Atypical C2 Flashcards

1
Q

What names are given to C2?

A

axis or epistropheus

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2
Q

what unique vertebral body modification is characteristic of C2?

A

the dens or odontoid process

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3
Q

How many joint surfaces are present on the odontoid process of C2?

A

five

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4
Q

What joint surfaces are present on the odontoid process of C2?

A

facet for fovea dentis, groove for transverse atlantan ligament, attachment sites for the alar ligaments, attachment site for apical-dental ligament

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5
Q

What is the name give to the odontoid process when the facet for the fovea dentist lies above the groove for the transverse atlantal ligament and the attachment sites for the apical-dental and alar ligaments appear to be directed posterior?

A

lordotic dens

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6
Q

What is the name given to the odontoid process when the facet of the fovea dentis lies below the groove for the transverse atlantal ligament and the attachment sites for the apical-dental and alar ligaments appear to be directed anterior?

A

kyphotic dens

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7
Q

what joint surfaces are present at the inferior part of the vertebral body of C2?

A

anterior lip, posterior lip, right and left lateral grooves and cancellous bone

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8
Q

how many joints are formed but the inferior part of the vertebral body of C2?

A

five

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9
Q

what joint classifications are present at the inferior part of the vertebral body of C2?

A

fibrous (amphiarthrosis) syndesmosis, modified synovial saddle (diarthosis seller) and cartilaginous (amphiarthrosis) symphysis

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10
Q

how many joint surfaces are present at the vertebral body of C2?

A

ten

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11
Q

What joint classifications are present at the vertebral body of C2?

A

fibrous (amphiarthrosis) syndesmosis, synovial pivot (diarthrosis trochoid), modified synovial saddle (diarthrosis seller) and cartilaginous (amphiarthrosis)

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12
Q

What ligament forms the anterior boundary for the spinal canal above C2?

A

membrana tectoria

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13
Q

what ligament forms the anterior boundary for the spinal canal below C2?

A

posterior longitudinal ligament

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14
Q

what lies on the upper surface of the pedicle of C2?

A

the superior articular process

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15
Q

what is the location of the superior vertebral notch of C2?

A

on the lamina-pedicle junction

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16
Q

what attaches to the lamina of C2?

A

obliquus capitis inferior muscle, posterior atlanto-axial ligament, ligamentum flavum

17
Q

What is the appearance of the superior articular facets of C2?

A

they are asymmetrical and slightly convex

18
Q

What is the facet orientation of the superior articular facet of C2?

A

backward, upward, and lateral (BUL)

19
Q

what is the orientation of the inferior articular facet of C2?

A

forward, lateral, and down (FoLD)

20
Q

What muscle attaches to the articular process of C2?

A

longissimus cervicis

21
Q

What muscles attach to the transverse process at C2?

A

levator scapulae, middle scalene splenius cervicis, longissimus cervicis and intertransversarii

22
Q

What is the location for palpation of the spinous process of C2?

A

bifid

23
Q

What is the location for palpation of the spinous process of C2?

A

in the midline, about two inches below the external occipital protuberance

24
Q

What muscles attach to the spinous process of C2?

A

rectus capitis posterior major, obliquus capitis inferior, spinalis cervicis, semispinalis cervicis, multifidis, rotators aan interspinalis muscles

25
Q

What ligaments attach to the spinous process of C2?

A

ligamentum flavor, interspinous ligaments