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The ligament broadens [1] and thickens [2] medially. The anterior medial aspect of the ligament is lined by a thin layer of articular cartilage. [1] The neck of the odontoid process is constricted where it is embraced posteriorly by the transverse ligament [2] so it retains the dens in position even after all other ligaments have been sectioned ...
The membrane situated is posterior/deep to the transverse ligament of the atlas; the two are separated by a thin intervening layer of loose areolar connective tissue, and sometimes by a bursa. [2] The membrane is situated anterior/superficially to the spinal dura mater (which is firmly attached to the tectorial membrane). [3]
The cruciate ligament of the atlas (cruciform ligament) is a cross-shaped (thus the name) ligament in the neck forming part of the atlanto-axial joint. It consists of the transverse ligament of atlas, a superior longitudinal band, and an inferior longitudinal band. The cruciate ligament of the atlas prevents abnormal movement of the atlanto ...
Transverse ligament: Should the transverse ligament of the atlas fail due to trauma or disease, the dens is no longer anchored and can travel up the cervical spine, causing paralysis. If it reaches the medulla death can result.
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck. The bone is named for Atlas of Greek mythology , just as Atlas bore the weight of the heavens, the first cervical vertebra supports the head . [ 1 ]
From the anterior border of the nuchal ligament, a fibrous lamina is given off. This is attached to the posterior tubercle of the atlas, and to the spinous processes of the cervical vertebrae, and forms a septum between the muscles on either side of the neck. The trapezius and splenius capitis muscle attach to the nuchal ligament.
Inferiorly, it becomes continuous with the anterior sacrococcygeal ligament. [3] Superiorly, between the skull and atlas, the ligament is continuous laterally with the anterior atlantooccipital membrane. [4] The ligament is thick and slightly more narrow over the vertebral bodies and thinner but slightly wider over the intervertebral discs. [5]
Acute calcific tendinitis of the longus colli muscle can occur. This presents with acute onset of neck pain, stiffness, dysphagia and odynophagia, and must be distinguished from retropharyngeal abscess and other sinister conditions. Imaging diagnosis is by CT or MRI, demonstrating calcification in the muscle in addition to retropharyngeal oedema.