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In this movement the ulna, which is connected to the humerus by a simple hinge-joint, remains stationary, while the radius rotates, carrying the wrist and hand with it. To allow this rotation, the proximal (elbow) end of the radius is held in proximity to the ulna by a ligament known as the annular ligament.
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.
proximal ulna fracture with dislocation of radial head: blow to forearm: Monteggia fracture at Who Named It? Moore's fracture: Edward Mott Moore: distal radius fracture with ulnar dislocation and entrapment of styloid process under annular ligament: Moore's fracture at TheFreeDictionary.com: Pipkin fracture-dislocation: G. Pipkin
In radial head subluxation, there is little complaint of pain, and the person generally reports pain in the proximal forearm. The mechanism is slippage of the head of the radius under the annular ligament. The distal attachment of the annular ligament covering the radial head is weaker in children than in adults, allowing it to be more easily torn.
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 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.
A subtle radial head fracture with associated positive sail sign. Specific fracture types of the radius include: Proximal radius fracture. A fracture within the capsule of the elbow joint results in the fat pad sign or "sail sign" which is a displacement of the fat pad at the elbow. Illustration showing radius shaft fracture
An example of a joint subluxation is a nursemaid's elbow, which is the subluxation of the head of the radius from the annular ligament. Other joints that are prone to subluxations are the shoulders , fingers , kneecaps , ribs, wrists, ankles, and hips affected by hip dysplasia .