The annular ligament recess is a synovial pocket between the annular ligament and the radial neck, inferior to the radial head. It accommodates synovial fluid and is part of the common elbow synovial cavity, allowing the radial head to rotate during forearm pronation and supination.
The annular ligament recess fills with fluid in elbow haemarthrosis and synovitis, displacing the lateral fat pad (positive lateral fat pad sign on X-ray). Loose bodies and synovial osteochondromatosis accumulate in this recess. Arthroscopic access via the proximal lateral or direct lateral portal allows assessment and debridement of the annular recess. Radial head fractures may produce bony fragments in this recess.
Osteochondral fragment or loose body in the annular ligament recess causing lateral elbow pain and limitation of forearm rotation, removed arthroscopically via the lateral portal.
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