Proximal radioulnar joint

Last revised by Joachim Feger on 12 Sep 2024

The proximal radioulnar joint is a complex pivot-type synovial joint between the circumference of the head of the radius and the ring formed by the radial notch of the ulna and the annular ligament.

Gross anatomy

The proximal radiohumeral joint is comprised of three joints

  • radiohumeral joint: The radial head with the capitellum

  • radioulnar: Radial notch with the ulnar.

  • ulnohumeral: the trochlea with the coronoid

Joint capsule

The joint capsule encloses the joint; both it and the synovial membrane are continuous with that of the elbow joint. The capsule is relatively thin compared to other capsules, with its anterior component anteriorly attaching the medial epicondyle and ulnar coranoid process. The posterior aspect of the capsule is thinner than its anterior component.

Movement

Rotatory movements of the head of the radius within the collar formed by the annular ligament and the radial notch, allowing supination (primarily by the action of the biceps brachii and supinator muscles) and pronation (by the action of pronator teres and pronator quadratus muscles).

See movements of the forearm.

Ligaments
Bursa

Olecranon bursa which lies between the capsule and the triceps insertion

Blood supply

From the radial portion of the peri-articular arterial anastomosis of the elbow joint.

Innervation

From articular branches of the musculocutaneous, ulnar, median, and radial nerves.

Variants

Cases and figures

  • Figure 1: PRUJ ligaments (Gray's illustration)
  • Figure 2: elbow anatomy (illustration)
  • Figure 3: elbow anatomy (illustration)
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