Get a Group Membership for your Organization. Free Trial
Pricing
Free TrialLogin

Sagittal Anatomy Part 4

HIDE
PrevNext

0:00

Well, we need to do a little drawing to attack wrist

0:04

ligaments, TFC attachments, palmar, and dorsal.

0:09

Let's draw.

0:11

So in the short axis projection, let's make a radius,

0:16

not a very good drawing, and let's make an ulna.

0:20

And the joint between the two is

0:22

the radioulnar articulation.

0:25

Let me change color here so I can draw my

0:28

dorsal and my palmar radioulnar ligaments.

0:32

Yeah, it's very rudimentary, but I'm kind of liking it.

0:36

A polar bear, a caveman, I'm keeping it simple.

0:39

But, coming from these ligaments

0:42

to the carpus are attachments.

0:44

And you can best appreciate those by

0:47

me drawing a little more sophisticated

0:49

the triangular fibrocartilage.

0:52

Then I'm going to change color again.

0:55

And from the triangular fibrocartilage, we're

0:57

going to have attachments that go to the

0:59

carpus more towards the middle of the wrist.

1:02

The ulnocarpal ligaments.

1:04

And there'll be some in the front, volar ones.

1:07

And there'll be some in the back.

1:09

Dorsal ones.

1:11

And then there'll be a peripheral set.

1:14

I'll make those yellow.

1:16

And those are also ulnocarpal ligaments, but they have

1:19

a nice specific name, the ulnotriquetral ligaments.

1:22

I'm gonna have some in the front,

1:23

volar, and some in the back, dorsal.

1:26

Now, granted, this is a planar drawing, but

1:29

you have to imagine in your head that these

1:31

ligaments are going from proximal to distal.

1:36

Now, let's have a look in the sagittal projection.

1:40

Which is often a source of confusion.

1:43

Remember we have a dorsal radioulnar ligament.

1:46

Here it is.

1:48

It's the condensation of the TFC dorsally.

1:53

From that ligament, we're gonna have another

1:56

ligament that goes from it, from the dorsal

1:58

radioulnar ligament, to the carpus.

2:01

There it is.

2:02

And that particular one is right here.

2:04

Right near the lunotriquetral ligament.

2:07

So this is an ulnocarpal ligament.

2:11

If we follow that same supposition, and we go more

2:15

peripherally towards the triquetrum, that's an

2:19

ulnocarpal ligament known as the ulnotriquetral

2:23

dorsal ligament, or dorsal ulnotriquetral ligament.

2:27

If we take the same supposition in the

2:31

front, this anterior condensed tissue here

2:35

would be the palmar aspect, here it is, the

2:39

palmar aspect of the radioulnar ligament.

2:43

or volar radioulnar ligament.

2:46

The ligament going from it to the carpus

2:48

is going to be an ulnocarpal ligament.

2:51

If we then follow that same supposition and we

2:53

go off towards the side, towards the triquetrum,

2:56

there, coming off the volar condensation

3:00

of the TFC, coming off the palmar or volar

3:04

radioulnar ligament, is the ulnocarpal

3:06

ligament known as the ulnotriquetral ligament.

3:10

The palmar ulnar triquetral ligament.

3:15

The dorsal ulnotriquetral ligament.

Report

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Musculoskeletal (MSK)

MRI

Idiopathic

Hand & Wrist

Congenital

Acquired/Developmental

© 2024 MRI Online. All Rights Reserved.

Contact UsTerms of UsePrivacy Policy