Ligamentous Anatomy Cervical Spine

Between Vertebral Bodies Anterior Longitudinal Ligament

Between Vertebral Bodies Posterior Longitudinal Ligament

Zygapophyseal Joint Ligamentum Flavum

Zygapophyseal Joint Supraspinous and Interspinous Ligaments

Zygapophyseal Joint Ligamentum Nuchae

Atlantoaxial Joint Transverse Ligament of the Atlas

Atlantoaxial Joint Tectorial Membrane

Atlantoaxial Joint Alar Ligament and Transverse Ligament

Atlantoaxial Joint Apical Ligament of Dens

Atlanto-occipital Joint Anterior Membrane

Atlanto-occipital Joint Posterior Membrane

Arthrokinematics and Joint Orientation Cervical Spine

Joint Orientation C0 – C1

Closed Packed Position C0 – C1 Capsular Pattern NA Resting Position Slight Flexion Closed Packed Position Full Extension End Feel

Joint Orientation C1 – C2

Closed Packed Position C1 – C2 Capsular Pattern NA Resting Position Slight Flexion Closed Packed Position Full Extension End Feel

Joint Orientation C3 – C7

Lateral Flexion and Rotation Equally Limited C2 – C7 Capsular Pattern Lateral Flexion and Rotation Equally Limited Resting Position Slight Flexion Closed Packed Position Full Extension End Feel Flexion- Elastic Extension – Elastic or Hard Lateral Flexion – Elastic Rotation- Elastic

Joint Orientation T1 – T11

Lateral flexion and rotation equally limited, then Extension T1 – T12 Capsular Pattern Lateral flexion and rotation equally limited, then Extension Resting Position Midway between Flexion and Extension Closed Packed Position Extension End Feel Flexion- Elastic Extension- Elastic or Hard Lateral Flexion- Elastic or Hard Rotation- Elastic or Hard

Arthrokinematics The term used to describe the specific joint play and motions at specific joint surfaces Usually described as ‘spin’ ‘roll’ and ‘glide’

Joint Arthrokinematics C0 – C1

Joint Arthrokinematics C1 – C2

Joint Arthrokinematics C2 – C7

Joint Arthrokinematics C2 – C7