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Parietal
bone
Sutural
bone
Lambdoid
suture
Occipital bone
External
occipital Mastoid
protuberance process
Inferior
Occipitomastoid nuchal
External Occipital
suture line
occipital condyle
(b) Posterior view crest
Figure 7.4b
TMJ
The Temporomandibular Joint
1. Stylomandibular ligament
2. Sphenomandibular ligament
3. TMJ ligament or lateral ligament
TMJ: Ligaments
1. Stylomandibular
ligament
tightens with
protrusion
TMJ: Ligaments
2. Sphenomandibular
ligament
NOT a part of the TMJ
runs from the spine of the
sphenoid to the ramus of the
mandible (lingula of the
mandibular foramen)
a vestige of the embryonic
lower jaw
Lamina
Long and narrow with a thin
upper border
Pedicle
Project dorsolaterally (The
position of the pedicles will
dictate the shape of the
foramen)
Cervical Spine
Spinous Process
Short and bifid to allow for ligamentum nuchae to be
separated into left and right
Easily palpable
Transverse Process
Lateral extending from the body of the vertebrae
2 tubercles (anterior and posterior)
In between tubercles is a groove where the spinal nerve exits
In the middle is the foramen
Transverse Foramen
Occupied by the vertebral artery that ascends through all the
cervical vertebrae and into the cranium
Table 7.2
Table 7.2
Atypical Cervical Vertebrae
Superior
articular Transverse Anterior
Anterior arch Anterior facet foramen arch
tubercle Facet for dens Anterior tubercle
(a) Superior view of atlas (C1) (b) Inferior view of atlas (C1)
Cervical Vertebrae
Axis (C2)
Is an axis of rotation for the atlas and head around its
strong dens
Dens projects superiorly into the anterior arch of the
atlas
The dens has a small articular facet on the anterior side
that forms a synovial joint with the reciprocal facet on
the back of the anterior atlantal arch
Dens has a facet on the posterior side that articulates
with the transverse ligament
Posterior
C2
Spinous process
Inferior Lamina
articular
process
Pedicle
Superior
Transverse articular
process facet
Dens Body
(c) Superior view of axis (C2)
The Axis
Anterior View Posterosuperior View
Joints of the Cervical Spine
Atlantaloccipital Joint
The joint between the occiput and the atlas
Synovial, Ellipsoidal
Occipital facets articulate with the reciprocally curved
atlantal facets
Fibrous capsule surrounds
Permits flexion/extension (chin tuck) and slight
side bending
Joints of the Cervical Spine
1. Atlantaloccipital Joint
2. Atlantal Axial Joint
3. Zygoapophyseal Joint (Facet)
Joints of the Cervical Spine
Atlantaloccipital Joint
The joint between the occiput and the atlas
Synovial, Ellipsoidal
Occipital facets articulate with the reciprocally curved
atlantal facets
Fibrous capsule surrounds
Permits flexion/extension (chin tuck) and slight
side bending
Joints of the Cervical Spine
Atlantal Axial Joint
Joint between the Atlas and the Axis
3 synovial articulations:
A pair between the inferior articulating facets of the atlas and
the superior articulating facets of the axis
One median complex between the dens and the anterior
atlantal arch
Movements of the AA joint; atlantal rotation on the
axis
Weak, loose fibrous capsule
Lined with a synovial membrane
Joints of the Cervical Spine
Alar Ligaments
A static stabilizer that allows the dens to sit central
Strong round cords that start on each side of the apex of
the dens
They ascend laterally to rough impressions on the
medial sides of the occipital condyles
Ligaments of the Cervical Spine
Apical Ligament
Extends from the apex of the dens to the anterior margin
of the foramen magnum between the alar ligaments
Blends with the deep fibers of the anterior
atlantooccipital membrane
Ligaments of the Cervical Spine
Membrane Tectoria
Connects the axis and the occipital bone inside the
vertebral canal
Broad, strong band of fibers covering the dens and
its ligaments
Very smooth tissue for the spinal cord to glide along
Is a extension of the posterior longitudinal
ligament
Ligaments of the Cervical Spine
Ligamentum Flavum
Connects lamina to lamina in the vertebral canal
Descends from one lamina from the inferior surface to
the lower superior surface of the lamina below
Yellow elastic tissue to allow for mobility and recoil
Ligaments of the Cervical Spine
Ligamentum Nuchae
Bilaminar fibroelastic intermuscular septum
Separates the left and right upper trapezius
Yellow elastic tissue to allow for stability and
mobility
Extends from the external occipital protuberance to
C7
Attached to the median aspects of the bifid spines of the
C-spine
Ligaments of the Cervical Spine
Supraspinous Ligament
Strong fibrous cord
Attaches SP to SP
From C7 to the sacrum
Thicker and broader in the L-Spine
Intimately blends with neighboring fascia
Ligaments of the Cervical Spine
Interspinous Ligament
Thin almost membranous
Connects adjoining spines from the root to the apex
of each
Meets the ligamentum flavum in front (anterior)
and supraspinous ligament behind (posterior)
Narrow and elongated in the T spine, broader and
thicker in the L spine
Poorly developed in the C spine
Intervertebral
Supraspinous ligament disc
Transverse process Anterior
longitudinal
ligament
Sectioned
spinous process
Intervertebral foramen
Ligamentum flavum Posterior longitudinal
ligament
Interspinous Anulus fibrosus
ligament
Nucleus pulposus
Inferior articular process Sectioned body
of vertebra
Median section of three vertebrae, illustrating the composition
of the discs and the ligaments
Ligaments of the Cervical Spine
Intertransverse Ligament
Between transverse processes, superior part of one
below to the inferior part of one above
In C spine, few irregular fibers
In T spine, cords blended with surrounding
muscles
In L spine, thin and membranous