Ligamentum nuchae: Difference between revisions

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== Description  ==
== Description  ==


[[Image:Nuchal ligament.png|thumb|right]]Continuous with the [[Supraspinous ligament]]. It forms a two-layered fibroelastic septum that separates the dorsal muscles of the neck and spans from the spine of the C7 to the occiput. 
[[Image:Nuchal ligament.png|thumb|right]]The ligamentum nuchae is continuous with the [[supraspinous ligament]]<ref name=":0">Knipe, H. (2023) ''Ligamentum nuchae: Radiology reference article'', ''Radiopaedia Blog RSS''. Radiopaedia.org. Available at: https://radiopaedia.org/articles/ligamentum-nuchae (Accessed: April 16, 2023).</ref><ref name=":1">''Elsevier: Ludwig Ombregt: A system of Orthopaedic Medicine · 2013'' ''Elsevier: Ludwig Ombregt: A System of Orthopaedic Medicine''. Available at: [https://www.orthopaedicmedicineonline.com/downloads/pdf/B9780702031458000600_web.pdf https://www.orthopaedicmedicineonline.com/] (Accessed: April 16, 2023).</ref>. It forms a two-layered fibroelastic septum. This septum consists of the dorsal raphe and medial septal part<ref name=":0" />.  It stretches during flexion and its elasticity helps bring the head back to an upright position<ref name=":1" />.  


== Attachments  ==
== Origin ==


Extends from the external occipital protuberance on the skull and median nuchal line, to the spinous process of C7. The deep fibers of the ligament attach to the external occipital crest, the posterior tubercle of the [[atlas]], and to the medial surface of the bifid processes of the other [[Cervical Vertebrae|cervical vertebrae]]. &nbsp;
The external occipital protuberance<ref name=":0" /><ref name=":1" />. The deep fibers of the ligament attach to the external occipital crest and the posterior tubercle of the [[atlas]]<ref name=":2" />. It also blends into the posterior atlanto-occipital membrane and the posterior atlanto-axial membrane<ref name=":0" />.
 
=== Insertion ===
Spinous process of C7<ref name=":0" /><ref name=":1" />.  


== Function  ==
== Function  ==


Limits flexion<ref>Takeshita K, Peterson ET, Bylski-Austrow D, Crawford AH, Nakamura K.  [http://www.ncbi.nlm.nih.gov/pubmed/15371718 The nuchal ligament restrains cervical spine flexion]. Spine (Phila Pa 1976). 2004 Sep 15;29(18):E388-93.</ref>.
Limits hyperflexion of the neck<ref name=":0" /><ref name=":2">Takeshita K, Peterson ET, Bylski-Austrow D, Crawford AH, Nakamura K.  [http://www.ncbi.nlm.nih.gov/pubmed/15371718 The nuchal ligament restrains cervical spine flexion]. Spine (Phila Pa 1976). 2004 Sep 15;29(18):E388-93.</ref>.


Provides an attachment for [[Trapezius]] and [[Splenius Capitis|Splenius capitis]].   
Provides an attachment for [[trapezius]] and [[Splenius Capitis|splenius capitis]].   


== References  ==
== References  ==

Revision as of 20:36, 16 April 2023

Original Editor - Rachael Lowe

Top Contributors - Rachael Lowe, Kim Jackson, Wendy Snyders, WikiSysop, Mande Jooste and Lucinda hampton  

Description[edit | edit source]

Nuchal ligament.png

The ligamentum nuchae is continuous with the supraspinous ligament[1][2]. It forms a two-layered fibroelastic septum. This septum consists of the dorsal raphe and medial septal part[1]. It stretches during flexion and its elasticity helps bring the head back to an upright position[2].

Origin[edit | edit source]

The external occipital protuberance[1][2]. The deep fibers of the ligament attach to the external occipital crest and the posterior tubercle of the atlas[3]. It also blends into the posterior atlanto-occipital membrane and the posterior atlanto-axial membrane[1].

Insertion[edit | edit source]

Spinous process of C7[1][2].

Function[edit | edit source]

Limits hyperflexion of the neck[1][3].

Provides an attachment for trapezius and splenius capitis.

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Knipe, H. (2023) Ligamentum nuchae: Radiology reference article, Radiopaedia Blog RSS. Radiopaedia.org. Available at: https://radiopaedia.org/articles/ligamentum-nuchae (Accessed: April 16, 2023).
  2. 2.0 2.1 2.2 2.3 Elsevier: Ludwig Ombregt: A system of Orthopaedic Medicine · 2013 Elsevier: Ludwig Ombregt: A System of Orthopaedic Medicine. Available at: https://www.orthopaedicmedicineonline.com/ (Accessed: April 16, 2023).
  3. 3.0 3.1 Takeshita K, Peterson ET, Bylski-Austrow D, Crawford AH, Nakamura K. The nuchal ligament restrains cervical spine flexion. Spine (Phila Pa 1976). 2004 Sep 15;29(18):E388-93.