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Axial Anatomy: Collateral Ligaments

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Wrist anatomy, short axis, we're going

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to talk about the wimpy, amorphous

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ulnar and radial collateral ligaments.

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The ulnar collateral ligament goes from the styloid

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process of the ulna to the triangular fibrocartilage,

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so it sends fibers into the triangular fibrocartilage,

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but also to the triquetrum and to the pisiform.

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So these structures are part of the ulnar

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collateral ligament complex, including this one.

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Right here.

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The ulnar collateral complex is a rete of structures

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that are condensations of the ulnar capsule.

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They're interposed between the extensor carpi ulnaris

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subsheath and the filler ulno meniscus homolog.

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So often, you don't define the UCL

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as a single isolated structure.

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It's more laminated, as we see here,

1:01

buried within other structures.

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It limits radial deviation.

1:06

The radial collateral ligament goes from the

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styloid of the radius to the scaphoid, but also

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has components that go up to the trapezium or

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greater multangular, and it limits ulnar deviation.

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It's even more wimpy than its ulnar counterpart.

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If we try and cross-reference the radial collateral

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ligament, we can see that the radial collateral

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ligament, you see, it's somewhat difficult to do.

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There's a gray signal intensity structure here, and

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a little black condensation just peripheral to it.

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The same thing is true on the ulnar side.

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If we try and pick out a structure such as

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this one right here, going from the ulnar

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styloid to the triquetrum, we see that there

1:49

are some ill-defined gray tissue structures

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on the T1 and the water-weighted image with a

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condensation of lower signal more peripherally.

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Not a single dominant structure that

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you can pick out, nor is it critical

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to do so for purposes of wrist injury.

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

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