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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.
It occurs between the circumference of the head of the radius and the ring formed by the radial notch of the ulna and the annular ligament. [2] The interosseous membrane of the forearm and the annular ligament stabilise the joint. [2] A number of nerves run close to the proximal radioulnar joint, including: median nerve; musculocutaneous nerve ...
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.
The theory is that the radial nerve becomes irritated and/or inflamed from friction caused by compression by muscles in the forearm. [1]Some speculate that radial tunnel syndrome is a type of repetitive strain injury (RSI), but there is no detectable pathophysiology and even the existence of this disorder is questioned.
The annular ligament binds the head of the radius to the radial notch of the ulna, preventing any separation of the two bones laterally. Therefore, the humeroradial joint is not functionally a ball and socket joint, although the joint surface in itself allows movement in all directions.
the annular ligament (AL), from the posterior to the anterior margins of radial notch on the ulna, encircles the head of radius and holds it against the radial notch of ulna. [5] the accessory lateral collateral ligament (ALCL), from the inferior margin of the annular ligament to the supinator crest.
Articular cartilage repair treatment involves the repair of the surface of the articular joint's hyaline cartilage, though these solutions do not perfectly restore the articular cartilage. These treatments have been shown to have positive results for patients who have articular cartilage damage.
The underlying mechanism involves slippage of the annular ligament off of the head of the radius followed by the ligament getting stuck between the radius and humerus. [1] Diagnosis is often based on symptoms. [2] X-rays may be done to rule out other problems. [2] Prevention is by avoiding potential causes. [2] Treatment is by reduction. [2]