- Discussion:
- short radiolunate ligament:
- arises from palmar fibers of TFCC, originates from palmar margin of distal part of radius and inserts into proximal part of palmar surface of lunate;
- long radiolunate ligament:
- parallel to radioscaphocapitate ligament, runs from the palmar rim of the distal part of the radius to the radial margin of palmar horn of lunate;
- radiolunate ligament (RLL): this goes on to pass from lunate to triquetrum as lunotriquetral ligament;
- radioscaphoid: inserts onto the tuberosity of scphoid & is radial expansion of radiocapitate ligament;
- radioscapholunate: (ligament of Testut and Kuenz);
- orignates from palmar aspect of ridge between scaphoid & lunate fossae & inserts into scapholunate interosseous ligament;
- it acts as neurovascular supply to scapholunate interosseous membrane and is not a true extrinsic ligament of wrist;
- ref: Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists.
- radioscaphocapitate:
- runs from volar aspect of radial styloid process, runs across scaphoid (through groove in its waist ), and inserts into palmar side of capitate;
- courses over palmar concavity of scaphoid proximal to tuberosity before inserting on palmar aspect of the keel and neck of the capitate;
- it forms a fulcrum over which the scaphoid rotates;
- radiocapitate ligament is the primary stabilizer of capitolunate joint, and is the primary stabilizer of the distal carpal row on proximal carpal row;
- references:
- The palmar radiocarpal ligaments: a study of adult and fetal human wrist joints
- Osseous and Ligamentous Scaphoid Anatomy: Part I. A Systematic Literature Review Highlighting Controversies
- space of poirier:
- volar part of capsule of wrist has area of weakness, called space of Poirier;
- located between the radioscaphocapitate and long radiolunate ligaments, at the level of the midcarpal joint;
- lies betweene main ligamentous structures that are attached proximally on lunate & distally on capitate;
- references:
- The palmar wrist ligaments revisited, clinical relevance.
- The palmar radiocarpal ligaments: A study of adult and fetal human wrist ligaments.
- Mechanism of Carpal Injuries.
- Carpal Dislocations: pathomechanics and progressive perilunar instability.
- short radiolunate ligament:
- arises from palmar fibers of TFCC, originates from palmar margin of distal part of radius and inserts into proximal part of palmar surface of lunate;
- long radiolunate ligament:
- parallel to radioscaphocapitate ligament, runs from the palmar rim of the distal part of the radius to the radial margin of palmar horn of lunate;
- radiolunate ligament (RLL): this goes on to pass from lunate to triquetrum as lunotriquetral ligament;
- radioscaphoid: inserts onto the tuberosity of scphoid & is radial expansion of radiocapitate ligament;
- radioscapholunate: (ligament of Testut and Kuenz);
- orignates from palmar aspect of ridge between scaphoid & lunate fossae & inserts into scapholunate interosseous ligament;
- it acts as neurovascular supply to scapholunate interosseous membrane and is not a true extrinsic ligament of wrist;
- ref: Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists.
- radioscaphocapitate:
- runs from volar aspect of radial styloid process, runs across scaphoid (through groove in its waist ), and inserts into palmar side of capitate;
- courses over palmar concavity of scaphoid proximal to tuberosity before inserting on palmar aspect of the keel and neck of the capitate;
- it forms a fulcrum over which the scaphoid rotates;
- radiocapitate ligament is the primary stabilizer of capitolunate joint, and is the primary stabilizer of the distal carpal row on proximal carpal row;
- references:
- The palmar radiocarpal ligaments: a study of adult and fetal human wrist joints
- Osseous and Ligamentous Scaphoid Anatomy: Part I. A Systematic Literature Review Highlighting Controversies
- space of poirier:
- volar part of capsule of wrist has area of weakness, called space of Poirier;
- located between the radioscaphocapitate and long radiolunate ligaments, at the level of the midcarpal joint;
- lies betweene main ligamentous structures that are attached proximally on lunate & distally on capitate;
- references:
- The palmar wrist ligaments revisited, clinical relevance.
- The palmar radiocarpal ligaments: A study of adult and fetal human wrist ligaments.
- Mechanism of Carpal Injuries.
- Carpal Dislocations: pathomechanics and progressive perilunar instability.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Clifford R. Wheeless, III, MD on Sunday, March 24, 2013 3:37 pm