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Articulation of the atlas with the occiptal bone
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This articulation is a double arthrodia. Its ligaments are the Two Anterior Occipito-Atloid. Posterior Occipito-Atloid. Two Lateral Occipito-Atloid. Two Capsular and Synovial Membranes.
Of the Two Anterior Ligaments (fig. 100), the most superficial is a strong, narrow, rounded cord, attached, above, to the basilar process of the occiput; below, to the tubercle on the anterior arch of the atlas: the deeper ligament is a broad and thin membranous layer, which passes between the anterior margin of the foramen magnum above, and the whole length of the upper border of the anterior arch of the atlas below. This ligament is in relation, in front, with the Recti antici minores; behind, with the odontoid ligaments.
The Posterior Occipito-Atloid Ligament (fig. 101) is a very broad but thin membranous lamina, intimately blended with the dura mater. It is connected, above, to the posterior margin of the foramen magnum; below, to the central part of the upper border of the posterior arch of the atlas. This ligament is incomplete at each side, and forms, with the superior intervertebral notches, an opening for the passage of the vertebral artery and sub-occipital nerve. It is in relation, behind, with the Recti postici minores and Obliqui superiores; in front, with the dura mater of the spinal canal, to which it is intimately adherent.
The Lateral Ligaments are strong bands of fibres, directed obliquely upwards and inwards, attached, above, to the jugular process of the occipital bone; below, to the base of the transverse process of the atlas.
The Capsular Ligaments surround the condyles of the occipital bone, and connect them with the articular surfaces of the atlas; they consist of thin and loose capsules, which enclose the synovia! membrane of this articulation. The synovial membranes between the occipital bone and atlas communicate occasionally with that between the posterior surface of the odontoid process and transverse ligament.
Actions. The movements permitted in this joint are flexion and extension, which give rise to the ordinary forward or backward nodding of the head, besides slight lateral motion to one or the other side. When either of these actions is carried beyond a slight extent, the whole of the cervical portion of the spine assists in its production.
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