Podcast
Questions and Answers
What is the primary function of the uncovertebral joints?
What is the primary function of the uncovertebral joints?
To maintain the central position of the disc during rotation.
What types of forces can uncovertebral joints not tolerate due to their structure?
What types of forces can uncovertebral joints not tolerate due to their structure?
Repetitive or large forces.
How many pairs of apophyseal joints are present in the human spine?
How many pairs of apophyseal joints are present in the human spine?
24 pairs.
What specific role do subcapsular fat pads play in the lumbar spine?
What specific role do subcapsular fat pads play in the lumbar spine?
What is the composition of the nucleus pulposus?
What is the composition of the nucleus pulposus?
What happens during excessive motion of the apophyseal joints related to fibro-adipose meniscoids?
What happens during excessive motion of the apophyseal joints related to fibro-adipose meniscoids?
What are the unique features of cervical vertebrae?
What are the unique features of cervical vertebrae?
How does neural canal volume vary with spinal positions?
How does neural canal volume vary with spinal positions?
What is the significance of proteoglycans in the nucleus pulposus?
What is the significance of proteoglycans in the nucleus pulposus?
Where is the orientation of the apophyseal joints near-vertically located, and what does it prevent?
Where is the orientation of the apophyseal joints near-vertically located, and what does it prevent?
What is the function of the atlas (C1)?
What is the function of the atlas (C1)?
Describe the characteristic feature of the axis (C2).
Describe the characteristic feature of the axis (C2).
What distinguishes the vertebra prominens (C7) from other cervical vertebrae?
What distinguishes the vertebra prominens (C7) from other cervical vertebrae?
What is the significance of the transverse foramina in cervical vertebrae?
What is the significance of the transverse foramina in cervical vertebrae?
Why are individuals with neural canal stenosis at risk during extension?
Why are individuals with neural canal stenosis at risk during extension?
What unique structural feature does the atlas possess that aids its function?
What unique structural feature does the atlas possess that aids its function?
What is the primary composition of the annulus fibrosus?
What is the primary composition of the annulus fibrosus?
What is the effect of dehydration and thinning of the disc?
What is the effect of dehydration and thinning of the disc?
How are the collagen rings oriented in the lumbar region?
How are the collagen rings oriented in the lumbar region?
What percentage of movement in flexion occurs at the atlanto-occipital and atlanto-axial joints?
What percentage of movement in flexion occurs at the atlanto-occipital and atlanto-axial joints?
What happens during flexion of the spine?
What happens during flexion of the spine?
How does prolonged protraction affect posture?
How does prolonged protraction affect posture?
What is the range of rotation in young adults?
What is the range of rotation in young adults?
What occurs during the extension of the spine?
What occurs during the extension of the spine?
What percentage of movement occurs at the atlanto-axial joint during cervical rotation?
What percentage of movement occurs at the atlanto-axial joint during cervical rotation?
Describe the coupling that occurs during right side bending in the cervical spine.
Describe the coupling that occurs during right side bending in the cervical spine.
How do the upper and lower trapezius muscles influence cervical and upper thoracic spine movement?
How do the upper and lower trapezius muscles influence cervical and upper thoracic spine movement?
What is the role of the sternocleidomastoid muscle when acting unilaterally?
What is the role of the sternocleidomastoid muscle when acting unilaterally?
What anatomical features do the scalenes have concerning their origin and insertion?
What anatomical features do the scalenes have concerning their origin and insertion?
How do the scalenes function when the cervical spine is stabilized?
How do the scalenes function when the cervical spine is stabilized?
What impact does forward head posture have on the sternocleidomastoid's function?
What impact does forward head posture have on the sternocleidomastoid's function?
What can happen if there is hypertrophy or spasm in the scalenes?
What can happen if there is hypertrophy or spasm in the scalenes?
Flashcards
Cervical Vertebrae
Cervical Vertebrae
The smallest and most mobile vertebrae in the spine. They have unique features like transverse foramina for the vertebral artery and uncinate joints.
Transverse Foramina
Transverse Foramina
Openings within the transverse processes of cervical vertebrae that allow passage of the vertebral artery, a major blood vessel supplying the brain.
Atlas (C1)
Atlas (C1)
The first cervical vertebrae, also known as the atlas. It lacks a body and supports the skull.
Axis (C2)
Axis (C2)
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Neural Canal Stenosis
Neural Canal Stenosis
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Vertebra Prominens (C7)
Vertebra Prominens (C7)
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Vertebra Prominens Character
Vertebra Prominens Character
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Brachial Plexus
Brachial Plexus
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Annulus Fibrosus
Annulus Fibrosus
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Orientation of Annulus Fibrosus in Lumbar Region
Orientation of Annulus Fibrosus in Lumbar Region
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Transitional Zone between Annulus and Nucleus
Transitional Zone between Annulus and Nucleus
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Innervation of Annulus Fibrosus
Innervation of Annulus Fibrosus
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Annulus Fibrosus during Rotation
Annulus Fibrosus during Rotation
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Lordosis (Lumbar Curvature)
Lordosis (Lumbar Curvature)
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Protraction
Protraction
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Retraction
Retraction
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Apophyseal joints
Apophyseal joints
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Uncovertebral joint
Uncovertebral joint
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Nucleus pulposus
Nucleus pulposus
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Fibro-adipose meniscoids
Fibro-adipose meniscoids
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Proteoglycans
Proteoglycans
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Mechanical 'coupling'
Mechanical 'coupling'
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Subcapsular fat pads
Subcapsular fat pads
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Hydraulic shock absorption
Hydraulic shock absorption
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What joint is primarily responsible for head rotation?
What joint is primarily responsible for head rotation?
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What happens to the vertebral arteries during full head rotation?
What happens to the vertebral arteries during full head rotation?
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Describe the coupling between side bending and rotation in the cervical spine.
Describe the coupling between side bending and rotation in the cervical spine.
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What is contralateral coupling, as demonstrated by the trapezius muscles?
What is contralateral coupling, as demonstrated by the trapezius muscles?
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How do the trapezius and rhomboid muscles contribute to scapular stability and vertebral rotation?
How do the trapezius and rhomboid muscles contribute to scapular stability and vertebral rotation?
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Describe the origin, insertion, and actions of the sternocleidomastoid muscle.
Describe the origin, insertion, and actions of the sternocleidomastoid muscle.
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How can the sternocleidomastoid muscle contribute to forward head posture?
How can the sternocleidomastoid muscle contribute to forward head posture?
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Describe the origin, insertion, and actions of the scalene muscles.
Describe the origin, insertion, and actions of the scalene muscles.
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Study Notes
Cervical Biomechanics
- Cervical biomechanics examines the movement, structure, and function of the cervical spine.
- This includes the vertebrae, their junctions, the movement they allow, and the muscles involved.
Vertebrae
- Cervical vertebrae are the smallest and most mobile vertebrae in the spine.
- Unique features include transverse foramina, which allow the passage of the vertebral artery, and uncinate joints.
- Spinous processes are short and bifid.
- C1 (atlas) supports the head, lacks a body, and has large lateral masses.
- C2 (axis) has a large body and a dens (odontoid process), which acts as a pivot point for rotation.
- C7 (vertebra prominens) is the largest cervical vertebra and has a prominent spinous process.
Neural Canal Volume
- The neural canal is largest in flexion and smallest in extension.
- People with neural canal stenosis are more vulnerable to spinal cord injury and myelopathy, particularly during extension.
Vertebral Junction
- The cervical spine's junctions include uncovertebral joints and apophyseal joints.
- Uncovertebral joints, or Luschka joints, are located between C2-3 to C6-7.
- Discs act as spacers between vertebrae, unloading them. Increased loading can cause osteophyte growth, which compresses nerve roots.
- Uncovertebral joints maintain the central position of the disc during rotation and function as a mechanical coupling between axial rotation and lateral flexion.
Apophyseal Joints
- Apophyseal joints are plane synovial joints connecting adjacent vertebrae.
- They are primarily oriented near-vertically in the lower thoracic and lumbar regions, preventing excessive anterior translation (spondylolisthesis).
- In the upper cervical region, they are more horizontally oriented, favoring axial rotation.
- Accessory structures in lumbar apophyseal joints include subcapsular fat pads and fibro-adipose meniscoids, which protect and help lubricate the joints.
Discs
- The nucleus pulposus, the central part of the disc, is made up of 70-90% water, acting as a hydraulic shock absorber.
- Proteoglycans provide a gel-like consistency, and type II collagen fibers form a network for support.
- The annulus fibrosus, consisting of 15-25 layers of collagen and elastin, provides strength and flexibility to the disc.
- Inner layers of the annulus fibrosus contain more water and less collagen for gradual transformation into nucleus pulposus characteristics.
- Dehydrated discs increase compression on apophyseal joints, which can increase the risk of arthritis.
- In the lumbar region, collagen rings are oriented at 65 degrees from the vertical to distribute force and prevent shear force. Fibers in adjacent layers travel in opposite directions, allowing for rotation without injuring the layers
Movement
- Resting position of the cervical spine is 30-35 degrees of extension (lordosis).
- Flexion ranges from 45-50 degrees, and extension ranges from 75-80 degrees.
- 25% of this movement occurs at the atlanto-occipital and atlanto-axial joints.
- Cervical flexion stretches the ligamentum nuchae and interspinous ligaments, and compresses the anterior annulus fibrosus.
- Cervical extension approximates apophyseal joints and compresses the posterior annulus fibrosus.
- Protraction moves the head forward by 6.23 cm, flexing the lower to mid-spine and extending the upper cervical region.
- Retraction moves the head backward by 3.34 cm, extending the lower to mid-spine and flexing the upper cervical region.
- Prolonged protraction can lead to chronic forward head posture and extensor muscle strain.
Cervical Rotation
- Rotation in children (3.5-5 years) is 100° to each side. For young adults, this is 80° to each side, with visual fields reaching 330°.
- 50-60% of rotation occurs at the atlantoaxial joint.
- Full rotation stretches vertebral arteries. Side bending in the mid-to-low cervical regions occurs with right and left rotation. This coupling helps stabilize the eyes' fixation on stable objects during neck movement.
Muscles
- Several muscles support and facilitate cervical movement.
- The sternocleidomastoid muscle acts unilaterally to perform side bending and rotation to the opposite side, and bilaterally for cervical flexion and upper cervical extension.
- Scalene muscles, particularly the anterior scalene, assist with inspiration by raising the first two ribs.
- Muscle function and the initial posture of the spine are intricately linked.
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Description
Test your knowledge on the anatomy and function of cervical vertebrae with this quiz. Explore various structural features, functions, and the significance of joints and ligaments in the cervical region. Perfect for students studying human anatomy or related fields.