The radial collateral ligament (RCL), radial collateral ligament proper or lateral collateral ligament of the elbow is a static lateral stabilizer and a part of the lateral collateral ligamentous complex of the elbow.
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Gross anatomy
The radial collateral ligament courses through the intertubercular sulcus and fans out to form the anterolateral part of the radiocapitellar joint capsule and converges with the anterior portion of the annular ligament. Its posterior fibers blend proximally with the lateral ulnar collateral ligament 1-3.
Function
The radial collateral ligament functions as a static stabilizer of the elbow joint and as a restraint to varus force 2.
Attachments
The humeral origin of the radial collateral ligament is found slightly distal and anterior to the lateral epicondyle at the inferior aspect of the superior tubercle and superior aspect of the intertubercular sulcus, blending posteriorly with the origin of the lateral ulnar collateral ligament 1,2.
The annular ligament and the fascia of the supinator muscle serve as the distal insertion point for the radial collateral ligament 1,4.
Relations
The radial collateral ligament covers the radiocapitellar joint immediately anterior to the lateral ulnar collateral ligament subjacent to the common extensor origin, which takes a slightly oblique course in relation to it 3.
Radiographic features
Ultrasound
The radial collateral ligament can be seen as a thick hyperechoic structure on ultrasound 5,6.
MRI
The radial collateral ligament can be visualized on MRI on coronal images as a homogeneously low-signal intensity structure coursing at the anterolateral aspect of the humerus from the intertubercular sulcus to the annular ligament 2-5.
Clinical importance
In the setting of a tennis elbow, a concomitant tear of the radial collateral ligament is associated with a poor outcome of conservative management.
Related pathology
Pathologies associated with the radial collateral ligament include the following 2-6:
-
elbow instability
- varus instability
- posterolateral rotatory instability (stage 2+)
- tennis elbow