Radius
(Redirected from Listers Tubercle)
Description







Name
- Radius
- Radial bone
- Radii (plural)
- Radial bone
- Lateral forearm bone
- Bone of the radial side of the forearm
- Antebrachial radiu
General
- Lateral bone of the forearm which extends from the lateral elbow to the thumb[7]
- Lies lateral, parallel to the ulna
- Pivots around the ulna to produce movement at the proximal and distal radioulnar joint
- Contributes to both the elbow and wrist joints
Articulations
- Articulates with Humerus to allow flexion and extension at the elbow joint
- Articulates with the Ulna to allow pronation and supination of the forearm.
- Proximal Radioulnar Joint: articulation of the radial head, radial notch of ulna
- Distal Radioulnar Joint: articulation between the ulnar notch and head of the ulna
- Radiocarpal Joint: Articulates with the Carpal Bones of the wrist to allow flexion and extension at the wrist joint
Muscular Attachments
- Biceps Brachii (radial tuberosity))
- Brachioradialis (styloid process)
- Flexor Digitorum Superficialis (medial surface)
- Flexor Pollicis Longus (medial surface)
- Pronator Quadratus (medial surface)
- Pronator Teres (lateral surface)
- Supinator (lateral surface)
- Abductor Pollicis Longus (posterior surface)
- Extensor Pollicis Brevis (posterior surface)
Vascular supply
- Primarily Radial Artery
- Terminal branches of the Anterior Interosseous Artery, a branch of the Ulnar Artery
Innervation
Ossification Centers
- Body: appears in 8th week of fetal life
- Proximal extremity: appears around 5 years of age, fuses with the body around 17-18 years of age
- Distal extremity: appears around 9-26 months of life and fuses with the body around 20 years of age
Proximal
Gross Anatomy
- The head of the radius articulates proximally with the capitulum of the humerus, contributing to the elbow joint
- The radial notch of the ulna articulates the radial head to form the proximal radioulnar joint
- Neck of the of the radius is marked by the narrowing of the radius distal to the head
- The radial tuberosity is located distally to the neck of the radius and proximally to the shaft.
- It is a protrusion of the radius that serves as the distal attachment of the biceps brachii muscle.
Ligaments
- Annular ligament
- Extends from the surface of the ulna both anterior and posterior to the radial notch and wraps the head of the radius
- Holding it in the radial notch of the ulna
- Helps to form the pivot type joint known as the proximal radio-ulnar joint.
- Radial Collateral Ligament of the Elbow
- Extends from the lateral epicondyle of the humerus and attaches onto the annular ligament of the radius
- Some fibers extending to the ulna
- Both ligaments contribute to the Lateral Collateral Ligament Complex of the Elbow
Mid Shaft
Gross Anatomy
- The shaft of the radius enlarges as it travels distally
- Similar to the ulna, it is triangular with 3 borders and 3 surfaces
- In the middle of the lateral surface, there is a small roughening for the attachment of the pronator teres
Interosseous Membrane of Forearm
- A fibrous sheath of connective tissue that extends in an oblique course medially from the radius to the ulna.
- Function: holds the two bones together as well as separates the extensor and flexor compartments of the forearm.
- Clinically, it allows the transmission of forces from the radius to the ulna and vice versa.
Distal
Gross Anatomy
- The distal radius is large and quadrilateral in shape
- Medially, there is a concavity located at the distal end of the radius.
- Distal Radioulnar Joint is formed by the ulnar notch and head of the ulna
- The dorsal tubercle (Lister's tubercle): posterior projection at the distal end of the radius.
- Styloid process: extends laterally at the distal end of the radius
- It is larger than the styloid process of the ulna and extends more distally
- Wrist Joint Distally, the radius articulates with the scaphoid, lunate
Muscle Attachments
Ligaments of the Distal Radius
- Distal Radioulnar Ligaments
- Palmar Radiocarpal Ligament Complex
- Dorsal Radiocarpal Ligament
- Radial Collateral Ligament of the Wrist
Clinical Significance
- Barton's Fracture
- Chauffer's Fracture
- Colles' Fracture
- Die-Punch Fracture
- Radial Styloid Fracture
- Smith's Fracture
Other
- Proximal Radius Fracture (Head, Neck)
- Monteggia Fracture
- Galeazzi Fracture
- Essex Lopresti Fracture
- Distal Radioulnar Joint Dislocation
- Distal Radial Ulnar Joint Instability
- Proximal Radioulnar Joint Instability
Pediatric Considerations
- Distal Radial Epiphysitis (Gymnast's Wrist)
- Torus Fracture
- Salter Harris Fracture
- Plastic Deformation
See Also
References
- ↑ Image courtesy of theskeletalsystem.net
- ↑ Image courtesy of grepmed.com
- ↑ Image courtesy of musculoskeletalkey.com
- ↑ Image courtesy of radiologypics.com
- ↑ Mader, Konrad, et al. "Complex forearm deformities: operative strategy in posttraumatic pathology." Obere Extremitat 10.4 (2015): 229.
- ↑ Madanat, Rami. "The Use of Radiostereometric Analysis in Fractures of the Distal Radius: From Phantom Models to Clinical Application." (2011).
- ↑ Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 8th ed. Lippincott Williams and Wilkins; 2017.