Medial collateral ligament complex of the elbow

Changed by A A, 1 Oct 2019

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The medial (ulnar) collateral ligament (MCL/UCL) complex is a major stabiliser of the elbow joint and resists valgus stress.

Gross anatomy

The MCL complex runs from the humerus to the ulna and is composed of three parts 1,3,4,7:

  • anterior bundle
    • inferior medial epicondyle to the sublime tubercle of the medial coronoid process
    • cord-like
  • posterior bundle
    • medial epicondyle to medial olecranon
    • thickening of the joint capsule
  • transverse (or oblique)bundle (Cooper's ligament
    • runs between the inferior fibres of the anterior and posterior bandsbundles (i.e. medial olecranon to medial coronoid process)
    • almost no role in elbow stabilisation

Variant anatomy

  • accessory ligament (a.k.a. extra band): posterior joint capsule to transverse ligament (25%) 1

Radiographic features

MRI
  • the anterior band is the only part of the MCL complex which is delineated as a separate structure and is best seen on coronal images
  • -<li>runs between the inferior fibres of the anterior and posterior bands (i.e. medial olecranon to medial coronoid process)</li>
  • +<li>runs between the inferior fibres of the anterior and posterior bundles (i.e. medial olecranon to medial coronoid process)</li>

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