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73 Cards in this Set
- Front
- Back
3 Functions of the vertebral column
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1) load bearing and flexible support
2)spinal cord protection 3)muscle attachment |
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Vertebra by region:
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7 cervical
12 thoracic 5 lumbar 5 fused sacral 3-5 fused coccygeal |
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normal curvatures of the vertebral column:
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1) primary - concave anteriorly (thoracic and sacral)
2) secondary - convex anteriorly (cervical and lumbar) |
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abnormal curvatures of the vertebral column
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1) kyphosis
2)lordosis 3)scoliosis |
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complication of excessive scoliosis
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cardiopulmonary problems
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function of the articular processes of the verbrae
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restriction of movement
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function of the spinous and transverse processes of the vertebrae
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muscle attachment and movement
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function of the vertebral arch
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protection of spinal cord
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function of the vertebral body
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support of body weight
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where is bone of the vertebral body originated from
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centrum
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what is the origin of the smooth bone around the vertebral body (epiphyseal ring)
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anular epiphysis
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what is the smooth bone around the vertebral body
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epiphyseal ring
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what is the inside middle of the intervertebral disc called
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nucleus pulposus
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what is the outside of the intervertebreal disc called
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anulus fibrosus
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origin of the nucleus pulposus
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a notochord remnant
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makeup of the nucleus pulposus (water component)
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mucoid material, 70-88% water
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characteristics of the nucleus pulposus
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consists of mucoid material, non-compressible, but capable of major changes in shape, accounts for 25% of vertebral column length
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what can result from weakening of annulus fibrosus?
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herniated disk
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what is the annulus fibrosus?
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peripheral lamina of fibrous tissue and fibrocartilage surrounding nucleus fibrosus in the intervertebral disk
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functions of the intervertebral disk
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1) shock absorber
2) joins vertebrae while allowing slight movement |
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what is the carotid tubercle?
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anterior tubercle of the C6 vertebra
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whats special about C7?
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long prominens
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what's special about C2-C5?
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bifid spinous processes
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what's special about the transverse processes of cervical vertebrae?
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foramina for vertebral artery and vein
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intervertebral foramen
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created by the superior and inferior vertebral notches; outlet for spinal nerves
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what is the only remnant of the notochord in the adult?
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nucleus pulposus
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zygapophyseal (facet) joint
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synovial joint between superior and inferior articular processes; arthritis can occur
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complication of weakened annulus fibrosus
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herniated disk, spinal nerve impingement
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what is special about the cervical vertebrae
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foramen transversus for vertebral arteries and veins
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which cervical vertebra can be palpated and why?
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C7 because of prominens
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characteristics of C vertebrae
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small bodies, large spines, many spines are bifid, transverese foramina
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characteristics of T vertebrae
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long transverse processes (ribs); facets for rib attachments
1) demifacets on vertebral bodies 2)facet on transverse process for rib tubercle |
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characteristics of L vertebrae
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stubby spines, large vertebral body (load bearing region), vertical articular processes
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what is special about the sacral hiatus?
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can be used to administer anesthesia by needle.
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sacrum: posterior foramina and anterior foramina
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posterior - dorsal rami; anterior - ventral rami; of S1-S4 nerves
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articular surfaces of sacrum
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large, articulate with ileums
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carotid tubercle
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C6 anterior tubercle
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cervical region of the neck
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flexion is greatest here
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atlantoaxial joint
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"no" joint, lateral movement of head
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atlanto-occipital joint
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"yes" joint, nodding
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costal fovea
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on the thoracic vertebrae, articulate with heads of ribs
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movement of the lumbar region
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very little rotation possible, extension is most pronounced here
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where does the dens come from?
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it is an extension of the vertebral body of the axis
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symphyses joints of the vertebral column
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intevertebral disks, anterior longitudinal ligaments, posterior longitudinal ligaments
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supraspinous ligaments
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connect the tips of the spines; becoem the nuchal ligament in the cervical region
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nuchal ligament
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part of supraspinous ligaments, only in the cervical region, connects upto the external occipital protuberance of the scull
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interspinous ligaments
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connect adjacent spinous processes
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intertransverse ligaments
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connect adjacent transverse processes
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posterior and anterior longitudinal ligaments
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posterior is thinner both connect vertebral bodies
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ligamenta flava
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connect lamina; highly elastic; help maintain upright posture
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what are the different vertebral ligaments?
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1) supraspinous ligaments (including ligamentum nuchae)
2) interspinous ligaments 3)intertransverse ligaments 4)posterior longitudinal ligament 5) anterior longitudinal ligament 6) ligamenta flava |
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what is the function of the ligamenta flava?
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help maintain upright posture
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hyperextension of the spine
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ex) whiplash
may result in severely stretching anterior longitudinal ligament or compression and crush of posterior vertebral arch elements |
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hyperflexion of the spine
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possibly caused by head-on collision; often between C5/C6 and C6/C7 vertebrae; may tear the interspinous ligaments and rupture the intervertebral discs
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spondylosis
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a general term for degenerative disorders of the spine
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spondylolysis
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fractures that appear in the interarticular portion of the vertebral bone, between the facet joints
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spondylolisthesis
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displacement of vertebral body from the one beneath it; can be anterolisthesis or retrolisthesis; anterolisthesis often goes along with spondylolysis
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osteophytes
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bony spurs form on regions where adjust vertebrae appose; due to chronic degeneration
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spinal stenosis
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congenital or acquired narrowing of spinal canal
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shoulder droop
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caused by injury to spinal accessory nerve (CN XI) that runs just deep to trapezius in cervical region
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insertion of trapezius
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lateral clavicle, acromion and scapular spine
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innervation of trapezius
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spinal accessory nerve
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actions of trapezius
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superior fibers - upward rotation, retraction and elevation of scapula
inferior fibers - upward rotation, retraction, and depression of scapula |
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insertion of the latissimus dorsi
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humers
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innervation of latissimus dorsi
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thoracodorsal (middle subscapular) nerve
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actions of latissimus dorsi
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extends, adducts, and rotates the arm medially (swimmers movement of arm back push)
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insertion of levator scapulae
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superior angle of scapula almost to base of spine of scapula
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innervation of levator scapula
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ventral rami of C3,C4 spinal nerve and dorsal scapular nerve branch
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actions of levator scapulae
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mostly elevation of scapula but also retraction and light downward rotation
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actions of rhomboideus major and minor
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mostly retraction of scapula but also elevation and slight downward rotation
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innervation of rhomboids major and minor
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dorsal scapular nerve
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insertion of rhomboid major
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medial border of scapula from base of spine to inferior angle
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insertion of rhomboid minor
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base of scapular spine
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