Atlanto-axial joint
Atlanto-axial joint
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Atlanto-axial joint

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Atlanto-axial joint

The atlanto-axial joint is a joint in the upper part of the neck between the atlas bone and the axis bone, which are the first and second cervical vertebrae. It is a pivot joint, that can start from C2 To C7.

The atlanto-axial joint is a joint between the atlas bone and the axis bone, which are the first and second cervical vertebrae. It is a pivot joint that provides 40 to 70% of axial rotation of the head.

There is a pivot articulation between the odontoid process of the axis and the ring formed by the anterior arch and the transverse ligament of the atlas.

There are three atlanto-axial joints: one median and two lateral:

The ligaments connecting these bones are:

The atlantoaxial articular capsules are thick and loose, and connect the margins of the lateral masses of the atlas with those of the posterior articular surfaces of the axis.

Each is strengthened at its posterior and medial part by an accessory ligament, which is attached below to the body of the axis near the base of the odontoid process, and above to the lateral mass of the atlas near the transverse ligament.

Because of its proximity to the brain stem and importance in stabilization, fracture or injury to the atlanto-axial joint can cause serious problems. Common trauma and pathologies include (but are not limited to):

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