Posterior atlanto-axial ligament: Difference between revisions

No edit summary
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*Rupture
*Rupture


In case of traumatic and non-traumatic atlanto-axial subluxation/dislocation the posterior atlantisaxis ligamente could suffer a rupture.&nbsp;<ref>Hall, Graham C et al. “Atlanto-Occipital Dislocation.” World Journal of Orthopedics 6.2 (2015): 236–243. PMC. Web. 25 Apr. 2017.</ref>  
:- In case of traumatic and non-traumatic atlanto-axial subluxation/dislocation the posterior atlantisaxis ligamente could suffer a rupture.&nbsp;<ref>Hall, Graham C et al. “Atlanto-Occipital Dislocation.” World Journal of Orthopedics 6.2 (2015): 236–243. PMC. Web. 25 Apr. 2017.</ref>


*Atlantoaxial instability (AAI)
*Atlantoaxial instability (AAI)


Can originate in a congenital conditions, but in adults, it is primarily seen in the setting of acute trauma or degenerative changes due to the inflammatory pannus of [[Rheumatoid Arthritis|rheumatoid arthritis]] (RA).  
:- Can originate in a congenital conditions, but in adults, it is primarily seen in the setting of acute trauma or degenerative changes due to the inflammatory pannus of [[Rheumatoid Arthritis|rheumatoid arthritis]] (RA).


*Ossification
*Ossification


The ossification of the posterior atlantoaxial membrane that led to the development of cervical myelopathy is rare.  
:- The ossification of the posterior atlantoaxial membrane that led to the development of cervical myelopathy is rare.


== Treatment  ==
== Treatment  ==


There is no record of specific treatment of the Atlantoaxial ligament complex.  
There is no record of specific treatment of the Atlantoaxial ligament complex. Hovewer, in case of AAI or rupture, the treatment should include the cervical stabilization management . Check this page about [[Cervical Instability|Cervical Instability]] for further information.  


== Resources  ==
== Resources  ==
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== See also  ==
== See also  ==


[[Anterior atlanto-axial ligament|Anterior Atlantoaxial Ligament&nbsp;]]  
[[Anterior atlanto-axial ligament|Anterior Atlantoaxial Ligament]]  


[[Anterior atlanto-occipital ligament|Anterior Atlanto-occipital Ligament]]  
[[Anterior atlanto-occipital ligament|Anterior Atlanto-occipital Ligament]]  
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[[Posterior atlanto-occipital ligament|Posterior Atlanto-occipital Ligament]]<br>  
[[Posterior atlanto-occipital ligament|Posterior Atlanto-occipital Ligament]]<br>  
[[Transverse ligament of the atlas|Transverse ligament of the atlas]]
[[Sharp Purser Test|Sharp Purser Test]]


== Recent Related Research (from Pubmed)  ==
== Recent Related Research (from Pubmed)  ==

Revision as of 17:18, 30 April 2017

Original Editor - Rachael Lowe

Top Contributors - Kim Jackson, Evan Thomas, Daniele Barilla, Admin, Rachael Lowe and WikiSysop

Description[edit | edit source]


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 lamina of the axis. It is a continuation of the Ligamentum flavum, and is in relation, behind, with the obliqus capitis inferior muscle. [1]It is part of a ligament complex called Altantoaxial Ligament Complex (Axis). These four ligaments extend from the Atlas to the Axis:

Upper cervical ligaments.png
Atlanto-occipital joint posterior.png

Attachments[edit | edit source]

From lower border of atlantal arch (and more superiorly to the occipital bone) and upper borders of lamina of C2.

Function[edit | edit source]

It contributes the stabilization of the atlanto-axial joint movement that overall allows 10-15° of flexion/extension and 30° of axial rotation.

Clinical relevance[edit | edit source]

  • Rupture
- In case of traumatic and non-traumatic atlanto-axial subluxation/dislocation the posterior atlantisaxis ligamente could suffer a rupture. [2]
  • Atlantoaxial instability (AAI)
- Can originate in a congenital conditions, but in adults, it is primarily seen in the setting of acute trauma or degenerative changes due to the inflammatory pannus of rheumatoid arthritis (RA).
  • Ossification
- The ossification of the posterior atlantoaxial membrane that led to the development of cervical myelopathy is rare.

Treatment[edit | edit source]

There is no record of specific treatment of the Atlantoaxial ligament complex. Hovewer, in case of AAI or rupture, the treatment should include the cervical stabilization management . Check this page about Cervical Instability for further information.

Resources[edit | edit source]

Spine Universe

See also[edit | edit source]

Anterior Atlantoaxial Ligament

Anterior Atlanto-occipital Ligament

Atlanto-axial osteoarthritis

Posterior Atlanto-occipital Ligament

Transverse ligament of the atlas

Sharp Purser Test

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

  1. Gray, Henry. 1918. Anatomy of the Human Body. Bartleby.com. Retrieved 2012-09-27.
  2. Hall, Graham C et al. “Atlanto-Occipital Dislocation.” World Journal of Orthopedics 6.2 (2015): 236–243. PMC. Web. 25 Apr. 2017.