Supraspinous ligament

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Supraspinous ligament
Gray301.png
Median sagittal section of two lumbar vertebræ and their ligaments.
Nuchal ligament.PNG
Posterior view of muscles connecting the upper extremity to the vertebral column. Nuchal ligament labeled in red at center.
Details
FromSpinous process of C7
ToSacrum
Identifiers
Latin ligamentum supraspinale
TA98 A03.2.01.005
TA2 1677
FMA 13425
Anatomical terminology

The supraspinous ligament (also known as the supraspinal ligament) is a ligament extending across the tips of the spinous processes of the vertebra of the vertebral column.

Contents

Anatomy

The supraspinous ligament connects the tips of the spinous processes from the seventh cervical vertebra to the sacrum. [1] Superior to the 7th cervical vertebra, the supraspinous ligament is continuous with the nuchal ligament. [2] :45 It is thicker and broader in the lumbar region than in the thoracic region, and intimately blended with the neighboring fascia in both these regions. [3] Inferior to L4, the supraspinous ligament becomes indistinct, lost amid the prominent lumbar fascia. [4]

J: Supraspinous ligament Anatomy of the Neck Sagittal Color MRI.png
J: Supraspinous ligament

Between the spinous processes, the supraspinous ligament is continuous with the interspinous ligaments. [3]

Structure

The most superficial fibers of this ligament extend across 3-4 vertebrae, deeper fibres extend across 2-3 vertebrae, while the deepest connect the spinous processes of adjacent vertebrae. [3]

Function

The supraspinous ligament becomes taut when the spine is fully flexed. [4] The supraspinous ligament, along with the posterior longitudinal ligament, interspinous ligaments and ligamentum flavum, help to limit hyperflexion of the vertebral column.

Clinical significance

Lesions to the supraspinous ligament may result in palpable thickening. [5] Ultrasound is effective for detecting lesions. [5] [6] A strain injury can also damage the supraspinous ligament. [7]

The supraspinous ligament creates resistance during midline epidural anaesthetics when the needle is being inserted. This increased resistance needs to be taken into account, and is one of the first subcutaneous tissues. [8]

See also

Related Research Articles

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<span class="mw-page-title-main">Anterior superior iliac spine</span> Bony projection of the iliac bone

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<span class="mw-page-title-main">Thoracolumbar fascia</span> Anatomical feature

The thoracolumbar fascia is a complex, multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdominal wall on the other. It spans the length of the back, extending between the neck superiorly and the sacrum inferiorly. It entails the fasciae and aponeuroses of the latissimus dorsi muscle, serratus posterior inferior muscle, abdominal internal oblique muscle, and transverse abdominal muscle.

<span class="mw-page-title-main">Nuchal ligament</span> Ligament at the back of the neck

The nuchal ligament is a ligament at the back of the neck that is continuous with the supraspinous ligament.

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<span class="mw-page-title-main">Anterior jugular vein</span>

The anterior jugular vein is a vein in the neck.

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The styloid process of the ulna is a bony prominence found at distal end of the ulna in the forearm.

<span class="mw-page-title-main">Interspinous ligament</span>

The interspinous ligaments are thin, membranous ligaments that connect adjoining spinous processes of the vertebra in the spine. They take the form of relatively weak sheets of fibrous tissue and are well developed only in the lumbar region.

<span class="mw-page-title-main">Gastrosplenic ligament</span>

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<span class="mw-page-title-main">Vertebral column</span> Bony structure found in vertebrates

The vertebral column, also known as the spinal column, spine or backbone, is the core part of the axial skeleton in vertebrate animals. The vertebral column is the defining and eponymous characteristic of the vertebrate endoskeleton, where the notochord found in all chordates has been replaced by a segmented series of mineralized irregular bones called vertebrae, separated by fibrocartilaginous intervertebral discs. The dorsal portion of the vertebral column houses the spinal canal, an elongated cavity formed by alignment of the vertebral neural arches that encloses and protects the spinal cord, with spinal nerves exiting via the intervertebral foramina to innervate each body segments.

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References

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  2. Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students (Pbk. ed.). Philadelphia: Elsevier/Churchill Livingstone. ISBN   978-0-443-06612-2.
  3. 1 2 3 Gray, Henry (1918). Gray's Anatomy (20th ed.). p. 290.
  4. 1 2 Sinnatamby, Chummy (2011). Last's Anatomy (12th ed.). Elsevier Australia. p. 424. ISBN   978-0-7295-3752-0.
  5. 1 2 Denoix, Jean-Marie; Dyson, Sue J. (2011-01-01), Ross, Mike W.; Dyson, Sue J. (eds.), "Chapter 52 - Thoracolumbar Spine", Diagnosis and Management of Lameness in the Horse (Second Edition), Saint Louis: W.B. Saunders, pp. 592–605, doi:10.1016/b978-1-4160-6069-7.00052-3, ISBN   978-1-4160-6069-7 , retrieved 2020-11-03
  6. Wilson, David A., ed. (2012-01-01), "Back Pain (Thoracolumbar Dysfunction)", Clinical Veterinary Advisor, Saint Louis: W.B. Saunders, pp. 61–63, doi:10.1016/b978-1-4160-9979-6.00039-8, ISBN   978-1-4160-9979-6 , retrieved 2020-11-03
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  8. Kim, Kyung-Hoon; Kwon, Jae-Young (2010-01-01), Kim, Daniel H.; Kim, Yong-Chul; Kim, Kyung-Hoon (eds.), "Chapter 5 - Epidural Blocks", Minimally Invasive Percutaneous Spinal Techniques, New York: W.B. Saunders, pp. 111–123, doi:10.1016/b978-0-7020-2913-4.00005-7, ISBN   978-0-7020-2913-4 , retrieved 2020-11-03