The lateral ulnar collateral ligament: anatomical and structural study for clinical application in the diagnosis and treatment of elbow lateral ligament injuries
dc.contributor.author
dc.date.accessioned
2024-01-31T17:13:47Z
dc.date.available
2024-01-31T17:13:47Z
dc.date.issued
2023-09
dc.identifier.issn
0897-3806
dc.identifier.uri
dc.description.abstract
The lateral ulnar collateral ligament (LUCL) is considered one of the main stabilizers of the elbow. However, its anatomical description is not well established. Imaging techniques do not always have agreed upon parameters for the study of this ligament. Therefore, herein, we studied the macro and microanatomy of the LUCL to establish its morphological and morphometric characteristics more precisely. Fifty-five fresh-frozen human elbows underwent dissection of the lateral collateral ligament. Morphological characteristics were studied in detail. Ultrasound (US) and magnetic resonance (MR) were done before dissection. Two specimens were selected for PGP 9.5 S immunohistochemistry. Ten additional elbows were analyzed by E12 sheet plastination. LUCL was identified in all specimens and clearly defined by E12 semi-thin sections. It fused with the common extensor tendon and the radial ligament. The total length of the LUCL was 48.50 mm at 90 , 46.76 mm at maximum flexion and 44.10 mm at complete extension. Three morphological insertion variants were identified. Both US and MR identified the LUCL in all cases. It was hypoechoic in the middle and distal third in 85%. The LUCL was hypointense on MR in 95%. Free nerve endings were present on histology. The LUCL is closely related to the anular ligament. It is stretched during flexion and supination. US and MR can reliably identify its fibers. Anatomical data are relevant to the surgeon who repairs the ligaments of the elbow. Also, to the radiologist and pain physician who interpret imaging and treat patients with pain syndromes of the elbow.
dc.format.extent
9 p.
dc.format.mimetype
application/pdf
dc.language.iso
eng
dc.publisher
Wiley
dc.relation.isformatof
Reproducció digital del document publicat a: https://doi.org/10.1002/ca.23991
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Clinical Anatomy, 2023, vol. 36, núm. 6, p. 866-874
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Articles publicats (D-CM)
dc.rights
Reconeixement-NoComercial-SenseObraDerivada 4.0 Internacional
dc.rights.uri
dc.source
Noriego Muñoz, Diana Carrera Burgaya, Ana Shane Tubbs, R. Guibernau, Jorge San-Millán, Marta Iwanaga, Joe Cateura, Aïda Sañudo, Jose Reina de la Torre, Francisco 2023 The lateral ulnar collateral ligament: Anatomical and structural study for clinical application in the diagnosis and treatment of elbow lateral ligament injuries Clinical Anatomy 36 6 866 874
dc.subject
dc.title
The lateral ulnar collateral ligament: anatomical and structural study for clinical application in the diagnosis and treatment of elbow lateral ligament injuries
dc.type
info:eu-repo/semantics/article
dc.rights.accessRights
info:eu-repo/semantics/openAccess
dc.type.version
info:eu-repo/semantics/publishedVersion
dc.identifier.doi
dc.identifier.idgrec
035990
dc.type.peerreviewed
peer-reviewed
dc.identifier.eissn
1098-2353