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The proximal radioulnar joint is a synovial pivot joint. [1] 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]
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 ...
Joints of the hand, X-ray. The bones in each carpal row interlock with each other and each row can therefore be considered a single joint. In the proximal row a limited degree of mobility is possible, but the bones of the distal row are connected to each other and to the metacarpal bones by strong ligaments that make this row and the metacarpus a functional entity.
The articular surface for the ulna is called the ulnar notch (sigmoid cavity) of the radius; it is in the distal radius, and is narrow, concave, smooth, and articulates with the head of the ulna forming the distal radioulnar joint.
Most joint disorders involve arthritis, but joint damage by external physical trauma is typically not termed arthritis. Arthropathies are called polyarticular (multiarticular) when involving many joints and monoarticular when involving only a single joint. Arthritis is the leading cause of disability in people over the age of 55.
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 ...
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]