Related Experiment Video
Updated: Jun 8, 2025
07:10
Micro-Computed Tomography Analysis of the Knee in Aged Dunkin-Hartley Guinea Pigs after Intra Articular Injection
Published on: August 2, 2024
279
C0-C1 joint injection: Anatomical, clinical and technical review
Christopher Mares1,2, Carl Majdalani2,3
1Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.
Interventional Pain Medicine
|November 7, 2024
Summary
Cervicogenic headaches may stem from the atlanto-occipital joint. A modified needle approach is proposed for safe access to this joint, potentially aiding in headache treatment.
Area of Science:
- Anatomy
- Pain Medicine
- Neurosurgery
Background:
- Cervicogenic headaches (CGH) are recognized clinical conditions.
- The prevalence of CGH originating from the atlanto-occipital (AO) joint is not well-established.
- Current treatments for CGH include radiofrequency neurotomy and upper cervical spine injections.
Purpose of the Study:
- To review the anatomy and pain referral patterns of the AO joint.
- To provide a technical description for safe AO joint access.
Main Methods:
- Literature review focusing on cranio-cervical junction (CCJ) anatomy and AO joint vascular relations.
- Description of a technical approach with illustrative images.
Main Results:
- The AO joint is situated near a venous sinus and the vertebral artery.
- Vascular structures are located anterior and superior to the AO joint.
Conclusions:
- A modified superior needle trajectory is proposed to safely access the AO joint.
- This technique aims to avoid critical vascular structures during AO joint procedures.
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