osteology and cervical vertebre Flashcards

1
Q

identify the osteological features/foramina of the typical and atypical cervical vertebrae

(which is atypic, typical?)

A

3rdโ€“6th >> โ€œtypicalโ€ cervical vertebrae;

1st, 2nd, and 7th>> โ€œatypical.โ€

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2
Q

which is the strongest cervical vertebrae?

A

AXIS

cuz atlas, carrying th eskull, rotates on it!

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3
Q

what stabilzes the Atlanto-axial joint?

A
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4
Q

What structure passes through the foramina in the transverse processes of the cervical vertebrae?

A

They give passage to the vertebral artery, vein and sympathetic nerves.

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5
Q

The cervical vertebrae have 3 features which distinguish them from thoracic vertebrae:

A
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6
Q

vertebral foramen get _____as we go down the cervical vertebrae

A

SMALLER

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7
Q

describe shape of atlas

A

a ring-like, kidney-shaped bone lacking a spinous process or body

consisting of 2 lateral masses connected by anterior and posterior arches.

Its concave superior articular facets receive the occipital condyles.

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8
Q

name joints unique to Cervical Spine

A
  • -atlanto-axial
  • -atlanto-occipital
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9
Q

why does the cervical vertebrae can dislocate or โ€œslip-offโ€ at much less force than is required for them to fracture?

A

The articular surfaces of the cervical vertebrae are more horizontally orientated than in other vertebrae

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10
Q

would a Slight dislocation damage the spinal cord in the cervical region? why?

A

Slight dislocation may not damage the spinal cord because of the large vertebral canal in the cervical region.

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11
Q

where r the most common sites of cervical spine injuries?

A

C2, C6, C7

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12
Q

where do the most severe (fatal) injuries occur? why

A

upper part of spine, C1-C4

where damage can lead to quadriplegia and cessation of respiratory movements.

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13
Q

How might an anterior view of C1 and C2 be obtained?

A
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14
Q

How many bones does the skull have?

A

The skull is a collective term referring to the complete skeleton of the head,

which includes the cranium and mandible.

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15
Q

divisions of Cranium & key feautres of each

A
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16
Q

What is the difference between the โ€œviscerocraniumโ€ and the โ€œneurocraniumโ€?

A
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17
Q
A
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18
Q

difference btw a hole and a fissure in the skull?

A

roundish>> hole

narrow slit>> fissure

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19
Q

what does the neurocranium consist of?

A
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20
Q

bones of the neurocranium

A
21
Q

what do the bones of the calvaria consist of?

A

2 layers of compact bone

separated by a layer of spongy bone, known as the diploe

(in adults inner most lay of compact bone is particularly brittle )

22
Q
A
23
Q

what is the thinnest part of the calvaria?

A
24
Q

which artery lies right beneath the perterion? why is this signficant?

A

beneath this bone is the middle meningeal artery (its anterior branch),

Bleeding from this artery will cause an extradural haematoma,

blood accumulates btw the periosteal layer of the dura mater and the bone.

The haematoma exerts pressure on the underlying brain!

25
Q

what is a suture? what is its function? structure?

A

immobile, fibrous Joints btw bones,

the interlocking btw the bones make sit hard for bones to dislocate!

As we age, these suture lines begin to ossify.

26
Q

what r the sutures of the calvaria?

A

coronal, sagittal and lambdoid)

27
Q

now we move on to cranial floor, describe it!

A
28
Q

shade the anterior middle and posterior fossa

how do u know which ones which?

A

Anterior> lesser wing of sphenoid bone

middle> petrous part of temporal bone

Posterior> other part of petrous bone

29
Q

What are the fontanelles and why is their presence important in the fetal/infant skull

A

Sutures, which are soft but tough membranous connections, lie in the junctions where there is incomplete fusion of the bones.

30
Q

At what age do the anterior and posterior fontanelles fuse?

A

The anterior fontanelle> closed By ~18 months โ€“ 2 years> becomes the site of the bregma.

The posterior fontanelle> closes within first 2 -3 months> becomes site of the lambda.

Fontanelles are therefore only an anatomical feature of the fetal/ infant skull.

31
Q

How might the presence of the fontanelles be helpful when assessing an unwell newborn or infant?

A
  1. A sunken fontanelle can give an indication of hydration status > dehydration
  2. A tense/bulging fontanelle > raised intra-cranial pressure; infections such as meningitis can also cause a bulging fontanelle.

  • can also provide a โ€œwindowโ€ for imaging the brain using ultrasound (very safe form of imaging but cannot penetrate bone)*
  • Note that fontanelles may appear to bulge slightly when a newborn/infant is crying or when lying flat and this is entirely normal. The โ€˜bulgingโ€™ returns to normal when the newborn/infant is calm and in a head-up position.*
32
Q

how do the sutures appear on a CT scan?

A

chna fracture!

33
Q

what is ur main concern if someone had a skull fracture or trauma?

A

risk of intracranial injury (i.e. injury to brain, blood vessels, cranial nerves)

BUT can still have intracranial injury without skull fracture!

CT scanning should be performed in all patients with known or suspected skull fractures to identify any intracranial injuries

34
Q

what r the types of skull fractures?

A

2 main fracture types:

โ€“ Linear pass full thickness of skull, fairly straight, involve

no bone displacement

โ€“ Depressed: fragment is displaced inwards towards the brain

Fractures involving the cranial base = basilar skull fractures

35
Q

most common facial fractures include? (4)

A

Fractures of the nasal bones (cuz of the prominence of the nose), zygomatic bone and arch and mandible are common

36
Q

A hard blow to the lower jaw (mandible) often results in a fracture of the neck of the mandible and its body and may be associated with the dislocation of the TMJ.

A
37
Q

what is the cheek bone? what does it articulate w/?

A

zygomatic bone!

they inferolateral sides of the orbit articulate with the frontal, sphenoid, temporal bones and the maxillae.

38
Q

ok.. moving on to the viserocranium

how many bones and name them!

A

is formed by bones enclosing the orbits, nasal cavity, oral cavity, paranasal sinuses and includes the maxillae (the upper jaw) and the mandible (the lower jaw); the jaws house the teeth.

39
Q

just above the orbital margin is a sharp bony ridge called________.

what is the significance of this area?

A

the supraciliary arc

The skin overlying this area can be easily split when there is a blunt force in jury to this area of the head.

40
Q

why is the mandible movable?

A

becauseitarticulateswiththecranial base at the temporomandibular joint (TMJ),

41
Q
A
42
Q

Xray

A
43
Q

Xray sinus

A
44
Q

Where is the vomer bone?

A

A boner is in the middle. (So the vomer) is in the middke forming nasal septum!

45
Q

Explain the ethmoid bone in all views of the skull?

A
46
Q

Label the

zygoma and zygomatic arch

paranasal sinuses - frontal, nasal/ethmoid, and maxillary

A
47
Q

Why is CT imaging, rather than a skull x-ray, is the preferred modality when investigating patients with head injuries and/or suspected skull fractures?

A

dunno

48
Q

Describe the process that leads to the fusion of the fontanelles (i.e. how do they become ossified).

A
49
Q

in the adult skull what is the anatomical point to the site of the anterior & posterior fontanelle in the infant skull?

A