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Upper limb · Forearm

Ulna

The ulna is the medial bone of the forearm, on the little-finger side. Its large hooked upper end grips the trochlea of the humerus to form the main hinge of the elbow, while its small lower head lies beside the radius at the wrist.

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Latin (TA)
Ulna
Type
Long bone: a shaft with two ends
Side
Paired — right and left
Model size
25.5 cm longest
Loading 3D model

Showing a right bone. Rotate it to inspect every surface; switch sides to practise siding.

3D model: Z-Anatomy (CC BY-SA 4.0), derived from BodyParts3D © DBCLS (CC BY-SA 2.1 JP). Adapted by PharmaWallah. Credits & licence

Landmarks

16 of 16 marked on the model

Tap a landmark to find it on the bone and read what it is.

Classification & region

Long bone: a shaft with two ends; large above and small below, the opposite of the radius.

Upper (proximal) end
Olecranon, coronoid process, trochlear notch, radial notch and tuberosity of ulna.
Shaft (body)
Triangular in section, with a sharp lateral interosseous border and a subcutaneous posterior border; tapers downwards.
Lower (distal) end
Small rounded head and the ulnar styloid process.

Hold it in the anatomical position

  1. Hold the bone vertically with the large hooked end (olecranon) at the top.
  2. Turn it so the trochlear notch faces forwards.
  3. The radial notch on the side of the coronoid process and the sharp interosseous border then face laterally, towards the radius.

Right or left? Side determination

  1. Upper end: the large hook-shaped end (olecranon and trochlear notch) is proximal; the small head is distal.
  2. Anterior: the trochlear notch faces forwards.
  3. Lateral: the radial notch (on the lateral side of the coronoid process) and the sharp interosseous border face laterally.
  4. Posterior: the posterior border of the shaft is rounded and subcutaneous; the styloid process at the lower end is posteromedial.
  5. With the trochlear notch in front and the radial notch lateral, the bone belongs to the side on which the radial notch points away from your midline.

Check yourself: switch the 3D model to “Left bone” and apply the same steps.

Articulations

Muscle and ligament attachments

StructureTypeWhere on the bone
Triceps brachiiinsertionPosterior part of the upper surface of the olecranon.
BrachialisinsertionTuberosity of ulna and front of the coronoid process.
AnconeusinsertionLateral side of the olecranon and upper posterior surface.
Flexor carpi ulnaris (ulnar head)originMedial side of the olecranon and, by an aponeurosis, the posterior border.
Flexor digitorum profundusoriginUpper anterior and medial surfaces.
Flexor digitorum superficialis (humero-ulnar head) and pronator teres (ulnar head)originMedial side of the coronoid process.
SupinatororiginSupinator crest and the hollow in front of it (with the lateral epicondyle and ligaments).
Pronator quadratusoriginLower part of the anterior surface.
Abductor pollicis longus, extensor pollicis longus and extensor indicisoriginPosterior surface of the shaft.
Ulnar collateral ligament of the elbowligamentCoronoid process (sublime tubercle) and olecranon.
Annular ligamentligamentAnterior and posterior margins of the radial notch.
Interosseous membraneligamentInterosseous border.
Articular disc (triangular fibrocartilage)ligamentNear the base of the ulnar styloid process.

Functions

  • Forms the main hinge of the elbow with the trochlea of the humerus.
  • Acts as the stable bone around which the radius rotates in pronation and supination.
  • Gives attachment to triceps and brachialis (the main elbow extensor and flexor) and to many forearm muscles.

Clinical & practical relevance

  • Fracture of the olecranon (from a fall on the point of the elbow) is often pulled apart by triceps.
  • Monteggia fracture-dislocation: a fracture of the upper ulnar shaft with dislocation of the radial head.
  • Isolated fracture of the ulnar shaft can follow a direct blow to the subcutaneous posterior border, for example when the forearm is raised to protect the head ("nightstick" fracture).
  • Posterior dislocation of the elbow may be accompanied by fracture of the coronoid process.
  • The ulnar nerve, after passing behind the medial epicondyle of the humerus, enters the forearm close to the medial side of the ulna between the heads of flexor carpi ulnaris.

Identification tips

  • Think of the upper end as a spanner: the trochlear notch is the jaw that grips the trochlea, and it faces forwards.
  • Radius and ulna are opposites: the ulnar head is at the wrist, the radial head at the elbow.
  • The posterior border can be felt along your own forearm from elbow to wrist.

Common student mistakes

  • Calling the olecranon the head of the ulna. The head is at the lower end.
  • Placing the radial notch on the medial side: it is lateral, facing the radius.
  • Saying biceps inserts on the ulna: biceps inserts on the radial tuberosity; brachialis on the ulnar tuberosity.

Common exam questions

How do you side an ulna?Show answer

Hooked end upwards, trochlear notch forwards, radial notch and interosseous border lateral.

What inserts into the olecranon and the tuberosity of the ulna?Show answer

Triceps into the olecranon; brachialis into the tuberosity.

What articulates with the radial notch of the ulna?Show answer

The articular circumference of the head of the radius.

Where is the head of the ulna?Show answer

At its lower (distal) end.

Does the ulna take part in the wrist joint?Show answer

Not directly; its head is separated from the carpal bones by the articular disc.

What is a Monteggia fracture?Show answer

A fracture of the upper third of the ulnar shaft with dislocation of the head of the radius.

What attaches to the margins of the radial notch?Show answer

The annular ligament.

Revision summary

  • Medial forearm bone; large hook above, small head below.
  • Trochlear notch anterior; radial notch lateral.
  • Olecranon: triceps. Tuberosity of ulna: brachialis.
  • Radial notch: proximal radioulnar joint; annular ligament on its margins.
  • Head: distal radioulnar joint; separated from carpus by the articular disc.
  • Styloid posteromedial; shorter than the radial styloid.
  • Monteggia: ulnar shaft fracture + radial head dislocation.

Test yourself on the ulna

Spotting questions on bones, sides and landmarks — untimed, with explanations.

Spotting practice

Joints of the ulna

References

  1. Drake RL, Vogl AW, Mitchell AWM. Gray's Anatomy for Students. 5th ed. Philadelphia: Elsevier; 2023.
  2. Moore KL, Dalley AF, Agur AMR. Moore's Clinically Oriented Anatomy. 9th ed. Philadelphia: Wolters Kluwer; 2023.
  3. Federative International Programme for Anatomical Terminology (FIPAT). Terminologia Anatomica. 2nd ed. FIPAT.library.dal.ca; 2019. fipat.library.dal.ca/TA2
  4. Kervyn G, Zielinski M, Vinent L, et al. Z-Anatomy: the libre 3D atlas of anatomy. Models derived from BodyParts3D, The Database Center for Life Science (CC BY-SA 2.1 JP). CC BY-SA 4.0. www.z-anatomy.com/

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