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From Musculoskeletal System
Ulna
Forearm bone on the pinky side.
1. Overview
The ulna is one of the two long bones in the forearm, the other being the radius. It is located on the medial (pinky-finger) side of the forearm and plays a crucial role in forming the elbow joint and stabilizing the forearm. The ulna primarily facilitates movement at the elbow and wrist joints and serves as a key attachment site for muscles.
2. Location
The ulna is found in the medial aspect of the forearm:
Proximally: Articulates with the humerus at the elbow joint and with the head of the radius.
Distally: Articulates with the radius and indirectly with the carpal bones via an articular disc at the wrist joint.
Medial to: The radius throughout most of its length.
3. Structure
The ulna is a long bone with distinct proximal, shaft, and distal regions:
Proximal end:
Olecranon: Forms the bony prominence of the elbow and serves as the insertion for the triceps brachii.
Coronoid process: Projects anteriorly and stabilizes the elbow joint.
Trochlear notch: Articulates with the trochlea of the humerus.
Radial notch: Site of articulation with the head of the radius.
Shaft (body): Slightly curved and triangular in cross-section, with interosseous border facing laterally for attachment of the interosseous membrane.
Distal end:
Head of ulna: Rounded structure that articulates with the radius and triangular articular disc (part of the wrist joint).
Styloid process: A small projection providing ligamentous attachment to the wrist joint.
4. Function
The ulna contributes to several mechanical and structural functions:
Elbow joint formation: Provides a hinge-like articulation with the humerus for flexion and extension.
Forearm stabilization: Acts as the main stabilizing bone of the forearm during movements and load transfer.
Muscle attachment: Serves as an origin and insertion point for muscles involved in flexion, extension, and rotation of the forearm and hand.
Assist in pronation/supination: Though the radius primarily rotates, the ulna contributes by maintaining joint stability during movement.
5. Physiological role(s)
In addition to its biomechanical roles, the ulna supports several physiological functions:
Hematopoiesis: In early life, the ulna’s marrow cavity is involved in the production of blood cells.
Mineral storage: Acts as a reservoir for calcium and phosphate, contributing to systemic mineral balance.
Neurovascular pathway: Forms part of the pathway for nerves (e.g., ulnar nerve) and vessels that travel along the forearm.
6. Clinical Significance
The ulna is commonly involved in trauma and musculoskeletal conditions:
Fractures:
Nightstick fracture: An isolated midshaft fracture caused by direct trauma to the forearm.
Monteggia fracture-dislocation: Proximal ulna fracture with dislocation of the radial head—requires urgent management.
Ulnar impaction syndrome:
Excessive contact between the ulna and carpal bones, often due to a longer ulna (positive ulnar variance), causing wrist pain and degeneration.
Ulnar styloid process fracture:
Common in distal radius fractures; may impact wrist stability if the ulnar collateral ligament is involved.
Osteoarthritis:
Degeneration of distal radioulnar or elbow joints can involve the ulna, especially in aging populations or after injury.
Surgical relevance:
The subcutaneous border of the ulna makes it a common site for internal fixation (plates/screws) in fractures.
Did you know? The humerus is the largest bone in the arm.