Atlanto-occipital joint

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Atlanto-occipital joint
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Anterior atlanto-occipital membrane and atlantoaxial ligament.
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Posterior atlanto-occipital membrane and atlantoaxial ligament.
Details
System skeletal
Identifiers
Latin articulatio atlantooccipitalis
MeSH D001269
TA98 A03.1.08.001
TA2 1630
FMA 24939
Anatomical terminology

The atlanto-occipital joint (Capsula articularis atlantooccipitalis) is an articulation between the atlas bone and the occipital bone. It consists of a pair of condyloid joints. It is a synovial joint.

Contents

Structure

The atlanto-occipital joint is an articulation between the atlas bone and the occipital bone. It consists of a pair of condyloid joints. It is a synovial joint.

Ligaments

The ligaments connecting the bones are:

Capsule

The capsules of the atlantooccipital articulation surround the condyles of the occipital bone, and connect them with the articular processes of the atlas: they are thin and loose.

Function

The movements permitted in this joint are:

Flexion is produced mainly by the action of the longi capitis and recti capitis anteriores; extension by the recti capitis posteriores major and minor, the obliquus capitis superior, the semispinalis capitis, splenius capitis, sternocleidomastoideus, and upper fibers of the trapezius.

The recti laterales are concerned in the lateral movement, assisted by the trapezius, splenius capitis, semispinalis capitis, and the sternocleidomastoideus of the same side, all acting together.

Clinical significance

Dislocation

The atlanto-occipital joint may be dislocated, especially from violent accidents such as traffic collisions. [1] This may be diagnosed using CT scans or magnetic resonance imaging of the head and neck. [1] Surgery may be used to fix the joint and any associated bone fractures. [1] Neck movement may be reduced long after this injury. [1] Such injuries may also lead to hypermobility, which may be diagnosed with radiographs. [2] This is especially true if traction is used during treatment. [2]

Additional images

Related Research Articles

<span class="mw-page-title-main">Atlas (anatomy)</span> First cervical vertebra of the spine which supports the skull

In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck.

<span class="mw-page-title-main">Cervical vertebrae</span> Vertebrae of the neck

In tetrapods, cervical vertebrae are the vertebrae of the neck, immediately below the skull. Truncal vertebrae lie caudal of cervical vertebrae. In sauropsid species, the cervical vertebrae bear cervical ribs. In lizards and saurischian dinosaurs, the cervical ribs are large; in birds, they are small and completely fused to the vertebrae. The vertebral transverse processes of mammals are homologous to the cervical ribs of other amniotes. Most mammals have seven cervical vertebrae, with the only three known exceptions being the manatee with six, the two-toed sloth with five or six, and the three-toed sloth with nine.

<span class="mw-page-title-main">Obliquus capitis superior muscle</span>

The obliquus capitis superior muscle is a small muscle in the upper back part of the neck. It is one of the suboccipital muscles. It attaches inferiorly at the transverse process of the atlas ; it attaches superiorly at the external surface of the occipital bone. The muscle is innervated by the suboccipital nerve.

<span class="mw-page-title-main">Semispinalis muscles</span> Group of three muscles belonging to the transversospinales

The semispinalis muscles are a group of three muscles belonging to the transversospinales. These are the semispinalis capitis, the semispinalis cervicis and the semispinalis thoracis.

<span class="mw-page-title-main">Splenius capitis muscle</span>

The splenius capitis is a broad, straplike muscle in the back of the neck. It pulls on the base of the skull from the vertebrae in the neck and upper thorax. It is involved in movements such as shaking the head.

<span class="mw-page-title-main">Rectus capitis posterior major muscle</span> Tendon

The rectus capitis posterior major is a muscle in the upper back part of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the spinous process of the axis ; its superior attachment is onto the outer surface of the occipital bone on and around the side part of the inferior nuchal line. The muscle is innervated by the suboccipital nerve. The muscle acts to extend the head and rorate the head to its side.

<span class="mw-page-title-main">Joint capsule</span> Anatomical structure on synovial joints

In anatomy, a joint capsule or articular capsule is an envelope surrounding a synovial joint. Each joint capsule has two parts: an outer fibrous layer or membrane, and an inner synovial layer or membrane.

<span class="mw-page-title-main">Occipital artery</span>

The occipital artery is a branch of the external carotid artery that provides arterial supply to the back of the scalp, sternocleidomastoid muscles, and deep muscles of the back and neck.

<span class="mw-page-title-main">Posterior triangle of the neck</span>

The posterior triangle is a region of the neck.

<span class="mw-page-title-main">Lateral parts of occipital bone</span>

The lateral parts of the occipital bone are situated at the sides of the foramen magnum; on their under surfaces are the condyles for articulation with the superior facets of the atlas.

<span class="mw-page-title-main">Squamous part of occipital bone</span>

The squamous part of occipital bone is situated above and behind the foramen magnum, and is curved from above downward and from side to side.

<span class="mw-page-title-main">Atlanto-axial joint</span>

The atlanto-axial joint is a joint in the upper part of the neck between the atlas bone and the axis bone, which are the first and second cervical vertebrae. It is a pivot joint.

<span class="mw-page-title-main">Tectorial membrane of atlanto-axial joint</span> Ligament in the spinal canal in the head joint area

The tectorial membrane of atlanto-axial joint is a tough membrane/broad, strong band representing the superior-ward prolongation of the posterior longitudinal ligament.

<span class="mw-page-title-main">Occipital triangle</span>

The occipital triangle, the larger division of the posterior triangle, is bounded, in front, by the Sternocleidomastoideus; behind, by the Trapezius; below, by the Omohyoideus.

<span class="mw-page-title-main">Anterior atlantooccipital membrane</span>

The anterior atlantooccipital membrane is a broad, dense membrane extending between the anterior margin of the foramen magnum (superiorly), and the anterior arch of atlas (inferiorly).

<span class="mw-page-title-main">Posterior atlantooccipital membrane</span> Membrane at the base of the skull

The posterior atlantooccipital membrane is a broad but thin membrane extending between the to the posterior margin of the foramen magnum above, and posterior arch of atlas below. It forms the floor of the suboccipital triangle.

<span class="mw-page-title-main">Articular capsule of the knee joint</span>

The articular capsule of the knee joint is the wide and lax joint capsule of the knee. It is thin in front and at the side, and contains the patella, ligaments, menisci, and bursae of the knee. The capsule consists of an inner synovial membrane, and an outer fibrous membrane separated by fatty deposits anteriorly and posteriorly.

<span class="mw-page-title-main">Posterior branches of cervical nerves</span>

The posterior branches of cervical nerves branch from the dorsal rami of the cervical nerves.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

References

PD-icon.svgThis article incorporates text in the public domain from page 295 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 Govender, S.; Vlok, G. J.; Fisher-Jeffes, N.; Du Preez, C. P. (2003-08-01). "Traumatic dislocation of the atlanto-occipital joint". The Journal of Bone and Joint Surgery. British Volume. The Bone & Joint Journal. 85-B (6): 875–878. doi:10.1302/0301-620X.85B6.14092. ISSN   0301-620X.
  2. 1 2 Wiesel, Samuel; Kraus, David; Rothman, Richard H. (1978-10-01). "Atlanto-Occipital Hypermobility". Orthopedic Clinics of North America. Elsevier. 9 (4): 969–972. doi:10.1016/S0030-5898(20)32207-0. ISSN   0030-5898. PMID   740387 via ScienceDirect.