Wrist Joint (RadiocarpalJoint

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Articulation: Between the distal end of the radius and the articular disc above and the scaphoid, lunate, and triquetral bones below. The proximal articular surface forms an ellipsoid concave surface, which is adapted to the distal ellipsoid convex surface.

Wrist Joint (RadiocarpalJoint)

Type: Synovial ellipsoid joint
Capsule: The capsule encloses the joint and is attached above to the distal ends of the radius and ulna and below to the proximal row of carpal bones. Ligaments: Anterior and posterior ligaments strengthen the capsule. The ulnar collateral ligament is attached to the styloid process of the ulna and to the triquetral bone. The radial collateral ligament is attached to the styloid process of the radius and to the scaphoid bone


The joint cavity does not communicate with that of the distal radioulnar joint or with the joint cavities of the intercarpal joints. . Nerve supply: Anterior interosseous nerve and the deep branch of the radial nerve Blood supply: Anterior and posterior carpal arches.Wrist Joint (RadiocarpalJoint)    Synovial membrane: This lines the capsule and is attached to the margins of the articular surfaces.

and the palmaris longus. and the flexor pollicis longus . the flexor carpi ulnaris. the flexor digitorum profundus. These muscles are assisted by the flexor digitorum superficialis. adduction. extension. The lack of rotation is compensated for by the movements of pronation and supination of the forearm.Wrist Joint (RadiocarpalJoint) Movements   The following movements are possible: flexion. Flexion is performed by the flexor carpi radialis. Rotation is not possible because the articular surfaces are ellipsoid shaped. abduction. and circumduction.

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These muscles are assisted by the extensor digitorum. Adduction is performed by the flexor and extensor carpi ulnaris   .Wrist Joint (RadiocarpalJoint)  Extension is performed by the extensor carpi radialis longus. the extensor carpi radialis brevis. Abduction is performed by the flexor carpi radialis and the extensor carpi radialis longus and brevis. the extensor digiti minimi. the extensor indicis. and the extensor pollicis longus. These muscles are assisted by the abductor pollicis longus and extensor pollicis longus and brevis. and the extensor carpi ulnaris.

and the median and ulnar nerves  Posteriorly: The tendons of the extensor carpi ulnaris. the flexor carpi radialis. the extensor digitorum. the flexor pollicis longus. and the abductor pollicis longus Medially: The posterior cutaneous branch of the ulnar nerve Laterally: The radial artery   . the extensor carpi radialis longus and brevis. the extensor indicis.Wrist Joint (RadiocarpalJoint) Important Relations  Anteriorly: The tendons of the flexor digitorum profundus and superficialis. the flexor carpi ulnaris. the extensor pollicis longus and brevis. the extensor digiti minimi.

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Hinge Joint .

Ball and socket Joint .

Saddle joint .

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 Palmar cutaneous branch of the ulnar nerve  Palmaris longus tendon (if present). (This tendon does not actually cross the flexor retinaculum but is included for the sake of completeness.Structures on the Anterior Aspect of the Wrist The following structures pass superficial to the flexor retinaculum from medial to lateral.  Flexor carpi ulnaris tendon. passing to its insertion into the flexor retinaculum and the palmar aponeurosis  Palmar cutaneous branch of the median nerve .)  Ulnar nerve lies lateral to the pisiform bone.  Ulnar artery lies lateral to the ulnar nerve. ending on the pisiform bone.

. The tendon is surrounded by a synovial sheath. both groups of tendons share a common synovial sheath.Structures on the Anterior Aspect of the Wrist The following structures pass beneath the flexor retinaculum from medial to lateral     Flexor digitorum superficialis tendons and. Median nerve Flexor pollicis longus tendon surrounded by a synovial sheath Flexor carpi radialis tendon going through a split in the flexor retinaculum. the tendons of the flexor digitorum profundus. posterior to these.

 Dorsal (posterior) cutaneous branch of the ulnar nerve  Basilic vein  Cephalic vein  Superficial branch of the radial nerve .Structures on the Posterior Aspect of the Wrist The following structures pass superficial to the extensor retinaculum from medial to lateral.

which grooves the posterior aspect of the head of the ulna  Extensor digiti minimi tendon is situated posterior to the distal radioulnar joint.  Extensor carpi ulnaris tendon.Structures on the Posterior Aspect of the Wrist The following structures pass beneath the extensor retinaculum from medial to lateral.  Extensor pollicis longus tendon winds around the medial side of the dorsal tubercle of the radius.  Extensor digitorum and extensor indicis tendons share a common synovial sheath and are situated on the lateral part of the posterior surface of the radius. .

Structures on the Posterior Aspect of the Wrist Extensor carpi radialis longus and brevis tendons share a common synovial sheath and are situated on the lateral part of the posterior surface of the radius.  Abductor pollicis longus and the extensor pollicis brevis tendons have separate synovial sheaths but share a common compartment  .

Each compartment is provided with a synovial sheath. .Structures on the Posterior Aspect of the Wrist   Beneath the extensor retinaculum. which extends above and below the retinaculum. The radial artery reaches the back of the hand by passing between the lateral collateral ligament of the wrist joint and the tendons of the abductor pollicis longus and extensor pollicis brevis. fibrous septa pass to the underlying radius and ulna and form six compartments that contain the tendons of the extensor muscles.