Bones and Joints of the Neck Flashcards

1
Q

What is the curvature of the cervical spine?

A

laudosis

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2
Q

What are the features of typical cervical vertebrae?

A

bifid spinous process, transverse mass of anterior and posterior tubercles, transverse foramen, uncinate processes on the body, articular surfaces at 45 degrees

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3
Q

What features make C7 an atypical vertebrae?

A

it is bigger and has a much longer spinous process and lacks the uncinate processes

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4
Q

What are the lateral vertebral muscles and where do they attach?

A

scalenus anterior, medius and posterior - attach to the transverse mass of the cervical spine

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5
Q

What lies between scalenus anterior and medius?

A

the subclavian artery and the brachial plexus

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6
Q

What lies on scalenus anterior?

A

the phrenic nerve

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7
Q

What is a cranial shift in the spinal cord and what are the symptoms?

A

elongation of the anterior process of C7 - results in entrapment of C8 and T1 nerves which results in problems with movements of the hand and sensory loss over C8 and T1 dermatomes

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8
Q

What are the features of the atlas?

A

no body, anterior and posterior arches, facet for the dens, occipital condyles, longest transverse processes

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9
Q

What are the features of the axis?

A

dens with articular surfaces, strong spinous process

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10
Q

What is different about the C1 and C2 nerve roots?

A

they pass behind the facet joints instead of infront

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11
Q

Which anterior tubercle may compress the common carotid?

A

C6

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12
Q

At which level does the common carotid bifurcate?

A

C4

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13
Q

Which transverse foraminae transmit the vertebral arteries?

A

C1-6

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14
Q

What are the atlanto-occipital joints?

A

2 lateral synovial joints between the occipital condyles and the atlas

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15
Q

What movement occurs at the atlanto-occipital joint?

A

nodding

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16
Q

What are the atlanto-axial joints?

A

3 synovial joints - 2 lateral facets and one between the dens and the anterior arch

17
Q

What movement occurs at the atlanto-axial joints?

A

rotation

18
Q

What is the ligamentum nuchae?

A

the ligament between the external occipital protruberance and the spinous process of C7 - extension of the supraspinous ligament

19
Q

What is the posterior-atlanto occipital membrane?

A

connects the posterior border of the foramen magnum to the posterior arch of the atlas

20
Q

What is the membrana tectoria?

A

a ligament between the body of the axis and the occipital bone - extension of the posterior longitudinal ligament

21
Q

What is the anterior atlanto-occipital membrane?

A

a ligament between the anterior arch of the atlas and the occipital bone - extension of the anterior longitudinal ligament

22
Q

What is the transverse ligament?

A

a ligament to prevent posterior translation of the dens

23
Q

What are the alar ligaments?

A

ligaments from the dens to the skull

24
Q

What is Hangman’s fracture?

A

bilateral pedicle fracture of C2 due to extension - C2 slips forward on C3

25
Q

What is Jefferson’s fracture?

A

bilateral fracture of anterior arch of C1 - due to fall onto vertex of skull