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There are three atlanto-axial joints: one median and two lateral: [2] The median atlanto-axial joint is sometimes considered a triple joint: [3] one between the posterior surface of the anterior arch of atlas and the front of the odontoid process; one between the anterior surface of the ligament and the back of the odontoid process
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 ...
The tectorial membrane of atlanto-axial joint (occipitoaxial ligaments) is a tough membrane/ [1] broad, strong band [2] representing the superior-ward prolongation of the posterior longitudinal ligament (the two being continuous). [3] [1] [2] It attaches inferiorly onto (the posterior aspect of [2]) the body of axis. [3] It broadens superiorly.
Another structure of this type in human anatomy is the cruciate ligament of the dens of the atlas vertebra, also called "cruciform ligament of the atlas", a ligament in the neck forming part of the atlanto-axial joint. [2]
The anterior atlantoaxial ligament is a strong membrane, fixed above the lower border of the anterior arch of the atlas; below, to the front of the body of the axis.. It is strengthened in the middle line by a rounded cord, which connects the tubercle on the anterior arch of the atlas to the body of the axis.
The posterior atlantoaxial ligament is a broad, thin membrane attached, above, to the lower border of the posterior arch of the atlas; below, to the upper edges of the laminæ of the axis.
Atlantoaxial instability is a common asymptomatic finding in rheumatoid arthritis patients. [3] However, it can lead to cervical myelopathy. [4] Patients with atlantoaxial instability can experience neck pain and headaches in the back of the head (occipital headaches).
Examples of a pivot joint include: Proximal radioulnar joint; Distal radioulnar joint; Median atlanto-axial joint; In contrast, spherical joints (or ball and socket joints) such as the hip joint permit rotation and all other directional movement, while pivot joints only permit rotation.