L12 Upper Cervical Spine Flashcards
(15 cards)
OA joint favors which plane of motion?
sagittal
facet orientation towards eyes
also allows SB and rotation
excessive extension leads to forward head posture
OA flexion causes what glide of occiput?
posterior glide
OA extension causes what glide of occiput?
anterior glide
tectorial membrane restrains which OA movement?
flexion head nod at C1
on posterior surface
os odontoidium
disconnection between top of dens and C2
requires surgical repair
alar ligament checks what motions?
occipital flexion
contralateral rotation and SB
connects from dens to occiput BL
apical ligament function
stabilizes posterior translation of the dens
ligamentum nuchae function
from occipital protuberance down nuchal line
provides support
transverse ligament
connects dens to the lateral masses of the atlas
actions of the sub occipital muscles
UL contraction of all four produces SB
BL contraction of all four produces OA extension
atlantoaxial joint rule of thirds
1/3 of AP diameter inside atlas occupied by spinal cord
1/3 by dens
1/3 is potential empty space
short neck flexors include:
rectus capitis anterior
rectus capitis lateralis
deep neck flexors
AA joint play coupled motion
contralateral!
R SB with L rotation
C1 ROMs
flexion: 3.5
extension: 21
SB: 6
rotation: 7
AA arthrokinematics: rotation
ipsilateral down and back glide
contralateral down and forward glide