CHAPTER 16 : Forearm Elbow joint and the Back of the hand

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Capsule and ligaments

Capsule

Capsule encloses the radial and coronoid fossae in front and most of the olecranon fossa behind

jDistally, it is attached in front to the anterior edge of the coronoid process, anular ligament and olecranon process




Ligaments  


Radial collateral ligament  

This strong and fan shaped ligament (1) arises from the lateral epicondyle

j Blends with the annular ligament distally(2).

k It is reinforced by origins of the superficial extensors of the forearm and supinator.


Ulna collateral ligament  

k Originates from the medial epicondyle

k Anterior fibres (2) extend to the coronoid process

k Posterior fibres (1) extend to the olecranon process.

 


Synovial membrane  

Lines the elbow joint capsule, the lower part of the annular ligament and the fossae of the distal humerus.

k It is attached to the articular margins of the three bones.

k Fatty pads occupy the fossae, between the fibrous and synovial membranes of the capsule.

k The synovial membrane extends distally as a pouch within the anular ligament on to the neck of the radius below the ligament.

k Continuous with that of proximal radio-ulna