Medial collateral ligament complex of the elbow

The medial (ulnar) collateral ligament (MCL/UCL) complex is a major stabilizer of the elbow joint and resists valgus stress.

Gross anatomy

The MCL complex runs from the humerus to the ulna and is composed of three parts :

  • anterior bundle
    • inferior medial epicondyle to the sublime tubercle of the medial coronoid process
    • cord-like
  • posterior bundle
    • medial epicondyle to the medial olecranon
    • thickening of the joint capsule
  • transverse (or oblique) bundle (Cooper's ligament) 
    • runs between the inferior fibers of the anterior and posterior bundles (i.e. medial olecranon to medial coronoid process)
    • almost no role in elbow stabilization
  • Variant anatomy

    • accessory ligament (a.k.a. extra band): posterior joint capsule to the transverse ligament (25%)

    Radiographic features

    MRI
    • the anterior band is the only part of the MCL complex which is delineated as a separate structure and is best seen on coronal images
    Siehe auch:
    und weiter: