What are the two sets of costovertebral joints?
The costovertebral joints, articulations of the ribs with the vertebral column, may be divided into two sets, one connecting the heads of the ribs with the bodies of the vertebræ, another uniting the necks and tubercles of the ribs with the transverse processes.
What is costovertebral / costotransverse joint pain?
INTRODUCTION TO COSTOVERTEBRAL / COSTOTRANSVERSE JOINT PAIN: Our practice typically sees patients who have had persistent pain in the spine or joints that have failed all conservative care. So it is not uncommon for us to see patients that complain of persistent pain in the mid-back which is felt just off to one side of the spine.
What nerve innervates the costovertebral joints?
Both types of costovertebral joints are innervated by the lateral branches of the posterior rami of spinal nerves C8-T11. The innervation has a segmental pattern; each joint receives the fibers from a spinal nerve of its numerically equivalent level and from the level above.
What are the articulations of the craniovertebral joints?
The articulations of the craniovertebral joints involve the occipital condyles, atlas, and the axis. Atlanto-occipital joints located between the superior articular surfaces of the atlas and the occipital condyles, permit nodding of the head, such as the neck flexion and extension occurring when indicating approval (the “yes” movement).
What limits the movement of the costotransverse joints?
Similarly, the strong ligaments binding the necks and tubercles of the ribs to the transverse processes limit the movements of the costotransverse joints to slight gliding, the nature of which is determined by the shape and direction of the articular surfaces.
What is costotransverse articulation?
Costotransverse Articulations (articulationes costotransversariæ) —The articular portion of the tubercle of the rib forms with the articular surface on the adjacent transverse process an arthrodial joint. In the eleventh and twelfth ribs this articulation is wanting. The ligaments of the joint are:
