Annular ligament
Capsule of elbow-joint (distended). Anterior aspect.
Annular ligament of radius, from above. The head of the radius has been sawn off and the bone dislodged from the ligament.
Details
Identifiers
Latinligamentum anulare radii
Greekδακτυλιοειδής σύνδεσμος
TA98A03.5.09.007
TA21778
FMA38872
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]

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

Main article: Pulled elbow

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

  • The supinator muscle
    The supinator muscle
  • T1 weighted MRI showing the anular ligament
    T1 weighted MRI showing the anular ligament
  • Elbow joint. Deep dissection. Anterior view.
    Elbow joint. Deep dissection. Anterior view.
  • Elbow joint. Deep dissection. Anterior view.
    Elbow joint. Deep dissection. Anterior view.

References

Public domain This article incorporates text in the public domain from page 324 of the 20th edition of Gray's Anatomy (1918)

  1. ^ a b 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. ^ a b c d 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.

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