateral flexion
Able to keep eyes level during rotation
What plane does the atlanto-occipital allow movement in?
Sagittal (flexion and extension)
What plane does the atlanto-axial joint allow movement in?
Transverse (rotation)
What type of symptoms would there be if the transverse cervical ligament is damaged?
Pain
Tingling
Numbness
What are reasons the transverse ligament could be damaged?
Rheumatoid arthritis
Down syndrome
Whiplash
Fracture
Which motion would hurt if you had a damaged transverse ligament?
Flexion (anterior translation)
What is the atlantodental interval?
Interval between anterior arch of atlas and the dens
What is the typical size of the atlantodental interval?
<3mm