EXPLORING THE ANATOMY OF DORSAL
RADIOCARPAL LIGAMENT OF THE WRIST
AND ITS ULNAR PART: A CADAVERIC STUDY
A. Jariwala,
*
K. Khurjekar,
*
S. Whiton
†
and C. A. Wigderowitz
*
*
Department of Orthopaedics and Trauma Surgery
TORT Centre, Ninewells Hospital
Dundee, Scotland DD1 9SY, UK
†
St Andrew’s Medical School
Medical and Biological Sciences Building
North Haugh, St Andrews, Fife KY16 9TF, UK
Received 20 March 2012; Revised 10 June 2012; Accepted 11 June 2012
ABSTRACT
The current study aimed to explore the anatomy of the dorsal radio-carpal ligament (DRC ligament) and to investigate the
presence and histological structure of ulnar part of the DRC ligament.
Twenty cadaveric wrist joints were dissected and attachments of the DRC ligament and the newly described ulnar part of the
DRC ligament were identified and noted. Samples of both ligaments were sent for histological examination.
The DRC ligament was identified in all 20 specimens with type I Mizuseki arrangement of fibres seen in 60% of wrists. The
ulnar part of the DRC ligament was successfully identified in 18 of the 20 wrists. The histological observation of the ulnar part of
the DRC ligament showed the highly uniform arrangement of collagen bundles typical of ligaments.
This study explores the anatomy of the DRC ligament and confirms the presence of the ulnar part of DRC ligament through
histological analysis not undertaken in previous studies.
Keywords : Cadaveric Study; Dorsal Radiocarpal Ligament; Ulnar Part of Dorsal Radiocarpal Ligament; Dorsal Radiocarpal
Ligament; Anatomy of Wrist Ligaments; Superficial Part of Dorsal Radiocarpal Ligament.
INTRODUCTION
The dorsal radiocarpal ligament (DRC ligament) is an im-
portant stabiliser of the wrist.
1
The ligament may be damaged
in traumatic falls on the hand and may require surgical repair
(reconstruction, synovectomy or arthrodesis). The detailed
anatomy of the dorsal ligaments has been described by a
number of investigators but it is found to vary widely.
Generally, the DRC ligament arises from the radius on the
ulnar side of Lister’s tubercle, running obliquely to the dorsal
surface of scaphoid, lunate and triquetrum.
13
Mizuseki and
Ikuta
3
studied the DRC ligament in detail and classified it into
four types according to its anatomical attachments, type I
being the most common with ligamentous fibres originating
from the distal radius and attaching to the lunate and
Correspondence to: Dr. A. Jariwala, Clinical Lecturer and Specialist Registrar, University Department of Orthopaedics and Trauma Surgery, TORT Centre, Ninewells
Hospital, Dundee, Scotland DD1 9SY, UK. Tel: (þ44) 13-8242-5746, Fax: (þ44) 13-3249-6200, E-mail: ajariwala@dundee.ac.uk
Hand Surgery, Vol. 17, No. 3 (2012) 307310
© World Scientific Publishing Company
DOI: 10.1142/S0218810412500220
307