Ulna

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Ulna
Ulna - anterior view.png
An example of a human ulna, shown in red (in standard anatomical position).
Details
Pronunciation /ˈʌlnə/ [1] [2]
Identifiers
Latin ulna
MeSH D014457
TA98 A02.4.06.001
TA2 1230
FMA 23466
Anatomical terms of bone

The ulna or ulnal bone (pl.: ulnae or ulnas) [3] is a long bone in the forearm stretching from the elbow to the wrist. It is on the same side of the forearm as the little finger, running parallel to the radius, the forearm's other long bone. Longer and thinner than the radius, the ulna is considered to be the smaller long bone of the lower arm. The corresponding bone in the lower leg is the fibula.

Contents

Structure

The ulna is a long bone found in the forearm that stretches from the elbow to the wrist, and when in standard anatomical position, is found on the medial side of the forearm. It is broader close to the elbow, and narrows as it approaches the wrist.

Close to the elbow, the ulna has a bony process, the olecranon process, a hook-like structure that fits into the olecranon fossa of the humerus. This prevents hyperextension and forms a hinge joint with the trochlea of the humerus. There is also a radial notch for the head of the radius, and the ulnar tuberosity to which muscles attach.

Close to the wrist, the ulna has a styloid process.

Near the elbow

Proximal extremity of left ulna. Lateral aspect. Gray212.png
Proximal extremity of left ulna. Lateral aspect.

Near the elbow, the ulna has two curved processes, the olecranon and the coronoid process; and two concave, articular cavities, the semilunar and radial notches.

The olecranon is a large, thick, curved eminence, situated at the upper and back part of the ulna. It is bent forward at the summit so as to present a prominent lip which is received into the olecranon fossa of the humerus in extension of the forearm. Its base is contracted where it joins the body and the narrowest part of the upper end of the ulna. Its posterior surface, directed backward, is triangular, smooth, subcutaneous, and covered by a bursa. Its superior surface is of quadrilateral form, marked behind by a rough impression for the insertion of the triceps brachii; and in front, near the margin, by a slight transverse groove for the attachment of part of the posterior ligament of the elbow joint. Its anterior surface is smooth, concave, and forms the upper part of the semilunar notch. Its borders present continuations of the groove on the margin of the superior surface; they serve for the attachment of ligaments: the back part of the ulnar collateral ligament medially, and the posterior ligament laterally. From the medial border a part of the flexor carpi ulnaris arises; while to the lateral border the anconeus is attached.

The coronoid process is a triangular eminence projecting forward from the upper and front part of the ulna. Its base is continuous with the body of the bone, and of considerable strength. Its apex is pointed, slightly curved upward, and in flexion of the forearm is received into the coronoid fossa of the humerus. Its upper surface is smooth, concave, and forms the lower part of the semilunar notch. Its antero-inferior surface is concave, and marked by a rough impression for the insertion of the brachialis. At the junction of this surface with the front of the body is a rough eminence, the tuberosity of the ulna, which gives insertion to a part of the brachialis; to the lateral border of this tuberosity the oblique cord is attached. Its lateral surface presents a narrow, oblong, articular depression, the radial notch. Its medial surface, by its prominent, free margin, serves for the attachment of part of the ulnar collateral ligament. At the front part of this surface is a small rounded eminence for the origin of one head of the flexor digitorum superficialis; behind the eminence is a depression for part of the origin of the flexor digitorum profundus; descending from the eminence is a ridge which gives origin to one head of the pronator teres. Frequently, the flexor pollicis longus arises from the lower part of the coronoid process by a rounded bundle of muscular fibers.

The semilunar notch is a large depression, formed by the olecranon and the coronoid process, and serving as articulation with the trochlea of the humerus. About the middle of either side of this notch is an indentation, which contracts it somewhat, and indicates the junction of the olecranon and the coronoid process. The notch is concave from above downward, and divided into a medial and a lateral portion by a smooth ridge running from the summit of the olecranon to the tip of the coronoid process. The medial portion is the larger, and is slightly concave transversely; the lateral is convex above, slightly concave below.

The radial notch 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. It is concave from before backward, and its prominent extremities serve for the attachment of the annular ligament.

Body

The body of the ulna at its upper part is prismatic in form, and curved so as to be convex behind and lateralward; its central part is straight; its lower part is rounded, smooth, and bent a little lateralward. It tapers gradually from above downward, and has three borders and three surfaces.

Borders
Surfaces

Near the wrist

The head of ulna presents an articular surface, part of which, of an oval or semilunar form, is directed downward, and articulates with the upper surface of the triangular articular disc which separates it from the wrist-joint; the remaining portion, directed lateralward, is narrow, convex, and received into the ulnar notch of the radius.

Near the wrist, the ulnar, with two eminences; the lateral and larger is a rounded, articular eminence, termed the head of the ulna; the medial, narrower and more projecting, is a non-articular eminence, the styloid process.

The head is separated from the styloid process by a depression for the attachment of the apex of the triangular articular disk, and behind, by a shallow groove for the tendon of the extensor carpi ulnaris.

Microanatomy

The ulna is a long bone. The long, narrow medullary cavity of the ulna is enclosed in a strong wall of cortical tissue which is thickest along the interosseous border and dorsal surface. At the extremities the compact layer thins. The compact layer is continued onto the back of the olecranon as a plate of close spongy bone with lamellae parallel. From the inner surface of this plate and the compact layer below it trabeculae arch forward toward the olecranon and coronoid and cross other trabeculae, passing backward over the medullary cavity from the upper part of the shaft below the coronoid. Below the coronoid process there is a small area of compact bone from which trabeculae curve upward to end obliquely to the surface of the semilunar notch which is coated with a thin layer of compact bone. The trabeculae at the lower end have a more longitudinal direction. [4]

Development

Gray215.png
The ulna is formed into bone from three centres, shown here.

The ulna is ossified from three centers: one each for the body, the wrist end, and the elbow end, near the top of the olecranon. Ossification begins near the middle of the body of the ulna, about the eighth week of fetal life, and soon extends through the greater part of the bone.

At birth, the ends are cartilaginous. About the fourth year or so, a center appears in the middle of the head, and soon extends into the ulnar styloid process. About the tenth year, a center appears in the olecranon near its extremity, the chief part of this process being formed by an upward extension of the body. The upper epiphysis joins the body about the sixteenth, the lower about the twentieth year.

Function

Joints

The ulna forms part of the wrist joint and elbow joints. Specifically, the ulna joins (articulates) with:

Muscle attachments

Gray213.png
Bones of left forearm. Anterior aspect.
Gray214.png
The radius and ulna of the left forearm, posterior surface.
MuscleDirectionAttachment
Triceps brachii muscle Insertionposterior part of superior surface of Olecranon process (via common tendon)
Anconeus muscle Insertionolecranon process (lateral aspect)
Brachialis muscle Insertionanterior surface of the coronoid process of the ulna
Pronator teres muscle Originmedial surface on middle portion of coronoid process (also shares origin with medial epicondyle of the humerus)
Flexor carpi ulnaris muscle Originolecranon process and posterior surface of ulna (also shares origin with medial epicondyle of the humerus)
Flexor digitorum superficialis muscle Origincoronoid process (also shares origin with medial epicondyle of the humerus and shaft of the radius)
Flexor digitorum profundus muscle Originanteromedial surface of ulna (also shares origin with the interosseous membrane)
Pronator quadratus muscle Origin distal portion of anterior ulnar shaft
Extensor carpi ulnaris muscle Origin posterior border of ulna (also shares origin with lateral epicondyle of the humerus)
Supinator muscle Origin proximal ulna (also shares origin with lateral epicondyle of the humerus)
Abductor pollicis longus muscle Originposterior surface of ulna (also shares origin with the posterior surface of the radius bone)
Extensor pollicis longus muscle Origin dorsal shaft of ulna (also shares origin with the dorsal shaft of the radius and the interosseous membrane)
Extensor indicis muscle Originposterior surface of distal ulna (also shares origin with the interosseous membrane)

Clinical significance

Fractures

Specific types of ulna fracture include:

Conservative management is possible for ulnar fractures when they are located in the distal two-thirds, only involve the shaft, with no shortening, less than 10° angulation and less than 50% displacement. [5] In such cases, a cast should be applied that goes above the elbow. [5]

Other animals

Quill knobs on the ulnae of fossil (top) and modern (bottom) birds. Quill knobs on Mirarce eatoni and Pelecanus occidentalis.jpg
Quill knobs on the ulnae of fossil (top) and modern (bottom) birds.

In four-legged animals, the radius is the main load-bearing bone of the lower forelimb, and the ulna is important primarily for muscular attachment. In many mammals, the ulna is partially or wholly fused with the radius, and may therefore not exist as a separate bone. However, even in extreme cases of fusion, such as in horses, the olecranon process is still present, albeit as a projection from the upper radius. [6]

In birds and other dinosaurs, the ulna forms a surface of attachment for the secondary feathers. These often leave osteological evidence in the form of quill knobs, allowing for identification of feathers in fossils that otherwise lack integumentary information. [7]

See also

Related Research Articles

<span class="mw-page-title-main">Carpal bones</span> Eight small bones that make up the wrist (or carpus) that connects the hand to the forearm

The carpal bones are the eight small bones that make up the wrist (carpus) that connects the hand to the forearm. The term "carpus" and "carpal" is derived from the Latin carpus and the Greek καρπός (karpós), meaning "wrist". In human anatomy, the main role of the carpal bones is to articulate with the radial and ulnar heads to form a highly mobile condyloid joint, to provide attachments for thenar and hypothenar muscles, and to form part of the rigid carpal tunnel which allows the median nerve and tendons of the anterior forearm muscles to be transmitted to the hand and fingers.

<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">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">Ulnar nerve</span> Nerve which runs near the ulna bone

In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds.

<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">Triquetral bone</span> Bone in the wrist

The triquetral bone is located in the wrist on the medial side of the proximal row of the carpus between the lunate and pisiform bones. It is on the ulnar side of the hand, but does not directly articulate with the ulna. Instead, it is connected to and articulates with the ulna through the Triangular fibrocartilage disc and ligament, which forms part of the ulnocarpal joint capsule. It connects with the pisiform, hamate, and lunate bones. It is the 2nd most commonly fractured carpal bone.

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

The ulnar collateral ligament (UCL) or internal lateral ligament is a thick triangular ligament at the medial aspect of the elbow uniting the distal aspect of the humerus to the proximal aspect of the ulna.

<span class="mw-page-title-main">Ulnar artery</span> Artery of the forearm

The ulnar artery is the main blood vessel, with oxygenated blood, of the medial aspects of the forearm. It arises from the brachial artery and terminates in the superficial palmar arch, which joins with the superficial branch of the radial artery. It is palpable on the anterior and medial aspect of the wrist.

<span class="mw-page-title-main">Flexor carpi ulnaris muscle</span> Muscle of the forearm

The flexor carpi ulnaris (FCU) is a muscle of the forearm that flexes and adducts at the wrist joint.

<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.

The pronator teres is a muscle that, along with the pronator quadratus, serves to pronate the forearm. It has two origins, at the medial humeral supracondylar ridge and the ulnar tuberosity, and inserts near the middle of the radius.

<span class="mw-page-title-main">Trochlea of humerus</span> Articular surface of the elbow joint which articulates with the trochlear notch of the ulna

In the human arm, the humeral trochlea is the medial portion of the articular surface of the elbow joint which articulates with the trochlear notch on the ulna in the forearm.

The trochlear notch, also known as semilunar notch and greater sigmoid cavity, is a large depression in the upper extremity of the ulna that fits the trochlea of the humerus as part of the elbow joint. It is formed by the olecranon and the coronoid process.

<span class="mw-page-title-main">Ulnar styloid process</span> Bony prominence at the wrist

The styloid process of the ulna is a bony prominence found at distal end of the ulna in the forearm.

<span class="mw-page-title-main">Triangular fibrocartilage</span> Anatomical feature in the wrist

The triangular fibrocartilage complex (TFCC) is formed by the triangular fibrocartilage discus (TFC), the radioulnar ligaments (RULs) and the ulnocarpal ligaments (UCLs).

The coronoid process of the ulna is a triangular process projecting forward from the anterior proximal portion of the ulna.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<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">Extrinsic extensor muscles of the hand</span>

The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).

References

PD-icon.svgThis article incorporates text in the public domain from page 214 of the 20th edition of Gray's Anatomy (1918)

  1. OED 2nd edition, 1989.
  2. Entry "ulna" in Merriam-Webster Online Dictionary .
  3. "ULNA | Meaning & Definition for UK English". Lexico.com. Archived from the original on January 20, 2021. Retrieved 2022-08-24.
  4. "Ulna". InnerBody.
  5. 1 2 Sebastian Dawson-Bowling; Pramod Achan; Timothy Briggs; Manoj Ramachandran (2014). Orthopaedic Trauma: The Stanmore and Royal London Guide. CRC Press. ISBN   9781444148831. Page 158
  6. Romer, Alfred Sherwood; Parsons, Thomas S. (1977). The Vertebrate Body. Philadelphia, PA: Holt-Saunders International. p. 200. ISBN   0-03-910284-X.
  7. Turner, Alan H.; Makovicky, Peter J.; Norell, Mark A. (2007-09-21). "Feather Quill Knobs in the Dinosaur Velociraptor" (PDF). Science. 317 (5845): 1721. Bibcode:2007Sci...317.1721T. doi:10.1126/science.1145076. ISSN   0036-8075. PMID   17885130. S2CID   11610649.