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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.
A pulled elbow typically results from a sudden pull on an extended arm. [2] This may occur when lifting or swinging a child by the arms. [2] 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 ...
There is calcification of annular ligament, which can be seen as early as 2 weeks after injury. [29] Elbow dislocations constitute 10% to 25% of all injuries to the elbow. The elbow is one of the most commonly dislocated joints in the body, with an average annual incidence of acute dislocation of 6 per 100,000 persons. [30]
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. The older child will usually point to the dorsal aspect of the proximal forearm when asked where it hurts. This may mislead one to suspect a buckle fracture of the proximal radius. [2]
During activities such as overhand baseball pitching, this ligament is subjected to extreme tension, which places the overhand-throwing athlete at risk for injury. [4] Acute or chronic disruption and/or attenuation of the ulnar collateral ligament often result in medial elbow pain, valgus instability, and impaired throwing performance. There ...
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.
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 Essex-Lopresti fracture – a fracture of the radial head with concomitant dislocation of the distal radio-ulnar joint with disruption of the interosseous ...
The composition of the triangular ligamentous structure on the lateral side of the elbow varies widely between individuals [1] and can be considered either a single ligament, [2] in which case multiple distal attachments are generally mentioned and the annular ligament is described separately, or as several separate ligaments, [1] in which case parts of those ligaments are often described as ...