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Anatomical relationship between the morphology of the styloid process of the ulna and the attachment of the radioulnar ligaments
The radioulnar ligaments are the major stabilizers of the distal radioulnar joint under dynamic loading; however, anatomical detail regarding their attachment on the middle and distal thirds of the styloid process of the ulna remains unclear. Because previous anatomical studies included only old cad...
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| Published in: | Journal of anatomy 2020-12, Vol.237 (6), p.1032-1039 |
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| creator | Horiuchi, Saya Nimura, Akimoto Tsutsumi, Masahiro Suzuki, Shiro Fujita, Koji Nozaki, Taiki Akita, Keiichi |
| description | The radioulnar ligaments are the major stabilizers of the distal radioulnar joint under dynamic loading; however, anatomical detail regarding their attachment on the middle and distal thirds of the styloid process of the ulna remains unclear. Because previous anatomical studies included only old cadavers, their anatomical findings might not reflect the morphological features of younger and healthy specimens. This study investigated the anatomical features of the distal ulna, particularly the styloid process, to determine the attachment of the radioulnar ligaments to the styloid process and verified their direction and attachment to the styloid process in younger and healthy donors using magnetic resonance imaging (MRI). We investigated the morphological features of the distal ulna of 12 cadaveric wrists using micro‐computed tomography (micro‐CT). We also visualized and measured the distribution of the cortical bone thickness. We histologically analyzed three specimens in the axial plane and macroscopically analyzed seven specimens to examine the attachment of the radioulnar ligaments to the styloid process. In addition, we evaluated five wrists from living volunteers using 3.0 Tesla MRI. The distal ulna has a ridge on the dorsoradial aspect of the styloid process that corresponds to the attachment of the radioulnar ligaments. Micro‐CT images after data processing revealed that the cortical thickness of the dorsoradial quadrant was thicker than that of the other quadrant at the proximal slice of the styloid process (p |
| doi_str_mv | 10.1111/joa.13275 |
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We observed that the styloid process of the distal ulna had a ridge on its dorsoradial aspect, corresponding to the chondral‐apophyseal entheses of the radioulnar ligaments. The directions of the radioulnar ligaments were sterically intersected, which may better satisfy both slipping stability and rotational mobility.</description><identifier>ISSN: 0021-8782</identifier><identifier>EISSN: 1469-7580</identifier><identifier>DOI: 10.1111/joa.13275</identifier><identifier>PMID: 32654121</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Bone imaging ; Cadaver ; Cadavers ; Computed tomography ; Cortical bone ; dorsal ; Female ; Humans ; ligament ; Ligaments ; Ligaments, Articular - anatomy & histology ; Ligaments, Articular - diagnostic imaging ; Magnetic Resonance Imaging ; Male ; Mechanical loading ; Middle Aged ; Morphology ; Original Paper ; Original Papers ; palmar ; radius ; triangular fibrocartilage complex ; Ulna ; Ulna - anatomy & histology ; Ulna - diagnostic imaging ; wrist ; Wrist Joint - anatomy & histology ; Wrist Joint - diagnostic imaging ; X-Ray Microtomography</subject><ispartof>Journal of anatomy, 2020-12, Vol.237 (6), p.1032-1039</ispartof><rights>2020 The Authors. published by John Wiley & Sons Ltd on behalf of Anatomical Society</rights><rights>2020 The Authors. Journal of Anatomy published by John Wiley & Sons Ltd on behalf of Anatomical Society.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5935-ce350ec06a4cfdc98cbd9ad66192317858f578788828bff3588b0f74bb095ee73</citedby><cites>FETCH-LOGICAL-c5935-ce350ec06a4cfdc98cbd9ad66192317858f578788828bff3588b0f74bb095ee73</cites><orcidid>0000-0002-3054-0273 ; 0000-0003-1803-8202</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704228/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704228/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32654121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Horiuchi, Saya</creatorcontrib><creatorcontrib>Nimura, Akimoto</creatorcontrib><creatorcontrib>Tsutsumi, Masahiro</creatorcontrib><creatorcontrib>Suzuki, Shiro</creatorcontrib><creatorcontrib>Fujita, Koji</creatorcontrib><creatorcontrib>Nozaki, Taiki</creatorcontrib><creatorcontrib>Akita, Keiichi</creatorcontrib><title>Anatomical relationship between the morphology of the styloid process of the ulna and the attachment of the radioulnar ligaments</title><title>Journal of anatomy</title><addtitle>J Anat</addtitle><description>The radioulnar ligaments are the major stabilizers of the distal radioulnar joint under dynamic loading; however, anatomical detail regarding their attachment on the middle and distal thirds of the styloid process of the ulna remains unclear. Because previous anatomical studies included only old cadavers, their anatomical findings might not reflect the morphological features of younger and healthy specimens. This study investigated the anatomical features of the distal ulna, particularly the styloid process, to determine the attachment of the radioulnar ligaments to the styloid process and verified their direction and attachment to the styloid process in younger and healthy donors using magnetic resonance imaging (MRI). We investigated the morphological features of the distal ulna of 12 cadaveric wrists using micro‐computed tomography (micro‐CT). We also visualized and measured the distribution of the cortical bone thickness. We histologically analyzed three specimens in the axial plane and macroscopically analyzed seven specimens to examine the attachment of the radioulnar ligaments to the styloid process. In addition, we evaluated five wrists from living volunteers using 3.0 Tesla MRI. The distal ulna has a ridge on the dorsoradial aspect of the styloid process that corresponds to the attachment of the radioulnar ligaments. Micro‐CT images after data processing revealed that the cortical thickness of the dorsoradial quadrant was thicker than that of the other quadrant at the proximal slice of the styloid process (p < 0.01), and that of the dorsoulnar (p = 0.021) and ulnopalmar (p < 0.01) quadrants at the middle slice. Histological analyses showed that the radioulnar ligaments were attached to the middle and distal thirds of the styloid process via chondral‐apophyseal entheses. The direction of the fiber was dorsal in the middle third of the styloid process and changed to palmar in the distal third of the styloid process. The direction and attachment of the radioulnar ligaments on the styloid process were confirmed using MRI for younger and healthy participants. The radioulnar ligaments were attached to the dorsoradial ridge of the styloid process, which was confirmed by cortical bone thickening, histology at the attachment sites, and in vivo MR imaging. The directions of the radioulnar ligaments sterically intersected, which would satisfy both slipping stability and rotational mobility. These anatomical findings may provide the basis for biomechanical consideration of distal radioulnar joint stabilization.
We observed that the styloid process of the distal ulna had a ridge on its dorsoradial aspect, corresponding to the chondral‐apophyseal entheses of the radioulnar ligaments. The directions of the radioulnar ligaments were sterically intersected, which may better satisfy both slipping stability and rotational mobility.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone imaging</subject><subject>Cadaver</subject><subject>Cadavers</subject><subject>Computed tomography</subject><subject>Cortical bone</subject><subject>dorsal</subject><subject>Female</subject><subject>Humans</subject><subject>ligament</subject><subject>Ligaments</subject><subject>Ligaments, Articular - anatomy & histology</subject><subject>Ligaments, Articular - diagnostic imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mechanical loading</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>Original Paper</subject><subject>Original Papers</subject><subject>palmar</subject><subject>radius</subject><subject>triangular fibrocartilage complex</subject><subject>Ulna</subject><subject>Ulna - anatomy & histology</subject><subject>Ulna - diagnostic imaging</subject><subject>wrist</subject><subject>Wrist Joint - anatomy & histology</subject><subject>Wrist Joint - diagnostic imaging</subject><subject>X-Ray Microtomography</subject><issn>0021-8782</issn><issn>1469-7580</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kUtv1DAUhS0EokNhwR9AkdjQRVo_4tjZII0qykOVuoG1deM4E48cO9hJq9nx0_HMdCpAwhvL93w-914dhN4SfEnyudoGuCSMCv4MrUhVN6XgEj9HK4wpKaWQ9Ay9SmmLMWG4qV6iM0ZrXhFKVujX2sMcRqvBFdE4mG3wabBT0Zr5wRhfzIMpxhCnIbiw2RWhP1TSvHPBdsUUgzYpncqL81CA7w4PmGfQw2j8fJIjdDbsmVg4u4G9lF6jFz24ZN483ufox82n79dfytu7z1-v17el5g3jpTaMY6NxDZXuO91I3XYNdHVNGsqIkFz2XORVpaSy7XvGpWxxL6q2xQ03RrBz9PHoOy3taDqde0dwaop2hLhTAaz6W_F2UJtwr4TAFaUyG3x4NIjh52LSrEabtHEOvAlLUrSijBPeUJLR9_-g27BEn9fLVM05ZpLhTF0cKR1DStH0T8MQrPa55l-gDrlm9t2f0z-RpyAzcHUEHqwzu_87qW9366Plb4lCr2E</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Horiuchi, Saya</creator><creator>Nimura, Akimoto</creator><creator>Tsutsumi, Masahiro</creator><creator>Suzuki, Shiro</creator><creator>Fujita, Koji</creator><creator>Nozaki, Taiki</creator><creator>Akita, Keiichi</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7SS</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3054-0273</orcidid><orcidid>https://orcid.org/0000-0003-1803-8202</orcidid></search><sort><creationdate>202012</creationdate><title>Anatomical relationship between the morphology of the styloid process of the ulna and the attachment of the radioulnar ligaments</title><author>Horiuchi, Saya ; Nimura, Akimoto ; Tsutsumi, Masahiro ; Suzuki, Shiro ; Fujita, Koji ; Nozaki, Taiki ; Akita, Keiichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5935-ce350ec06a4cfdc98cbd9ad66192317858f578788828bff3588b0f74bb095ee73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone imaging</topic><topic>Cadaver</topic><topic>Cadavers</topic><topic>Computed tomography</topic><topic>Cortical bone</topic><topic>dorsal</topic><topic>Female</topic><topic>Humans</topic><topic>ligament</topic><topic>Ligaments</topic><topic>Ligaments, Articular - anatomy & histology</topic><topic>Ligaments, Articular - diagnostic imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mechanical loading</topic><topic>Middle Aged</topic><topic>Morphology</topic><topic>Original Paper</topic><topic>Original Papers</topic><topic>palmar</topic><topic>radius</topic><topic>triangular fibrocartilage complex</topic><topic>Ulna</topic><topic>Ulna - anatomy & histology</topic><topic>Ulna - diagnostic imaging</topic><topic>wrist</topic><topic>Wrist Joint - anatomy & histology</topic><topic>Wrist Joint - diagnostic imaging</topic><topic>X-Ray Microtomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Horiuchi, Saya</creatorcontrib><creatorcontrib>Nimura, Akimoto</creatorcontrib><creatorcontrib>Tsutsumi, Masahiro</creatorcontrib><creatorcontrib>Suzuki, Shiro</creatorcontrib><creatorcontrib>Fujita, Koji</creatorcontrib><creatorcontrib>Nozaki, Taiki</creatorcontrib><creatorcontrib>Akita, Keiichi</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of anatomy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horiuchi, Saya</au><au>Nimura, Akimoto</au><au>Tsutsumi, Masahiro</au><au>Suzuki, Shiro</au><au>Fujita, Koji</au><au>Nozaki, Taiki</au><au>Akita, Keiichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical relationship between the morphology of the styloid process of the ulna and the attachment of the radioulnar ligaments</atitle><jtitle>Journal of anatomy</jtitle><addtitle>J Anat</addtitle><date>2020-12</date><risdate>2020</risdate><volume>237</volume><issue>6</issue><spage>1032</spage><epage>1039</epage><pages>1032-1039</pages><issn>0021-8782</issn><eissn>1469-7580</eissn><abstract>The radioulnar ligaments are the major stabilizers of the distal radioulnar joint under dynamic loading; however, anatomical detail regarding their attachment on the middle and distal thirds of the styloid process of the ulna remains unclear. Because previous anatomical studies included only old cadavers, their anatomical findings might not reflect the morphological features of younger and healthy specimens. This study investigated the anatomical features of the distal ulna, particularly the styloid process, to determine the attachment of the radioulnar ligaments to the styloid process and verified their direction and attachment to the styloid process in younger and healthy donors using magnetic resonance imaging (MRI). We investigated the morphological features of the distal ulna of 12 cadaveric wrists using micro‐computed tomography (micro‐CT). We also visualized and measured the distribution of the cortical bone thickness. We histologically analyzed three specimens in the axial plane and macroscopically analyzed seven specimens to examine the attachment of the radioulnar ligaments to the styloid process. In addition, we evaluated five wrists from living volunteers using 3.0 Tesla MRI. The distal ulna has a ridge on the dorsoradial aspect of the styloid process that corresponds to the attachment of the radioulnar ligaments. Micro‐CT images after data processing revealed that the cortical thickness of the dorsoradial quadrant was thicker than that of the other quadrant at the proximal slice of the styloid process (p < 0.01), and that of the dorsoulnar (p = 0.021) and ulnopalmar (p < 0.01) quadrants at the middle slice. Histological analyses showed that the radioulnar ligaments were attached to the middle and distal thirds of the styloid process via chondral‐apophyseal entheses. The direction of the fiber was dorsal in the middle third of the styloid process and changed to palmar in the distal third of the styloid process. The direction and attachment of the radioulnar ligaments on the styloid process were confirmed using MRI for younger and healthy participants. The radioulnar ligaments were attached to the dorsoradial ridge of the styloid process, which was confirmed by cortical bone thickening, histology at the attachment sites, and in vivo MR imaging. The directions of the radioulnar ligaments sterically intersected, which would satisfy both slipping stability and rotational mobility. These anatomical findings may provide the basis for biomechanical consideration of distal radioulnar joint stabilization.
We observed that the styloid process of the distal ulna had a ridge on its dorsoradial aspect, corresponding to the chondral‐apophyseal entheses of the radioulnar ligaments. The directions of the radioulnar ligaments were sterically intersected, which may better satisfy both slipping stability and rotational mobility.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32654121</pmid><doi>10.1111/joa.13275</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3054-0273</orcidid><orcidid>https://orcid.org/0000-0003-1803-8202</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Bone imaging Cadaver Cadavers Computed tomography Cortical bone dorsal Female Humans ligament Ligaments Ligaments, Articular - anatomy & histology Ligaments, Articular - diagnostic imaging Magnetic Resonance Imaging Male Mechanical loading Middle Aged Morphology Original Paper Original Papers palmar radius triangular fibrocartilage complex Ulna Ulna - anatomy & histology Ulna - diagnostic imaging wrist Wrist Joint - anatomy & histology Wrist Joint - diagnostic imaging X-Ray Microtomography |
| title | Anatomical relationship between the morphology of the styloid process of the ulna and the attachment of the radioulnar ligaments |
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