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The distal radioulnar articulation [1] (also known as the distal radioulnar joint, [2] or inferior radioulnar joint [1] [3]) is a synovial pivot joint between the two bones in the forearm; the radius and ulna. It is one of two joints between the radius and ulna, the other being the proximal radioulnar articulation.
To control the forearm rotation the DRUJ acts in concert with the proximal radioulnar joint. The connection between the distal radius and the distal ulna, maintain the congruency of the DRUJ. This attachment is mainly created by the RULs of the TFCC. These ligaments support the joint through its arc of rotation. [7]
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 distal radioulnar joint (DRUJ) is a pivot joint located between the distal ends of the radius and ulna, which make up the forearm. Formed by the head of the ulna and the ulnar notch of the radius, the DRUJ is separated from the radiocarpal (wrist) joint by an articular disk lying between the radius and the styloid process of the ulna.
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]
The interosseous membrane is composed of 5 ligaments:- Central band (key portion to be reconstructed in case of injury)- Accessory band- Distal oblique bundle- Proximal oblique cord- Dorsal oblique accessory cord. Severe forearm injuries involving separation of the radius and ulna may be due to rupture of the interosseous membrane.
The articulation between the radius and the ulna at the elbow is known as the proximal radioulnar joint. Distally, it articulates with the ulna again at the distal radioulnar joint. It forms part of the wrist joint by articulating with the scaphoid at its lateral aspect and with the lunate at its medial aspect.
The dorsal radioulnar ligament (posterior radioulnar ligament) extends between corresponding surfaces on the dorsal aspect of the distal radioulnar articulation.