A bursa between the nuchal ligament and the external occipital protuberance at the skull attachment, reducing friction at the apex of the nuchal ligament as it attaches to the inion. It may become inflamed in chronic neck hyperextension postures.
Nuchal ligament suboccipital bursitis produces midline occipital pain at the inion, reproduced by palpation of the external occipital protuberance and aggravated by neck extension. It is part of the suboccipital pain complex. Ultrasound-guided injection at the inion targets this bursa alongside the nuchal ligament attachment.
Bursal inflammation at the nuchal ligament-occipital protuberance attachment producing midline occipital pain and local tenderness at the inion, managed with injection and postural correction.
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