Radius bone easily explained with attachments notes
radius bone anatomy attachments labeled diagram

| Landmark | Description |
|---|---|
| Radial head | Broad, rounded cylindrical structure at the top; has a central concavity — the fovea articularis radii — which articulates with the capitulum of humerus |
| Radial neck | Narrow constriction just below the radial head |
| Radial tuberosity | Ovoid bony protuberance on the anteromedial surface just below the neck; posterior rough surface = tendon insertion site |
| Radial shaft | Triangular in cross-section — 3 surfaces + 3 borders |
| Styloid process | Palpable lateral bony projection at the distal end |
| Lister's tubercle | Palpable dorsal bony projection at the distal end |
| Sigmoid notch | Narrow concave surface on the medial side of distal radius — articulates with the ulnar head |
| Surface | Key Feature |
|---|---|
| Anterior (volar) | Smooth and concave proximally; broadens distally |
| Posterior (dorsal) | Flat; slight proximal and distal convexities |
| Lateral | Convex; upper segment = rounded and convex |
| Border | Description |
|---|---|
| Anterior border | From inferior margin of radial tuberosity → anterior aspect of radial styloid |
| Posterior border | Obtuse/indistinct; from posterior radial neck → posterior base of styloid |
| Interosseous border | Sharp in mid-portion; gives attachment to the interosseous membrane |

| Muscle | Where on Radius | Action |
|---|---|---|
| Biceps brachii | Posterior/ulnar margin of radial tuberosity | Flexion + supination |
| Supinator | Upper lateral surface + proximal posterior surface | Supination |
| Pronator teres | Mid-lateral surface (radial head = insertion) | Pronation |
| Pronator quadratus | Distal anterior surface | Pronation |
| Brachioradialis | Base of styloid process (distal radius) | Flexion of elbow |
| Muscle | Where on Radius | Runs to |
|---|---|---|
| Flexor digitorum superficialis (FDS) | Superior half of anterior border and anterior surface | Middle phalanges of fingers 2–5 |
| Flexor pollicis longus (FPL) | Superior half of anterior surface | Distal phalanx of thumb |
| Abductor pollicis longus (APL) | Middle third of posterior surface | Base of 1st metacarpal |
| Extensor pollicis brevis (EPB) | Middle third of posterior surface (just distal to APL) | Proximal phalanx of thumb |
| Extensor indices | Distal posterior surface | Extensor expansion of index finger |
| Ligament | Attachment |
|---|---|
| Brachioradialis tendon | Base of radial styloid |
| Radial collateral ligament | Apex of radial styloid |
| Palmar radiocarpal ligament | Volar surface of distal radius |
| Dorsal radiocarpal ligament | Dorsal surface of distal radius |
| Joint | Partner Bone | Type |
|---|---|---|
| Humeroradial joint (proximal) | Capitulum of humerus | Ball & socket (pivot) |
| Proximal radioulnar joint | Radial notch of ulna | Pivot |
| Distal radioulnar joint | Sigmoid notch ↔ ulnar head | Pivot |
| Radiocarpal joint | Scaphoid + Lunate | Condyloid/ellipsoid |
| Mnemonic | What to Remember |
|---|---|
| "Biceps Twists the Bottle" | Biceps inserts at radial tuberosity → supination + flexion |
| "Supinator wraps the top" | Supinator covers the upper radius like a wrap |
| "Pronator Teres crosses the mid" | PT inserts at the mid-lateral radius |
| "PQ at the bottom" | Pronator quadratus = distal anterior radius |
| Radius = wider DISTALLY | Opposite to ulna (ulna = wider proximally) |
Ulna detailed notes esaily explained with all attachments joints ligaments nerves

| Landmark | What it is | Key Point |
|---|---|---|
| Olecranon | Large posterior hook at the proximal end | The "tip of the elbow" you can feel; insertion of triceps brachii |
| Coronoid process | Triangular anterior projection | Brachialis inserts here; forms the lower lip of the trochlear notch |
| Trochlear (semilunar) notch | Large C-shaped concavity between olecranon + coronoid | Articulates with the trochlea of humerus |
| Radial notch | Narrow oval hollow on the lateral side of the coronoid process | Articulates with the head of the radius |
| Tuberosity of ulna | Roughened apex of the coronoid process | Main insertion of brachialis |
| Sublime tubercle | Anteromedial facet of coronoid | Insertion of the anterior bundle of the medial (ulnar) collateral ligament |
| Supinator crest | Posterior margin below the radial notch | Gives origin to the supinator muscle |
| Ulnar head | Distal lateral rounded knob | Articulates with sigmoid notch of radius + articular disc (TFCC) |
| Ulnar styloid process | Posteromedial bony projection at distal end | Attachment of ulnar collateral ligament |
| Surface | Location | Muscle Attachments |
|---|---|---|
| Anterior surface | Between anterior & interosseous borders | Upper ¾ → Flexor digitorum profundus (FDP) origin; lower ¼ → Pronator quadratus origin |
| Posterior surface | Between interosseous & posterior borders | Proximal portion → Anconeus insertion + Supinator origin; lateral subdivision → Extensor pollicis longus, Abductor pollicis longus origins |
| Medial surface | Between anterior & posterior borders | Upper ¾ → one head of Flexor digitorum profundus |
| Border | Description | Attachment |
|---|---|---|
| Anterior border | Medial coronoid process → base of styloid | Upper ¾ → FDP origin; lower ¼ → Pronator quadratus origin |
| Posterior border | From confluence of olecranon borders → base of styloid | Aponeurosis shared by FCU, ECU, FDP on upper ¾ |
| Interosseous border | Lateral crest from radial notch | Origin of supinator (proximally); interosseous membrane attaches along its length |

| Muscle | Where on Ulna | Nerve | Action |
|---|---|---|---|
| Triceps brachii | Rough superior surface of olecranon | Radial nerve (C7, C8) | Elbow extension |
| Anconeus | Lateral surface of olecranon | Radial nerve | Assists elbow extension |
| Brachialis | Tuberosity of ulna + anterior-inferior coronoid | Musculocutaneous (+ small radial branch) | Elbow flexion |
| Pronator teres (ulnar head) | Medial surface of coronoid process | Median nerve | Pronation |
| Flexor carpi ulnaris (FCU) | Medial surface of olecranon | Ulnar nerve | Wrist flexion + adduction |
| Muscle | Where on Ulna | Nerve | Action |
|---|---|---|---|
| Flexor digitorum profundus (FDP) | Anterior surface + medial surface (upper ¾) + anterior border | Median (radial 2 digits) + Ulnar (ulnar 2 digits) | Finger flexion (DIP) |
| Flexor digitorum superficialis (FDS) — ulnar head | Medial surface of coronoid | Median nerve | Finger flexion (PIP) |
| Flexor carpi ulnaris (FCU) | Medial olecranon + posterior border (aponeurosis) | Ulnar nerve | Wrist flexion |
| Extensor carpi ulnaris (ECU) | Posterior border aponeurosis (upper ¾) | Radial nerve (posterior interosseous) | Wrist extension + adduction |
| Supinator | Supinator crest + interosseous border (proximal) | Radial nerve (posterior interosseous, C6) | Supination |
| Anconeus | Originates from lateral epicondyle → inserts on lateral olecranon | Radial nerve | Elbow extension |
| Abductor pollicis longus (APL) | Posterior surface (lateral subdivision, mid-shaft) | Radial nerve (posterior interosseous) | Thumb abduction |
| Extensor pollicis longus (EPL) | Posterior surface (lateral subdivision, mid-shaft) | Radial nerve (posterior interosseous) | Thumb extension |
| Pronator quadratus (PQ) | Distal anterior border + lower ¼ anterior surface | Median nerve (anterior interosseous) | Pronation |
Memory tip: "The ulna feeds BOTH the deep flexors AND the deep extensors." FDP on the front, APL/EPL on the back.
| Joint | Ulnar Surface | Partner | Type | Movement |
|---|---|---|---|---|
| Humeroulnar joint | Trochlear (semilunar) notch | Trochlea of humerus | Hinge (ginglymoid) | Flexion / Extension |
| Proximal radioulnar joint | Radial notch | Head of radius | Pivot (trochoid) | Pronation / Supination |
| Distal radioulnar joint | Sigmoid notch of radius ← note the ulnar HEAD goes INTO this | Sigmoid notch of radius | Pivot | Pronation / Supination |
| Wrist (ulnocarpal) | Via triangular fibrocartilage complex (TFCC) | Separated from carpus by articular disc | Not direct — via TFCC | Load transmission |
Key fact: The ulna does not directly articulate with the carpal bones. The TFCC (articular disc) separates the ulnar head from the carpus. Normally only 18% of wrist load passes through the ulnocarpal joint.
| Bundle | Origin | Insertion on Ulna | Function |
|---|---|---|---|
| Anterior bundle (most important!) | Anteroinferior medial epicondyle | Sublime tubercle (18 mm distal to coronoid tip) | Primary restraint to valgus stress; most important static stabilizer |
| Posterior bundle (Bardinet's ligament) | Posterior medial epicondyle | Medial surface of olecranon | Secondary stability; forms floor of cubital tunnel |
| Transverse bundle (Cooper's ligament) | Proximal medial olecranon | Just distal to coronoid | Ulna-to-ulna; least important clinically |
| Ligament | Attachment to Ulna | Function |
|---|---|---|
| Lateral ulnar collateral ligament (LUCL) | Supinator crest of ulna | Primary restraint against posterolateral rotatory instability; reconstructed in "Tommy John" surgery |
| Annular ligament | Anterior + posterior margins of radial notch | Encircles radial head; stabilizes proximal radioulnar joint |
| Ligament | Where | Function |
|---|---|---|
| Interosseous membrane | Attaches along interosseous border of ulna | Binds radius and ulna; transmits force; separates flexor/extensor compartments |
| Oblique cord | From radial tuberosity to proximal ulna | Reinforces interosseous membrane proximally |
| Ulnar collateral ligament of wrist | Styloid process | Medial support for wrist joint |
| TFCC (articular disc) | Distal ulna — styloid base | Separates ulna from carpus; cushions |
| Feature | Detail |
|---|---|
| Origin | Medial cord of brachial plexus — C8, T1 roots |
| Course at elbow | Passes through the ulnar groove between the medial epicondyle and the olecranon |
| Cubital tunnel | Enters the forearm under the humeral-ulnar aponeurosis (two heads of FCU) — this is where it gets compressed in cubital tunnel syndrome |
| Forearm branches | Motor to FCU + medial two digits of FDP |
| Dorsal cutaneous branch | Exits 5–8 cm proximal to wrist → dorsal medial hand + little & ring fingers |
| Palmar cutaneous branch | At ulnar styloid level → proximal medial palm |
| Wrist | Passes through Guyon's canal (between pisiform + hook of hamate) |
| Terminal branches | Deep palmar (motor): hypothenar muscles, interossei, 3rd & 4th lumbricals, adductor pollicis; Superficial (sensory): little finger + medial ring finger |
| Nerve | Relationship to Ulna | Clinical Note |
|---|---|---|
| Posterior interosseous nerve (deep radial) | Passes around radial neck → winds through supinator (near supinator crest of ulna) | Can be compressed in radial tunnel syndrome |
| Anterior interosseous nerve (branch of median) | Runs on anterior interosseous membrane near ulna | Damage → loss of FDP to index + FPL ("OK sign" weakness) |
| Term | Meaning | Clinical Link |
|---|---|---|
| Ulnar neutral | Ulnar head cortex = level with lunate fossa | Normal; 82% load through radiocarpal, 18% ulnocarpal |
| Negative ulnar variance (>2.5 mm shorter) | Ulnar head is cone-shaped and shorter | Associated with avascular necrosis of lunate (Kienböck's) |
| Positive ulnar variance (>2.5 mm longer) | More stress on ulnocarpal joint (+42% load) | Predisposes to early degeneration + ulnar impaction syndrome |
| Structure | Key Muscle(s) | Memory Cue |
|---|---|---|
| Olecranon (superior surface) | Triceps insertion | "Tri = 3 heads, all go to the olecranon" |
| Tuberosity of ulna / Coronoid | Brachialis insertion | "Brachialis ALWAYS inserts on ulna" |
| Medial olecranon + posterior border | FCU origin | "FCU follows the ulna's medial/posterior edge" |
| Anterior surface (upper ¾) | FDP origin | "Deep flexors = deep anterior ulna" |
| Posterior surface (lateral) | APL, EPL, Supinator | "Back of ulna = thumb movers" |
| Sublime tubercle | Anterior bundle MCL | "Sublime = sublime stabilizer against valgus" |
| Ulnar groove | Ulnar nerve | "Between medial epicondyle and olecranon = the nerve's groove" |
Upper end shaft lower end separately
The proximal end is the largest, widest part of the ulna. It forms the elbow joint.

| Part | Description |
|---|---|
| Olecranon | Large posterior hook; "tip of the elbow" you palpate; projects proximally from the ulna |
| Coronoid process | Triangular beak projecting anteriorly; forms the lower lip of the trochlear notch |
| Trochlear (semilunar) notch | Large C-shaped cavity between olecranon + coronoid; articulates with trochlea of humerus |
| Radial notch | Narrow oval depression on the lateral surface of the coronoid; articulates with the head of radius |
| Tuberosity of ulna | Rough apex of coronoid's anterior surface; biggest roughening |
| Sublime tubercle | Anteromedial facet of coronoid; small but crucial |
| Supinator crest | Bony ridge posterior to radial notch; origin of supinator |
| Surface | Features / Attachments |
|---|---|
| Superior surface (rough, quadrilateral) | Triceps brachii — INSERTION ✅ |
| Anterolateral surface | Articular — forms upper half of trochlear notch |
| Posterior surface | Smooth, triangular — covered by olecranon bursa; subcutaneous |
| Medial surface | Flexor carpi ulnaris (FCU) — ORIGIN ✅; attachment of posterior + oblique bands of ulnar collateral ligament |
| Lateral surface | Anconeus — INSERTION ✅ |
| Surface | Features / Attachments |
|---|---|
| Superolateral surface | Articular — forms lower half of trochlear notch |
| Lateral surface | Radial notch (articulates with radial head) + supinator crest just below |
| Anteromedial facet | Sublime tubercle → insertion of anterior bundle of MCL ✅ |
| Anterior surface (triangular) | Brachialis inserts at tuberosity of ulna (apex) ✅; also FDS (anterior margin), FDP, pronator teres origins |
| Medial surface | FDS, FDP, Pronator teres — ORIGINS ✅ |
| Joint | Articular Surface | Partner | Type |
|---|---|---|---|
| Humeroulnar joint | Trochlear notch | Trochlea of humerus | Hinge (primary) |
| Proximal radioulnar joint | Radial notch | Head of radius | Pivot |
| Ligament | Attachment | Function |
|---|---|---|
| Medial (Ulnar) Collateral Ligament — anterior bundle | Medial epicondyle → Sublime tubercle | Primary restraint to valgus stress |
| Medial (Ulnar) Collateral Ligament — posterior bundle | Posterior medial epicondyle → medial olecranon | Secondary valgus restraint; forms floor of cubital tunnel |
| Medial (Ulnar) Collateral Ligament — transverse bundle | Proximal olecranon → just distal to coronoid | Least important; ulna-to-ulna only |
| Annular ligament | Anterior + posterior margins of radial notch | Encircles radial head; stabilizes proximal radioulnar joint |
| Lateral ulnar collateral ligament (LUCL) | Lateral epicondyle → supinator crest | Prevents posterolateral rotatory instability |
The shaft is triangular in cross-section proximally and mid-portion, becoming cylindrical distally. It is broad above and narrows toward the distal end.

| Border | Character | Attachment |
|---|---|---|
| Anterior border | Smooth, rounded | Upper ¾ → FDP origin; lower ¼ → Pronator quadratus origin |
| Posterior border | Sharp and palpable along its entire length | Upper ¾ → aponeurosis shared by FCU, ECU, FDP |
| Interosseous border | Sharp (especially mid-shaft) | Interosseous membrane attaches here; proximally also gives supinator origin |
| Surface | Location | Attachments |
|---|---|---|
| Anterior surface | Between anterior + interosseous borders; concave, narrows distally | Upper ¾ → FDP ORIGIN ✅; lower ¼ → oblique ridge for Pronator quadratus ORIGIN ✅; nutrient canal proximal to midpoint |
| Posterior surface | Between interosseous + posterior borders; divided by a vertical ridge | Proximal to ridge → Anconeus INSERTION + Supinator ORIGIN; Lateral subdivision below ridge → Supinator, APL, EPL ORIGINS |
| Medial surface | Between anterior + posterior borders; convex and smooth | Upper ¾ → one origin of FDP |

| Muscle | Location on Shaft | Origin / Insertion | Nerve |
|---|---|---|---|
| Flexor digitorum profundus (FDP) | Anterior surface + medial surface + anterior border (upper ¾) | ORIGIN | Median (lateral 2) + Ulnar (medial 2) |
| Flexor carpi ulnaris (FCU) | Posterior border (aponeurosis, upper ¾) | ORIGIN | Ulnar nerve |
| Extensor carpi ulnaris (ECU) | Posterior border (aponeurosis, upper ¾) | ORIGIN | Posterior interosseous (radial) |
| Supinator | Interosseous border (proximal) + posterior surface | ORIGIN | Posterior interosseous (C6) |
| Anconeus | Posterior surface proximal to ridge | INSERTION | Radial nerve |
| Abductor pollicis longus (APL) | Posterior surface — lateral subdivision | ORIGIN | Posterior interosseous |
| Extensor pollicis longus (EPL) | Posterior surface — lateral subdivision | ORIGIN | Posterior interosseous |
| Pronator quadratus | Lower ¼ of anterior surface + anterior border | ORIGIN | Anterior interosseous (median) |
The lower end is the smallest, narrowest part. It expands slightly to form the ulnar head and the styloid process.
| Part | Description |
|---|---|
| Ulnar head | Rounded distal end; lateral surface is convex |
| Styloid process | Rounded bony projection from posteromedial aspect; projects distally |
| Surface | Articulates with | Joint |
|---|---|---|
| Lateral convex surface of ulnar head | Sigmoid notch of radius | Distal radioulnar joint (pivot) |
| Inferior surface of ulnar head | Articular disc (TFCC) | Not with carpus directly — TFCC separates them |
⚠️ The ulna does NOT directly touch the carpal bones. The TFCC (triangular fibrocartilage complex) sits between the ulnar head and the carpus.
| Muscle | Attachment | Type |
|---|---|---|
| Pronator quadratus | Distal anterior surface of ulnar shaft (this is its origin on the ulna) | ORIGIN |
| Extensor carpi ulnaris tendon | Passes in a groove on the posterior ulnar head in its own synovial sheath | Passes over (not attached) |
| Ligament | Attachment | Function |
|---|---|---|
| Triangular fibrocartilage complex (TFCC) / Articular disc | Apex attached to depression at base of styloid process (between styloid and articular surface) | Separates distal radioulnar joint from wrist; transmits load |
| Ulnar collateral ligament of wrist | Styloid process apex | Medial support of wrist |
| Dorsal radioulnar ligament | Via TFCC — connects ulna to radius | Stabilizes distal radioulnar joint |
| Palmar radioulnar ligament | Via TFCC — connects ulna to radius | Stabilizes distal radioulnar joint |
| Variance | Meaning | Association |
|---|---|---|
| Neutral | Ulnar head = same level as lunate fossa | Normal |
| Negative (>2.5 mm shorter) | Ulnar head small and cone-shaped | Kienböck's disease (lunate AVN) |
| Positive (>2.5 mm longer) | Ulnocarpal joint receives +42% load | Ulnar impaction syndrome; TFCC tears |
| Region | Key Landmark | Key Muscle | Key Joint | Key Ligament |
|---|---|---|---|---|
| Upper end | Olecranon + Coronoid | Triceps (insertion) + Brachialis (insertion) | Humeroulnar (hinge) | Medial collateral lig. (anterior bundle) |
| Shaft | Interosseous border | FDP + ECU + APL (origins) | — | Interosseous membrane |
| Lower end | Ulnar head + Styloid | Pronator quadratus (origin) | Distal radioulnar (pivot) | TFCC / Articular disc |
Features of each shaft upper lower end first then attachments exam oriented