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Human Anatomy Midterm Review 1 - Spinal Ligaments and Intervertebral Discs
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Human Anatomy Midterm Review 1 - Spinal Ligaments and Intervertebral Discs

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Questions and Answers

What is the function of the first rib in relation to the sternum?

  • It is a synchondrosis connected with hyaline cartilage. (correct)
  • It allows for extensive lateral bending.
  • It is a synovial joint that allows significant movement.
  • It connects directly to the thoracic vertebrae.
  • How do the movements of the upper ribs differ from the lower ribs during inhalation?

  • Upper ribs move superiorly, while lower ribs move laterally. (correct)
  • Both upper and lower ribs move anteriorly.
  • Upper ribs move laterally, while lower ribs move anteriorly.
  • Both upper and lower ribs remain stationary.
  • Which spinal region has the most movement in all planes?

  • Cervical region (correct)
  • Sacral region
  • Thoracic region
  • Lumbar region
  • What is a characteristic of interchondral joints?

    <p>They are synovial planar joints.</p> Signup and view all the answers

    What is a common result of osteoporosis?

    <p>Decline in the density of bone, particularly spongy bone.</p> Signup and view all the answers

    What does a laminectomy procedure involve?

    <p>Cutting the lamina to create more space for nerve roots.</p> Signup and view all the answers

    In which clinical condition does the nucleus pulposus herniate through the annulus?

    <p>Disc protrusion</p> Signup and view all the answers

    What type of muscle layer is NOT part of the intercostal muscles?

    <p>Rectus abdominis</p> Signup and view all the answers

    What primarily supplies arterial blood to the spine?

    <p>Segmental arteries from the aorta</p> Signup and view all the answers

    In which condition does the body of the vertebrae shift anteriorly?

    <p>Spondylolisthesis</p> Signup and view all the answers

    What is the main function of the Anterior Longitudinal Ligament?

    <p>Limits extension of the spine</p> Signup and view all the answers

    Which ligament is primarily responsible for limiting flexion of the spine?

    <p>Posterior Longitudinal Ligament</p> Signup and view all the answers

    What is the anatomical arrangement of the annulus fibrosis in the intervertebral disc?

    <p>Layers run at various angles to each other</p> Signup and view all the answers

    Where does the Ligamentum Flavum attach in the spinal column?

    <p>To the lamina of vertebrae</p> Signup and view all the answers

    What describes the nucleus pulposus of an intervertebral disc?

    <p>Gelatinous and contains 88% water</p> Signup and view all the answers

    What is a characteristic of the Posterior Longitudinal Ligament compared to the Anterior Longitudinal Ligament?

    <p>Narrower and tends to be weaker</p> Signup and view all the answers

    Which ligament connects adjacent spinous processes?

    <p>Interspinous Ligament</p> Signup and view all the answers

    Which joint allows for significant rotation in the cervical region of the spine?

    <p>Zygapophyseal joint</p> Signup and view all the answers

    What contributes to the herniation of intervertebral discs?

    <p>Low water content in the discs</p> Signup and view all the answers

    What type of joint are the costovertebral joints classified as?

    <p>Gliding planar joints</p> Signup and view all the answers

    Study Notes

    Spinal Ligaments

    • Anterior Longitudinalligament (ALL) - runs along anterior vertebral bodies and discs, limits extension, wider distally
    • Posterior Longitudinal Ligament (PLL) - runs along posterior vertebral bodies and discs, limits flexion, helps prevent posterior disc herniation, more innervated, stronger pain receptors
    • Supraspinous Ligament - runs along posterior aspect of spine, connects tips of spinous processes, limits flexion
    • Interspinous Ligament - connects spinous process to spinous process, maintains spinous process space, limits extension slightly
    • Ligamentum Nuchae - extends from C7 to occiput, holds neck in extended lordotic curve
    • Ligamentum Flavum - high volume of elastic fibers, attaches to lamina, inside spinal canal, controls rapid flexion, thickest lumbar

    Intervertebral Discs

    • Annulus Fibrosis - outer layer, fibrocartilage, rings run at different angles for stability, only outer portion has innervation, thicker anteriorly
    • Nucleus Pulposus - inner layer, gelatinous, allows spinal mobility, 88% water, no innervation or blood supply

    Joints of the Vertebral Column

    • Craniovertebral Joints
      • Atlanto-occipital joints - occiput-C1
      • Atlantoaxial joints - C1-C2
    • Joints of the vertebral bodies
      • Uncovertebral joints - C3-C7
      • Intervertebral joints - C2-S1
    • Joints of the vertebral arch
      • Zygapophyseal joints - C2-S1
    • Zygapophyseal Joints - facet joints, plane joints, covered in hyaline cartilage, allow gliding
      • Lumbar - significant flexion/extension, little rotation
      • Cervical - more movement, especially rotation

    Costovertebral Joints

    • Sternocostal Joints - flat facets laterally on sternum, synovial joints with ribs 2-7, allow movement with spine and breathing.
    • Costochondral Joints - bony rib to costal cartilage, synchondrosis
    • Interchondral Joints - synovial planar joints

    Movements of the Trunk

    • Cervical Region - most movement, 90 degrees of flexion/extension/rotation, most side bending
    • Thoracic Region - 20 degrees flexion/extension, 50 degrees rotation
    • Lumbar Region - most movement in flexion, 10-20 degrees rotation

    Movements of Ribs

    • Upper Ribs - 1-6, move anteriorly/superiorly with inhalation
    • Lower Ribs - 7-12, move laterally with inhalation

    Spine Neurovascular

    • Arterial Supply - segmental arteries off of aorta at each level
    • Venous Drainage - intervertebral veins, intervertebral plexus
    • Innervation
      • Zygapophyseal Joints - posterior primary ramus of each spinal level
      • Vertebral Body - meningeal nerves

    Clinical Considerations for the Spine

    • Osteoporosis - reduced bone density (spongy bone)
    • Laminectomy - removes lamina to create space in intervertebral foramen
    • Disc Protrusion - nucleus pulposus herniates through annulus, most commonly posterolateral
    • Spondylosis - fracture of pars interarticularis, Scottie dog sign
    • Spondylolisthesis - vertebral body shifts anteriorly, common in lower lumbar
    • Lumbar Puncture - collects CSF, spinal cord ends at L2, avoids damaging spinal cord

    Intercostal Muscle Layers

    • External Costals
    • Internal Costals
    • Innermost Costals
    • Subcostal
    • Transversus thoracis

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    Description

    Test your knowledge on spinal ligaments and intervertebral discs with this quiz. Explore important structures like the Anterior Longitudinal Ligament and Annulus Fibrosis. Understand their locations, functions, and significance in spinal health.

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