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The Neck: Musculature and Bony Anatomy. Bony Framework 7 cervical vertebrae Atlas (C1) Axis (C2) C3 - C7. Atlas 1 – Articular process 2 – Transverse process 3 – Posterior arch. Axis 1 – Dens/Odontoid process 2 – Spinous process. Cervical Vertebra 1 – Transverse foramen 2 – Body
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Bony Framework • 7 cervical vertebrae • Atlas (C1) • Axis (C2) • C3 - C7
Atlas • 1 – Articular process • 2 – Transverse process • 3 – Posterior arch
Axis • 1 – Dens/Odontoid process • 2 – Spinous process
Cervical Vertebra • 1 – Transverse foramen • 2 – Body • 3 – Vertebral foramen • 4 – Transverse process • 5 – Spinous process • 6 – Articular process
Palpation of bony anatomy • Spinous process; vertebra prominens (C7) • Transverse process
Palpation of Bony Anatomy • Hyoid bone • Clavicle • Thyroic cartilage • Cricoid cartilage
Intervertebral Discs • Annulus fibrosus • Nucleus pulposus • Shock absorbers for spine
Nerves of the Cervical Spine • 7 vertebrae, but 8 nerves • Emerge above corresponding vertebra, except C8 nerve • Brachial plexus – C5-T1 • Myotomes and Dermatomes
Pain Generators • Myogenic • Discogenic • Facet joint, Arthritic • Stenotic (central canal, neuroforamen) • Neurogenic