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Anatomical Connection Found Between the Rectus Capitis Posterior Major and the Dura Mater

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Anatomical Connection Found Between the Rectus Capitis Posterior Major and the Dura Mater

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SOURCE:   Spine (Phila Pa 1976). 2012 (Mar 15); 37 (6): 530

Scali F, Marsili ES, Pontell ME.

School of Medicine,
St. George’s University,
Grenada, West Indies


A new study, just published in Spine Journal, reports on an investigation of the muscles of the suboccipital triangle and their relationship to cervicogenic headaches.

During the anatomic study of thirteen cadaver specimens, it was discovered that eleven of the 13 specimens had a connection between the rectus capitis posterior major muscle (at C2) and the spinal dura mater. [1]

A previous report by Hack (Spine 1995) [2] discussed a connection found between the rectus capitis posterior minor and the dura mater and its relationship to cervicogenic headache.

What is most interesting in this new study is that manual traction of the rectus capitis posterior major resulted in gross movement of the dural sheath from the spinal root level at C2, all the way down to the T1 nerve root.

Hack previously suggested that:

“It has been speculated that the function of the muscle dural bridge may be to prevent folding of the dura mater during hyperextension of the neck. Also, clinical evidence suggests that the muscle dural bridge may play an important role the pathogenesis of the cervicogenic headaches.”

The authors of the current study concluded that “various clinical manifestations may be linked to this anatomical relationship.”


REFERENCES:

  1. Anatomical Connection Between the Rectus Capitis Posterior Major and the Dura Mater
    Spine (Phila Pa 1976). 2012 (Mar 15); 37 (6): 530

  2. Anatomic Relation Between the Rectus Capitis Posterior Minor Muscle and the Dura Mater
    Spine 1995 (Dec); 20 (23): 2484-2486

You can review many more articles like this at our:

Headache and Chiropractic Page and our

Conditions That Respond Well to Chiropractic Page.

About the Author:

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been, and remains, my favorite hobby.

5 Comments

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  2. Jim McKiernan DC February 3, 2011 at 8:30 am

    The work of John Iams PT has some approaches which deal with reducing the effects of dural stimulation on the nervous system. It is a very helpful method and can be applied easily. He seems to be very aware of this dural influence on nerve tissue.

  3. Frank Scali DC February 7, 2011 at 8:05 am

    Greetings,
    I am the leading author of Anatomical Connection Between the Rectus Capitis Posterior Major and the Dura Mater. I invite your readers to the link below so that they can see one of the images of the connection. The article in spine gives the clinical relevance of this connection. My contact information is also on the website if there are any questions or suggestions for future studies in this critical area.
    http://www.drfrankscali.com/personal-record/

    Cheers,
    Frank Scali, DC (MD*)
    SGU School of Medicine*(attending)
    Department of Anatomy
    Division of Research
    Logan University Alum

    • Frank February 7, 2011 at 3:17 pm

      Dr Scali

      Thanks for your input. From a tech standpoint, lose the black background on your website…it’s very tiring on the eyes. Ity just does not work on a professional website.

  4. Frank Scali DC February 7, 2011 at 6:48 pm

    I hope the new font style and backdrop is less of an eye strain. Thank you for notifying me about this matter.
    Cheers,
    F. Scali


    RESPONSE from Frank

    Much better!

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