The ulnocapitate ligament is the most superficial of the palmar ulnocarpal ligaments, arising from the ulnar fovea and palmar radioulnar ligament and passing palmar to the ulnolunate and ulnotriquetral ligaments to reach the capitate. Its fibres interlace with those of the radioscaphocapitate ligament to form the arcuate (distal V) ligament of the palmar wrist.
| Origin | Fovea of the ulna and the palmar radioulnar ligament |
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| Insertion | Palmar neck of the capitate, interlacing with fibres of the radioscaphocapitate ligament |
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Stabilises the ulnar carpus against supination and palmar translation and supports the midcarpal joint as part of the arcuate ligament.
The ulnocapitate ligament is injured together with other ulnocarpal ligaments and the TFCC in falls on the outstretched hand and twisting injuries, contributing to ulnar-sided wrist pain. Loss of the ulnar arm of the arcuate ligament is implicated in midcarpal and ulnocarpal instability. Because it attaches near the fovea, foveal TFCC tears may be accompanied by ulnocapitate disruption, best assessed by MR arthrography or arthroscopy.
Disruption of the ulnocapitate ligament together with neighbouring ulnocarpal ligaments or the TFCC, producing ulnar-sided wrist pain, weak grip and pain on forearm rotation.
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