Part 1: Spnal Anatomy (ENT, Spinal Structures, Landmarks) Flashcards
Hearing turns _______ waves into ________ waves
Mechanical; Fluid
What does MISO Soup mean? (Ear)
M: Malleus
I: Incus
S: Stapes
O: Oval window
What part of the ear contains fluid?
Oval window
The Oval window of the ear contains fluid. ____________ is outside and ___________is inside
Perilymph (Na+ Outside)
Endolymph (K+ Inside)
Gyrus of Heschl is responsible for and is located in:
Hearing; superior gyrus in the temporal lobe
Anatomy of the Cochlea image:
What is responsible for static equilibrium?
Macula/Saccula
What part of the ear is responsible for linear acceleration?
Utricle
What part of the ear is responsible for angular acceleration?
Semicircular canals
What is responsible for dilation of the semicircular canals?
Crista Ampularis (contains crystals)
Smell pathway steps: (4)
Cribiform Plate -> Olfactory bulb -> Olfactory radiations
-> Uncus
The Uncus of parahippocampus is responsible for:
Sense of smell
The Dentate of hippocampus is responsible for:
Memory & smell
The fornix of the nose is responsible for:
Midline connection to the hippocampus
The Amygdaloid of the nose is responsible for:
Emotional response to smell
The Superior nasal meatus drains
The posterior ethmoid recess
The inferior nasal meatus drains
The nasolacrimal ducts
The Middle nasal meatus drains:
Frontal, sphenoid & Maxillary’s (Everything else)
What does this Joint classification Mean? Synarthrosis
Immovable / Fibrous
What does this Joint classification Mean? Amphiarthrosis
Slightly moveable / Cartilaginous
What does this Joint classification Mean? Diarthrosis
Freely Moveable / Synovial
Examples of Synostosis joints:
Sutures of skull
Examples of Gomphosis joints:
Teeth
Examples of Synchondrosis joints:
Epiphyseal plates, hyaline cartilage (temporary joints)
Examples of Symphysis joints:
IVD, Pubic symphysis, fibrocartilage
Examples of Syndesmosis joints:
Interosseous membranes (Tib/fib & radioulnar)
Examples of Hinge (ginglymus) joints:
Cubital/humeral ulnar joint
Examples of Pivot (Trochoid) joints:
Atlas/axia, proximal radioulnar joint
Examples of Ovoid (condlymus) joints:
Radiocarpal, MCP, TMJ, Knee (modified)
Examples of Saddle (sellar) joints:
1st metacarpal/trapezium, SC joint
Examples of Gliding (Plana) joints:
Facets, AC, intercarpal/tarsal’s
Examples of Ball & Socket (spheroidal) joints:
Coxafemoral, GH joint’s
SI joint are atypical and are considered:
Diarthrodial (bottom 1/3)
Fibrous (Top 1/3)
What is an example of the atypical Schindylesis joint?
Perpendicular articulation of ethmoid & vomer bones
What are the 3 anterior spinal ligaments?
ALL, PLL & IVD
What are the 3 middle spinal ligaments?
Ligamentum flavum, capsular ligament & intertransverse ligament
What are the 3 posterior spinal ligaments?
Interspinous, supraspinous & Ligamentum nuchae
The ALL from Occiput to atlas limits and in known as
Extension; anterior Atlanto-occipital ligament
Path of the Anterior longitudinal ligament:
Front of VB’s from sacrum -> C2
Location of the Posterior longitudinal ligament:
Back of VB’s
Where is the posterior longitudinal ligament the thickest? Thinnest?
Wider in C Spine, Thinner in L Spine, Thinnest at L5
The tectoral membrane limits _______ and is located where?
Flexion; (PLL) from C2 to Occiput
The IVD gives what percent of the spine height?
25%
The IVD’s are made out of
Fibrocaritlage
The Ligamentum flavum travels from
Lamina to lamina
The posterior Atlantoaxial ligament is the…
Ligamentum flavum from C2 -> C1
The posterior atlantooccipital ligament is the…
Ligamentum flavum from C1 -> Occiput
The Ligamentum flavum has a high _______________ and limits _________
Elastic content; flexion
The capsular ligament travels from
AP to AP
The supraspinous ligament travels from
Spinous to spinous
The ligementum nuchae is the
Supraspinous ligaments from C7 to Occiput
Function of the Transverse Ligament:
Holds dens in fovea denalis of atlas
Location of the Cruciate Ligament:
Occiput to Body of C2 (cross shaped)
The Alar Ligament limits:
C2 Rotation
The Apical Dental ligament limits:
Flexion & Extension of C2
Location of the Apical Dental ligament
Apex of dens -> anterior aspect of foramen
Location of the Alar ligament:
Sides of the Dens to the Occipital condyles
What ligament is also known as the “Check ligament”?
Alar Ligament
The dentate ligaments connect
The pia to dura mater along spinal cord
Origin & Insertion of the Oblique Capitus Superior
O: TP of C1
I: Above nuchal line
Origin & Insertion of the Oblique Capitus Inferior
O: SP of C2
I: TP of C1
Origin & Insertion of the Rectus Capitus Posterior Major
O: SP of C2
I: Lateral Nuchal Line
Origin & Insertion of the Rectus Capitus Posterior Minor
O: Posterior C1 Tubercle
I: Below Nuchal Line
Action of the Oblique Capitus Superior
External and Lateral Head Rotation
Unique facts about the Oblique Capitus Superior (2)
1) Lateral part of triangle
2) does NOT attach to C2
Action of the Oblique Capitus Inferior
Rotation of C1 on C2
Unique facts about the Oblique Capitus Inferior (2)
1) Inferior part of triangle
2) Does NOT attach to Occiput
Action of the Rectus Capitus Posterior Major
External and Lateral Ratation of the head
Unique facts about the Rectus Capitus Posterior Major (2)
1) Medial part of triangle
2) Does NOT attach to C1
Action of the Rectus Capitus Posterior Minor
External and Lateral rotation of head
Unique facts about the Rectus Capitus Posterior Minor (2)
1) Not a part of the triangle
2) Does NOT attach to C2
Sacral Homologs to Vertebrae (Spinouses, Articular Pillars & TVP’s)
SP’s: Median Sacral Crest
AP’s: Medial of Intermediate sacral crest
TVP’s: Lateral sacral crest
How many IVD’s are in the spine?
23
What type of collagen is the Nucleous pulposis made of?
Type II Collagen
After what age are IVD’s avascular?
20
What muscles contribute to Contralateral rotation of the spine?
1) Rotatores (1-2 segments)
2) Multifidus (3-4 segments)
3) Semispinalis (3-6 segments)
The dural sac travels from
L2-S2
What is the end of the spinal cord called?
Conus medullaris
Path of the Filum Terminale:
From conus medularis to coccyx
CN that associates with the corresponding Brachial Arch: 1st mandibular
CN V
CN that associates with the corresponding Brachial Arch: 2nd Hyoid
CN VII
CN that associates with the corresponding Brachial Arch: 3rd Thymus
CNIX
CN that associates with the corresponding Brachial Arch: 4th-6th Thyroid & Cricoid
CN X
The brachial arch is derived from
The neural crest
What bones/cartilage are derived from the mandibular (1st) brachial arch? (3)
1) Mandible
2) Malleus
3) Incus
What bones/cartilage are derived from the Hyoid (2nd) brachial arch? (3)
1) Stapes
2) Styloid process
3) Cornu of hyoid
What bones/cartilage are derived from the Thymus (3rd) Brachial arch? (2)
1) Body of hyoid
2) Greater Cornu
What bones/cartilage are derived from the thyroid (4th-6th) brachial arch? (1)
Laryngeal Cartilage
What muscles are derived from the (1st) Mandibular Brachial Arch? (4)
1) Muscle of mastication (all)
2) tensor tympani
3) tensor veil palatini
4) ant. Belly of diagastric
What muscles are derived from the (2nd) Hyoid Brachial Arch? (4)
1) Facial expression muscles
2) Stylohyoid
3) Stapedius
4) Post. Belly of diagastric
What muscles are derived from the (3rd) Thymus Brachial Arch? (1)
Stylopharyngeus
What muscles are derived from the (4th-6th) Thyroid/Cricoid Brachial Arch? (3)
1) muscles. Of the Larynx
2) Cricothyroid
3) Levator Veli Palatine
What ribs are considered typical & atypical?
Typical: 3-9
Atypical: 1-2, 10-12
The 1st rib has a groove for what structures?
Subclavian artery & Vein
What rib does the anterior and middle scalene attach to?
1st rib
What rib does the posterior scalene attach to?
2nd Rib
What rib does the stratus anterior attach to?
2nd rib
What ribs have a full facet and demifacet?
T1 and T10
What ribs have a single full facet?
T11-12
Radiate ligaments of the ribs connect
Front of the rib head with body of vertebrae
Interarticular ligament of the ribs connect
Front of the rib with body of vertebrae
Costotransverse ligaments of the ribs connect
Rib to TVP’s
What shape is the spinal canal at the C, T & L spines?
C: triangular
T: oval/circle
L: Triangular
If someone has 6 Lumbar vertebrae it is called:
Lumbarization
The superior and inferior borders of the IVF consist of
Pedicle or “vertebral notch”
The anterior portion of the IVF consists of:
Disc & Body
C Spine includes uncinate
Thoracic includes rib heads
The posterior border of the IVF’s consists of
Articular facets (AP’s) (Z Joints)
What fusion is known as pathological?
Ankylosis
What fusion is known as surgical?
Arthrodesis
What fusion is known as congenital?
Coalition
Fascial coverings of a nerve: Endoneurium
Covers nerve fiber
Fascial coverings of a nerve: Perineurium
Covers a fascicle (most elastic)
Fascial coverings of a nerve: Epineurium
Covers a peripheral nerve
Fascial coverings of a nerve are made of
Fibroblasts
STUDY NERVE ROOTS AND CORRESPONDING NERVE
Page 12 of Spinal Anatomy
What muscle makes up the slope of the neck?
Trapezius
What muscle elevates the first four ribs during inspiration?
Serratus Posterior Superior
What muscle depresses the last four ribs during exhalation?
Serratus posterior inferior
Structural landmarks: C3
Hyoid Bones
Structural landmarks: C4
Cephalic thyroid cartilage
Structural landmarks: C6
Cricoid cartilage
Structural landmarks: T3
Spine of the scapula
Structural landmarks: T4
Sternal angle of Louis