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The atlanto-axial joint is a joint between the atlas bone and the axis bone, which are the first and second cervical vertebrae.It is a pivot joint that provides 40 to 70% of axial rotation of the head.
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.
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 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.
It is frequently co-morbid with atlanto-axial joint instability, Chiari malformation, [3] or tethered spinal cord syndrome. The condition can be brought on by physical trauma, including whiplash, laxity of the ligaments surrounding the joint, or other damage to the surrounding connective tissue.
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.
Grisel's syndrome is a non-traumatic subluxation of the atlanto-axial joint caused by inflammation of the adjacent tissues. This is a rare disease that usually affects children. Progressive throat and neck pain and neck stiffness can be followed by neurologic symptoms such as pain or numbness radiating to arms (radiculopathies).
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]