The Anatomy of the Ligaments of the Wrist and Distal Radioulnar Joints

Berger, Richard A.

doi:10.1097/00003086-200102000-00006

Cited by 238 publications

(253 citation statements)

References 16 publications

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“…The proximal region of the ligament corresponds to the area articulating with the distal radius and consists mainly of fibrocartilage. The dorsal and palmar regions are to a large extent composed of groupings of collagen fascicles, oriented collinearly in relation to the direction of the ligament [Berger, 2001]. The dorsal region is found to be the strongest part of the ligament, but the palmar region, which is thinner, also contributes to the stability of the scapholunate (SL) joint in rotation [Berger et al, 1999].…”

Section: Introductionmentioning

confidence: 99%

General Innervation Pattern and Sensory Corpuscles in the Scapholunate Interosseous Ligament

Hagert

Ljung

Forsgren

2004

Cells Tissues Organs

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The scapholunate interosseous ligament (SLIL) is biomechanically important in maintaining wrist motion and grip strength in the hand, but its possible sensory role in the dynamic muscular stability of the wrist joint has not been examined. The aim of this study was to use immunohistochemical methods to analyze the general innervation and the possible existence of sensory corpuscles in the SLIL. The ligament was excised in its entirety from 9 patients. Antibodies against the low-affinity p75 neurotrophic receptor (p75) were used to reveal sensory corpuscles as well as general innervation. Furthermore, antibodies against the general nerve marker protein gene product 9.5 (PGP 9.5) and the glial marker S-100 were used to additionally depict innervation and corpuscular structures. Blood vessels occurred in areas interspersed throughout the homogenous collagenous structure. In these vascularized areas, the SLIL was found to be supplied with nerve fascicles and sensory corpuscles of both the Ruffini and lamellated type. p75 immunoreactivity (IR) was detected in association with the nerve fascicles and the corpuscles, particularly in their capsule. S-100 IR was found in the Schwann cells in the central regions of the corpuscle, and PGP 9.5 IR marked the axonal structures in the corpuscles. New information on neurotrophin receptor distribution in ligaments has been obtained here. The presence of nerve fascicles and particularly sensory corpuscles in the SLIL suggests that the ligament has a proprioceptive role in the stability of the wrist. The marked p75 IR further indicates that neurotrophins play a part in a proprioceptive system in the ligament, given the importance of neurotrophins in maintaining sensory function.

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Section: Introductionmentioning

confidence: 99%

General Innervation Pattern and Sensory Corpuscles in the Scapholunate Interosseous Ligament

Hagert

Ljung

Forsgren

2004

Cells Tissues Organs

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“…We used 4 fresh unfrozen cadavers, received within 12 hours of death, to obtain 8 radiocarpal ligaments, including the dorsal radiocarpal, radioscaphocapitate, long radiolunate and short radiolunate ligaments (Berger 2001). Specimens were screened for wrist arthropathy and generalized neurological disorders that can affect peripheral nerves.…”

Section: Methodsmentioning

confidence: 99%

Fluorescence immunohistochemistry and confocal scanning laser microscopyA protocol for studies of joint innervation

Jew

Berger

et al. 2003

Acta Orthopaedica Scandinavica

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“…At the level of the CMC-I joint capsule, meticulous dissection according to the technique of Berger revealed the ligaments marked by the K-wires. 18,19,23,24 …”

Section: Dissection Techniques and Measurementsmentioning

confidence: 99%

Thumb Carpometacarpal Ligaments Inside and Out: A Comparative Study of Arthroscopic and Gross Anatomy from the Robert A. Chase Hand and Upper Limb Center at Stanford University

et al. 2013

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The Anatomy of the Ligaments of the Wrist and Distal Radioulnar Joints

Cited by 238 publications

References 16 publications

General Innervation Pattern and Sensory Corpuscles in the Scapholunate Interosseous Ligament

General Innervation Pattern and Sensory Corpuscles in the Scapholunate Interosseous Ligament

Fluorescence immunohistochemistry and confocal scanning laser microscopyA protocol for studies of joint innervation

Thumb Carpometacarpal Ligaments Inside and Out: A Comparative Study of Arthroscopic and Gross Anatomy from the Robert A. Chase Hand and Upper Limb Center at Stanford University

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