Superior nuchal line

Medically Reviewed by Anatomy Team

The superior nuchal line is a bony ridge located on the occipital bone at the back of the skull. It is an important anatomic landmark that serves several important functions in the body.

Structure & Appearance

The superior nuchal line is a bony ridge that runs horizontally across the occipital bone at the back of the skull. It is formed by the confluence of the external occipital protuberance, the occipital crest, and the occipital plane. The external occipital protuberance is a prominent projection located at the midline of the occipital bone, while the occipital crest is a thick, bony ridge located just above the external occipital protuberance. The occipital plane is a flat surface located just below the occipital crest.

It is located at the base of the skull and is continuous with the nuchal ligament, which is a broad, flat band of connective tissue that extends from the occipital bone to the cervical vertebrae. The nuchal ligament provides structural support to the head and neck and helps to maintain proper alignment of the cervical spine.

Location

The superior nuchal line is located at the back of the skull, just above the external occipital protuberance. It is situated at the base of the skull and is continuous with the nuchal ligament, which extends from the occipital bone to the cervical vertebrae.

Function

The superior nuchal line serves several important functions in the body. It provides structural support to the head and neck and helps to maintain proper alignment of the cervical spine. The nuchal ligament, which is continuous with the superior nuchal line, acts as a shock absorber and helps to protect the head and neck from sudden impacts.

It is also an important attachment site for several muscles and ligaments. The trapezius muscle, for example, attaches to the superior nuchal line and is responsible for moving the shoulder blade. The splenius capitis muscle also attaches to the superior nuchal line and is responsible for extending and rotating the head.

Clinical Significance

The superior nuchal line is an important anatomic landmark that is commonly used in clinical practice. It is used as a reference point for various diagnostic and therapeutic procedures, including imaging studies and injections.

Injuries to the superior nuchal line and nuchal ligament can occur as a result of trauma or overexertion. These injuries can cause pain, stiffness, and difficulty moving the head and neck. Treatment may include rest, physical therapy, and medications to reduce inflammation and pain.

In rare cases, abnormalities of the superior nuchal line may be present at birth. These abnormalities can affect the shape and size of the skull and may cause neurological problems. In these cases, early diagnosis and treatment are essential to ensure the best possible outcome.

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