00:01
Now, let's have a look at the joints
between the radius and the ulna.
00:05
Let's start by looking at the
radio-ulnar joints proximally.
00:08
And then, we'll move on and have
a look at them more distally.
00:12
So, if we look at the proximal radio-ulnar joint,
this is really occurring between the radius and the ulna.
00:18
Here, we've got the radial notch of the ulna and that's where
the head of the radius, its medial surface can articulate.
00:24
Here, we can see the head of the radius
and it's important that we have this articulation
to support pronation and supination.
00:31
Again, it's covered within the joint capsule
of the elbow joint and it's reinforced,
as I mentioned previously, via the annular ligament.
And that allows supination and pronation to occur.
00:42
Distally, we have, again, an articulation between
the head of the ulna and the ulnar notch of the radius.
00:48
So, here, we can see very small bony prominences
articulating with each other at the distal aspect.
00:55
So, the head of the ulna is articulating with a little
notch at the end of the radius, so called the ulnar notch.
01:03
Here, we can have articular discs and these
go on to form articulations with the carpal bones
which we'll come to in a moment. And most
medially of the distal and of the ulna,
we see the styloid process of the ulna there.
And that's enabling articulation with those carpal bones.
01:18
We'll come to that in a moment or two.
01:21
Reinforcing the capsule around this distal joint,
we have the dorsal radio-ulnar ligament.
01:26
That's helping to hold
those bones together.
01:29
And here, we have the palmar version of that
same ligament here on the palmar surface,
reinforcing the connection between
those two bony points.
01:38
The radioulnar joints really permit an important
movement which is supination and pronation.
01:44
So, here, we can see we have the radius
and the ulna sitting alongside one another.
01:50
This is as if you're looking at the anterior surface
of someone with their palms facing forward.
01:55
Supination is the process of the radius
crossing over the anterior surface of the ulna,
so, you're now in a pronated position.
02:04
And then, if we return that back to the supinated
position, you'll see your palm is facing forward.
02:09
It enables both your palm to face
forward when you're supinating.
02:12
And then, the dorsal aspect of your
hand to face forward when it's fully pronated.
02:19
If we then look at the interosseous membrane,
that plays an important part in stabilizing this joint,
holding the radius and the ulna together.
It has a free margin at the top
where the anterior interosseous artery passes
over and it also has a circular aperture at the bottom,
associated with the posterior interosseous
artery that we've spoken about before.