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Volar Radiotriquetral Ligament

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Description

Palmar radiocarpal ligaments are illustrated. The volar radiotriquetral ligament is marked on the lower left[1]
Schematic diagram of volar extrinsic wrist ligaments. RSC volar radioscaphocapitate ligament, RLT volar radiolunotriquetral ligament, RSL volar radioscapholunate ligament, LRL long radiolunate ligament, UL volar ulnolunate ligament, UT volar ulnotriquetral ligament, TFCC articular disc of triangular fibrocartilage complex, Tm trapezium, Tz trapezoid, S scaphoid, C capitate, L lunate, H hamate, T triquetrium[2]

Names

  • Volar Radiotriquetral Ligament
  • Long Radiolunate Ligament
  • Radiolunotriquetral Ligament
  • Volar Radiolunate Ligament

General

  • Large, intracapsular, extrinsic palmer radiocarpal ligament
  • Palmer stabilizer of the wrist joint

Gross Anatomy

Ultrasound Features

  • Transducer: volar aspect of radial side of wrist, slightly extended
  • Start in longitudinal plane and rotate towards triquetrum
  • Ligament appears as echogenic, fibrillary structure attaching distal radius to lunate, triquetrum[3]

MRI Features

  • Best appreciated on coronal or sagittal cuts
  • Appearance is hypointense[4]
  • Interligament sulcus can be delineated as a fluid intense structure

Clinical Significance

  • Nondissociative carpal instability (CIND)

See Also


References

  1. Case courtesy of Matt Skalski, Radiopaedia.org, rID: 43845
  2. Lee, Ryan Ka Lok, et al. "Imaging of radial wrist pain. I. Imaging modalities and anatomy." Skeletal radiology 43.6 (2014): 713-724.
  3. Gitto S & Draghi F. Normal Sonographic Anatomy of the Wrist With Emphasis on Assessment of Tendons, Nerves, and Ligaments. J Ultrasound Med. 2016;35(5):1081-94.
  4. Bateni C, Bartolotta R, Richardson M, Mulcahy H, Allan C. Imaging Key Wrist Ligaments: What the Surgeon Needs the Radiologist to Know. AJR Am J Roentgenol. 2013;200(5):1089-95.
Created by:
John Kiel on 2 January 2025 14:05:15
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Last edited:
8 June 2026 00:12:33
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