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Bone Upper Arm

Trochlear Notch of the Ulna

incisura trochlearis ulnae

The trochlear notch (semilunar notch) of the ulna is the large C-shaped articular surface of the proximal ulna that wraps around the trochlea of the humerus to form the humeroulnar joint. It is bounded proximally by the olecranon and distally by the coronoid process, with its articular cartilage interrupted by a transverse non-articular ridge at its midpoint.

Region: Upper Arm
Clinical Relevance

Clinical Notes

The trochlear notch is the site of olecranon fractures (proximal component) and coronoid fractures (distal component). Comminuted fractures spanning the entire notch (trans-olecranon fracture-dislocation) require careful reconstruction of the articular surface to restore elbow congruence. The non-articular transverse ridge is a normal anatomical variant and must not be confused with an articular surface fracture on imaging. Cubitus varus and valgus deformities alter trochlear notch tracking.

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