Annular ligament of radius

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Annular ligament
En-elbow joint.svg
Capsule of elbow-joint (distended). Anterior aspect.
Gray333.png
Annular ligament of radius, from above. The head of the radius has been sawn off and the bone dislodged from the ligament.
Details
Identifiers
Latin ligamentum anulare radii
Greek δακτυλιοειδής σύνδεσμος
TA98 A03.5.09.007
TA2 1778
FMA 38872
Anatomical terminology

The annular ligament (orbicular ligament) is a strong band of fibers that encircles the head of the radius, and retains it in contact with the radial notch of the ulna. [1]

Contents

Per Terminologia Anatomica 1998 , the spelling is "anular", [2] but the spelling "annular" is frequently encountered. Indeed, the most recent version of Terminologia Anatomica (2019) uses "annular" as the preferred English spelling. [3]

Structure

The annular ligament is attached by both its ends to the anterior and posterior margins of the radial notch of the ulna, together with which it forms the articular surface that surrounds the head and neck of the radius. The ligament is strong and well defined, yet its flexibility permits the slightly oval head of the radius to rotate freely during pronation and supination. [4] [5]

The head of the radius is wider than the bone's neck, and, because the annular ligament embraces both, the radial head is "trapped" inside the ligament which thus acts to prevent distal displacement of the radius. [4] It helps to stabilise the proximal radial head, [6] and the radioulnar joint. [7]

Superiorly, the ligament is supported by attachments to the radial collateral ligament and the fibrous capsule of the elbow joint. Inferiorly, a few fibres attached to the neck of the radius support a fold of the synovial membrane without interfering with the movements at the joint. [4]

The fibrocartilage on the upper part of the ligament is continuous with the hyaline cartilage of the radial notch. At the posterior attachment the ligament widens to reach above and below the radial notch. [4]

A thickened band which extends from the inferior border of the annular ligament below the radial notch to the neck of the radius is known as the quadrate ligament. [1]

Clinical significance

Children who have not finished fusing their proximal radial epiphyseal plate may suffer dislocations of this joint, called pulled elbow or Nursemaid's elbow. This frequently happens when parents sharply jerk their children by their arms, e.g. the act of grabbing a child away from traffic.

Additional images

Related Research Articles

<span class="mw-page-title-main">Ulna</span> Medial bone from forearm

The ulna or ulnal bone is a long bone found in the forearm that stretches from the elbow to the wrist, and when in anatomical position, is found on the medial side of the forearm. That is, the ulna is on the same side of the forearm as the little finger. It runs parallel to the radius, the other long bone in the forearm. The ulna is longer and the radius is shorter, but the radius is thicker and the ulna is thinner. Therefore, the ulna is considered to be the smaller bone of the two bones in the lower arm. The corresponding bone in the lower leg is the fibula.

<span class="mw-page-title-main">Humerus</span> Long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

<span class="mw-page-title-main">Brachialis muscle</span> Flexor muscle in the upper arm

The brachialis is a muscle in the upper arm that flexes the elbow. It lies beneath the biceps brachii, and makes up part of the floor of the region known as the cubital fossa. It originates from the anterior aspect of the distal humerus; it inserts onto the tuberosity of the ulna. It is innervated by the musculocutaneous nerve, and commonly also receives additional innervation from the radial nerve. The brachialis is the prime mover of elbow flexion generating about 50% more power than the biceps.

<span class="mw-page-title-main">Wrist</span> Part of the arm between the lower arm and the hand

In human anatomy, the wrist is variously defined as (1) the carpus or carpal bones, the complex of eight bones forming the proximal skeletal segment of the hand; (2) the wrist joint or radiocarpal joint, the joint between the radius and the carpus and; (3) the anatomical region surrounding the carpus including the distal parts of the bones of the forearm and the proximal parts of the metacarpus or five metacarpal bones and the series of joints between these bones, thus referred to as wrist joints. This region also includes the carpal tunnel, the anatomical snuff box, bracelet lines, the flexor retinaculum, and the extensor retinaculum.

The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is used to describe the entire appendage of the upper limb, but which in anatomy, technically, means only the region of the upper arm, whereas the lower "arm" is called the forearm. It is homologous to the region of the leg that lies between the knee and the ankle joints, the crus.

<span class="mw-page-title-main">Metacarpal bones</span> Bones of hand

In human anatomy, the metacarpal bones or metacarpus, also known as the "palm bones", are the appendicular bones that form the intermediate part of the hand between the phalanges (fingers) and the carpal bones, which articulate with the forearm. The metacarpal bones are homologous to the metatarsal bones in the foot.

<span class="mw-page-title-main">Scaphoid bone</span> Bone of the carpus

The scaphoid bone is one of the carpal bones of the wrist. It is situated between the hand and forearm on the thumb side of the wrist. It forms the radial border of the carpal tunnel. The scaphoid bone is the largest bone of the proximal row of wrist bones, its long axis being from above downward, lateralward, and forward. It is approximately the size and shape of a medium cashew nut.

<span class="mw-page-title-main">Radius (bone)</span> One of the two long bones of the forearm

The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is longer than the radius, but the radius is thicker. The radius is a long bone, prism-shaped and slightly curved longitudinally.

<span class="mw-page-title-main">Olecranon</span> Curved bony eminence of the ulna; forms the pointed part of the elbow

The olecranon, is a large, thick, curved bony eminence of the ulna, a long bone in the forearm that projects behind the elbow. It forms the most pointed portion of the elbow and is opposite to the cubital fossa or elbow pit. The olecranon serves as a lever for the extensor muscles that straighten the elbow joint.

<span class="mw-page-title-main">Anconeus muscle</span>

The anconeus muscle is a small muscle on the posterior aspect of the elbow joint.

<span class="mw-page-title-main">Supinator muscle</span> Muscle of the forearm in humans

In human anatomy, the supinator is a broad muscle in the posterior compartment of the forearm, curved around the upper third of the radius. Its function is to supinate the forearm.

<span class="mw-page-title-main">Radial tuberosity</span> Bony eminence on the radius

Beneath the neck of the radius, on the medial side, is an eminence, the radial tuberosity; its surface is divided into:

The radial notch of the ulna is a narrow, oblong, articular depression on the lateral side of the coronoid process; it receives the circumferential articular surface of the head of the radius.

<span class="mw-page-title-main">Radial collateral ligament of elbow joint</span> Ligament of elbow

The radial collateral ligament (RCL), lateral collateral ligament (LCL), or external lateral ligament is a ligament in the elbow on the side of the radius.

<span class="mw-page-title-main">Proximal radioulnar articulation</span>

The proximal radioulnar articulation, also known as the proximal radioulnar joint (PRUJ), is a synovial pivot joint between the circumference of the head of the radius and the ring formed by the radial notch of the ulna and the annular ligament.

<span class="mw-page-title-main">Humeroradial joint</span>

The humeroradial joint is the joint between the head of the radius and the capitulum of the humerus, is a limited ball-and-socket joint, hinge type of synovial joint.

<span class="mw-page-title-main">Head of radius</span> Bone of the arm

The head of the radius has a cylindrical form, and on its upper surface is a shallow cup or fovea for articulation with the capitulum of the humerus. The circumference of the head is smooth; it is broad medially where it articulates with the radial notch of the ulna, narrow in the rest of its extent, which is embraced by the annular ligament.

<span class="mw-page-title-main">Elbow</span> Joint between the upper and lower parts of the arm

The elbow is the region between the upper arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa, and the lateral and the medial epicondyles of the humerus. The elbow joint is a hinge joint between the arm and the forearm; more specifically between the humerus in the upper arm and the radius and ulna in the forearm which allows the forearm and hand to be moved towards and away from the body. The term elbow is specifically used for humans and other primates, and in other vertebrates forelimb plus joint is used.

<span class="mw-page-title-main">Quadrate ligament</span>

In human anatomy, the quadrate ligament or ligament of Denucé is one of the ligaments of the proximal radioulnar joint in the upper forearm.

<span class="mw-page-title-main">Anatomical terminology</span> Scientific terminology used by anatomists, zoologists, and health professionals

Anatomical terminology is a form of scientific terminology used by anatomists, zoologists, and health professionals such as doctors, physicians, and pharmacists.

References

PD-icon.svgThis article incorporates text in the public domain from page 324 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Gray's Anatomy (1918), see infobox
  2. Federative Committee on Anatomical Terminology (1998). Terminologia anatomica: international anatomical terminology. Thieme. ISBN   978-3-13-114361-7 . Retrieved 9 February 2011.
  3. "TA2".
  4. 1 2 3 4 Palastanga, Nigel; Soames, Roger (2012). Anatomy and Human Movement: Structure and Function (6th ed.). Elsevier. p. 141. ISBN   9780702040535.
  5. Galik, Karol; Baratz, Mark E.; Butler, Adrian L.; Dougherty, Joseph; Cohen, Mark S.; Miller, Mark Carl (October 2007). "The Effect of the Annular Ligament on Kinematics of the Radial Head". The Journal of Hand Surgery. 32 (8): 1218–1224. doi:10.1016/j.jhsa.2007.06.008. ISSN   0363-5023. PMID   17923306.
  6. Anderson, Ashley; Werner, Frederick W.; Tucci, Emily R.; Harley, Brian J. (December 2015). "Role of the interosseous membrane and annular ligament in stabilizing the proximal radial head". Journal of Shoulder and Elbow Surgery. 24 (12): 1926–1933. doi:10.1016/j.jse.2015.05.030. ISSN   1058-2746. PMID   26190665.
  7. Hayami, Naoki; Omokawa, Shohei; Kira, Tsutomu; Hojo, Junya; Mahakkanukrauh, Pasuk; Tanaka, Yasuhito (August 2020). "Biomechanical analysis of simultaneous distal and proximal radio-ulnar joint instability". Clinical Biomechanics. 78: 105074. doi: 10.1016/j.clinbiomech.2020.105074 . ISSN   0268-0033. PMID   32562881.