A periosteal bursa at the tip of the cervical transverse process, developing where the deep cervical muscles attach and move against the bony process. Most prominent at the prominent C1 transverse process and at C5-C7 where scalene muscles attach.
Cervical transverse process bursitis contributes to deep lateral neck pain reproduced by deep palpation of the transverse process tips. It is adjacent to the brachial plexus roots and the vertebral artery, making injection technically demanding. Ultrasound guidance identifies the transverse process and guides periosteal injection.
Periosteal inflammation at cervical transverse process tips producing deep lateral neck pain, distinguished from facet pain by its lateral location and reproduced by direct transverse process palpation.
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