Sutures, joints and ligaments 55
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8
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A |
Skull from left |
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B |
Right orbit, anterior view |
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Skull, anterior view |
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Base of skull, superior view |
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33
34
EHard palate, inferior view
9
10
11
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21
22
23
24
25
a |
a |
56 Sutures, joints and ligaments
1 |
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1 |
CRANIAL SYNCHONDROSES. |
Synchondroses |
15 |
Intertransverse ligaments. Ligg. intertransver- |
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cranii (craniales). Cartilaginous joints between |
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saria. Narrow ligaments between transverse |
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skull bones. Most are temporary and become |
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processes of vertebrae. C |
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2 |
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ossified. |
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16 |
Interspinal ligaments. Ligg. interspinalia. Broad |
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2 |
Spheno-occipital synchondrosis. Synchondro- |
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ligaments between adjacent spinous processes. |
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3 |
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sis |
spheno-occipitalis. Developmental |
car- |
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B |
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tilaginous joint postero-inferior to the sella tur- |
17 |
Supraspinal |
ligaments. Ligg. supraspinalia. |
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cica between the sphenoid and occipital bones. A |
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Longitudinal ligaments connecting the tips of |
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4 |
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3 |
Sphenopetrosal synchondrosis. Synchondrosis |
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the spinous processes. C |
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sphenopetrosa. Cartilaginous |
union between |
18 |
Ligamentum nuchae. Sagittal extension of the |
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5 |
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the sphenoid and petrous bones in the lateral |
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continuation of the foramen lacerum, for trans- |
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supraspinalligamentsintheupperneckregion.B |
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19 |
Anterior longitudinal ligament. Lig. longitudi- |
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mission of the lesser petrosal nerve. A |
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6 |
4 |
Petro-occipital synchondrosis. Synchondrosis |
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nale anterius. Longitudinal ligament attached to |
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petro-occipitalis. |
Anteromedial cartilaginous |
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the ventral surface of the vertebral bodies. B |
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continuation of the jugular foramen. A |
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20 |
Posterior longitudinal ligament. Lig. longitudi- |
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4 a Intraoccipital synchondroses. Synchondroses |
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nale posterius. Longitudinal ligament connect- |
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intraoccipitalis. Cartilaginous |
joints between |
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ing the intervertebral discs. It is attached to the |
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8 |
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developmental parts of the occipital bone. |
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dorsal surface of the vertebral bodies and thus |
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5 |
Posterior intraoccipital synchondrosis. [Syn- |
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lies on the anterior wall of the vertebral canal. It |
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9 |
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chondrosis intra-occipitalis posterior]. Develop- |
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fuses with the tectorial membrane from the 3rd |
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cervical vertebrae upward. B |
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mental synchondrosis between the posterior |
21 |
Sacrococcygeal joint. Articulatio sacrococcy- |
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and lateral ossific centers of the occipital bone. It |
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10 |
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usually disappears within 1−2 |
years after birth. |
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gea. Connection between the sacrum and coc- |
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A |
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cyx; it is frequently a true joint, but often occurs |
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11 |
6 |
Anterior intraoccipital synchondrosis. [Syn- |
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as a synchondrosis. D |
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22 |
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chondrosis intra-occipitalis anterior]. Develop- |
Superficial |
dorsal |
sacrococcygeal ligament. |
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12 |
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mental cartilaginous joint between the anterior |
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Lig. sacrococcygeum posterius (dorsale) superfi- |
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and lateral ossific centers of the occipital bone |
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ciale. D |
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beginning at the anterior circumference of the |
23 |
Deep dorsal sacrococcygeal ligament. Lig. |
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13 |
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foramen magnum. Disappears during the 6th |
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sacrococcygeum posterius (dorsale) profun- |
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year of life. A |
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dum. D |
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7 |
Sphenoethmoidal |
synchondrosis. Synchon- |
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14 |
24 |
Ventral sacrococcygeal ligament. Lig. sacro- |
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drosis spheno-ethmoidalis. Cartilaginous pre- |
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coccygeum anterius (ventrale). |
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cursor of the spheno-ethmoidal suture. See |
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25 |
Lateral sacrococcygeal ligament. Lig. sacro- |
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15 |
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page |
54.7. |
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8 |
JOINTS OF VERTEBRAL COLUMN. THORAX |
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coccygeum laterale. D |
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26 |
Atlanto-occipital |
joint. Articulatio atlanto- |
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16 |
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AND |
SKULL. Articulationes columnae |
verte- |
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bralis. Thoracis et cranii. The connections of the |
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occipitalis. Joint between the atlas and the occip- |
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vertebral column, thorax and skull. |
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ital bone. See page |
59 A B |
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17 |
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9 |
Intervertebral symphysis. Symphysis inter- |
27 |
Anterior atlanto-occipital membrane. Mem- |
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vertebralis. Union between adjacent vertebral |
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brana atlanto-occipitalis anterior. Membranous |
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18 |
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bodies. |
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connection between the arch of the atlas and the |
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10 |
Intervertebral disc. Discus intervertebralis. An |
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occipital bone. It lies in front of the apical liga- |
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elastic plate consisting of ring-shaped fibrous |
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ment of the dens. B |
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19 |
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lamellae, fibrocartilage, and a central gelatinous |
28 |
Anterior atlanto-occipital ligament. [Lig. |
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nucleus located on either side of a vertebral |
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atlanto-occipitale anterius]. Thickened portion |
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20 |
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body, between the adjacent vertebrae. B C |
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of the atlanto-occipital membrane emanating |
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11 |
Anulus fibrosus. Annular fibrous connection |
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from the anterior tubercle. |
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21 |
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between adjacent vertebral bodies consisting of |
29 |
Posterior atlanto-occipital membrane. Mem- |
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obliquely oriented connective tissue fibers ar- |
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brana atlanto-occipitalis posterior. Connection |
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ranged in alternating directions. B |
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between the arch of the atlas and the occipital |
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22 |
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12 |
Nucleus pulposus. Gelatinous, semifluid mass |
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bone situated in the posterior wall of the verte- |
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forming the central core of an intervertebral |
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bral canal. B |
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23 |
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disc. B |
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30 |
Lateral atlanto-occipital membrane. Lig. |
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13 |
Ligamenta flava. Yellow ligaments. Elastic net- |
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atlanto-occipitale laterale. Oblique tract of fibers |
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24 |
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works of roughly parallel fibers between the |
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extending from the transverse process of the |
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vertebral arches. B |
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atlas to the jugular process of the occipital bone. |
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14 Zygapophysial joints. Articulationes zy-
25gapophysiales. Joints between articular processes of vertebrae. C
Sutures, joints and ligaments 57
2
3
4
6
5
ASkull of newborn, inferior view
58.8
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58.6 |
29 |
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27 |
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18 |
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13 |
18 |
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10 |
13 |
16 |
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101211
19 
20
BLigaments of cervical vertebral column, medial view
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14 |
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15 |
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17 |
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10 |
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15 |
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CLigaments of vertebral column and ribs, lateral view
8.22
25 |
21 |
22
23
D Coccygeal ligaments, posterior view
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
a |
a |
58 Sutures, joints and ligaments
1 |
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1 |
Lateral atlanto-axial joint. Articulatio atlanto- |
16 |
Superior costotransverse ligament. Lig. co- |
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axialislateralis.Jointbetweentheinferiorarticu- |
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stotransversarium superius. Ligament extend- |
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lar facet of the atlas and the superior articular |
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ing from a rib to the next higher transverse |
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2 |
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facet of the axis. A B |
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process. E |
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Median atlanto-axial joint. Articulatio atlanto- |
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Lateral costotransverse ligament. Lig. costotr- |
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axialis mediana. Articulation between the atlas |
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ansversarium laterale. Ligament extending from |
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and the dens of the axis. C |
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the end of a transverse process to the corre- |
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Alar ligaments. Ligg. alaria. Paired ligaments ex- |
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sponding rib. D |
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tending from the dens of the axis to the lateral |
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Lumbocostal ligament. Lig. lumbocostale. Deep |
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margin of the foramen magnum. A B |
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layer of the thoracolumbar fascia. Fibrous con- |
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Apical ligament of the dens. Lig. apicis dentis. |
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nectionbetweenthecostalprocessofthelumbar |
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Unpaired ligament extending from the apex of |
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vertebrae,thetwelfthrib,andtheedgeofthepel- |
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the dens to the anterior margin of the foramen |
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vis. |
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magnum. A C |
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19 Costotransverse foramen. Foramen costotrans- |
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Cruciform ligament of atlas. Lig. cruciforme |
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versarium.Openingfortheintercostalnervesbe- |
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atlantis. Cruciate ligament consisting of the two |
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tween the superior costotransverse ligament |
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following ligamentous bands (6, 7) located be- |
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and the neck of the rib. E |
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tween the dens and the tectorial membrane. B |
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Sternocostal |
joint. Articulationes |
sterno- |
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Longitudinal |
fasciculi |
of |
cruciform liga- |
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costales. Articulations between the costal car- |
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ment. Fasciculi |
longitudinales. |
Connective |
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tilage and sternum. F |
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tissue tracts from the body of the axis to the ante- |
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Intra-articular sternocostal ligament. Lig. ster- |
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riormarginoftheforamenmagnum.Theyaresit- |
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uatedbehindthedensanditsapicalligament.BC |
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nocostale intra-articulare. Ligament within the |
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Transverse |
ligament of |
atlas. Lig. transver- |
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articular cavity between the costal cartilage and |
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sternum, especially pronounced at the 2nd rib. F |
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sum atlantis. Part of the cruciform ligament of |
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Radiate sternocostal ligaments. Ligg. sterno- |
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the atlas passing behind the dens and extending |
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transversely from one side of the atlas to the |
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costaliaradiata.Fibertractslocatedinfrontofthe |
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other. It holds the dens in position. B C |
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sternocostal joint and radiating from the end of |
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Tectorial |
membrane. |
Membrana tectoria. |
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the costal cartilage to the sternum. F |
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Bilayered continuation of the posterior longi- |
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Sternal membrane. Membrana sterni. Mem- |
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tudinal ligament. It passes from the axis to the |
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branous covering of the anterior surface of the |
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anterior margin of the foramen magnum and is |
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sternum formed by the fibers of the radiate ster- |
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continuous with the dura-periosteal layer of the |
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nocostal ligaments. F |
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skull base. C |
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24 Costoxiphoid ligaments. Ligg. costoxiphoidea. |
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9 |
JOINTS OF THORAX. Articulationes thoracis. Ar- |
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Fiber tracts extending downward from the 7th |
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ticular connections of the skeleton of the thorax. |
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costal cartilage to the xiphoid process. |
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10 |
COSTOVERTEBRAL |
JOINTS. Articulationes cos- |
25 External intercostal membrane. Membrana in- |
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tovertebrales. Joints between the ribs and verte- |
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tercostalis externa. Continuation of the external |
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brae. D |
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intercostal muscles at the sternal end of the in- |
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Joints of rib heads. Articulatio capitis costae |
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17 |
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tercostal space. F |
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(costalis). Articular unions |
that |
connect the |
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Internal intercostal membrane. Membrana in- |
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headsoftheribswiththevertebralbodiesandin- |
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tervertebral discs. D |
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tercostalis interna. Continuation of the internal |
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intercostal muscles near the vertebral end of the |
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Radiate ligament of head of rib. Lig. capitis |
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intercostal space. E |
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costae radiatum. Ligament radiating predomi- |
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26 a Sternocostal |
synchondrosis of the |
first rib. |
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nantlyfromtheanteriorsideoftheheadofaribto |
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the adjacent vertebral body and intervertebral |
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Synchondrosis sternocostalis costae primae. |
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disc. D E |
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27 |
Interchondral joints. Articulationes interchon- |
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13 Intra-articular |
ligament |
of head of rib. Lig. |
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drales. Articulations between the costal car- |
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21 |
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capitis costae intra-articulare. Ligament extend- |
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tilages, usually between those of ribs 6−9. See |
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ing from the crest of the head of the rib to the in- |
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page 7 D |
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tervertebraldisc.Itliesbetweenthetwoarticular |
28 Costochondral joints. Articulationes costoch- |
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22 |
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facets of the head of the rib. E |
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ondrales. Unions between the bony and car- |
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14 |
Costotransverse joint. Articulatio costotrans- |
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tilaginous parts of ribs without an articular cav- |
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23 |
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versaria. Joint between the articular surface of |
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ity. |
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the tubercle of the rib and the transverse process |
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of the corresponding vertebra. D |
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2415 Costotransverse ligament. Lig. costotransversarium. Ligament between the neck of a rib and
25the transverse process of the corresponding vertebra. D
Sutures, joints and ligaments 59
3 4 3
1
ADens of axis with ligaments, posterior view
6 4 

8
7
2
6
CLigaments between atlas, axis and occipital bone
16
12
19
19
26
13
5 3
6
7
1
6
BAtlanto-occipital articulation, posterior view
17 |
15 |
15 |
14 |
11 10
12
DLigaments of vertebral column and ribs, on right in cross section
23
25
20
22
20
21
E |
Ligaments of vertebral column and ribs |
F |
Sternocostal articulations |
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
a |
a |