Lister's tubercle

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Lister's tubercle
Left hand dorsal view English YM (1).png
Left hand. Lister's tubercle shown.
Details
Identifiers
Latin tuberculum dorsale
TA98 A02.4.05.017
TA2 1226
FMA 23527
Anatomical terminology

Lister's tubercle or dorsal tubercle of radius is a bony prominence located at the distal end of the radius. It is palpable on the dorsum of the wrist.

Contents

Structure

Lister's tubercle is found on the dorsal distal radius. [1] It varies in size and shape significantly. [2] [3] It can range from around 2 to 6 mm in height (averaging 3 mm), and around 6 to 26 mm in length (averaging 13 mm). [2] [3] Lister's tubercle consists of two peaks including radial peak and ulnar peak. [4]

Function

Lister's tubercle serves as a pulley for the tendon of extensor pollicis longus, which wraps around the medial side and takes a 45° turn. [1] [2] [5]

Clinical significance

Lister's tubercle is used as a useful landmark during wrist arthroscopy and other wrist surgery. [1] [6] It is palpable on the dorsum of the wrist. [1] It is often difficult to clearly distinguish with radiography. [1]

Hyperextension of the wrist can lead to fracture of Lister's tubercle, as pressure is increased from the extensor pollicis longus tendon. [7] An "island-shaped" fracture can also expose the tendon to a rough edge and lead to tendon rupture (usually long after the initial fracture). [8]

References

  1. 1 2 3 4 5 Chan, Wan Ying; Chong, Le Roy (2017-12-01). "Anatomical Variants of Lister's Tubercle: A New Morphological Classification Based on Magnetic Resonance Imaging". Korean Journal of Radiology. 18 (6): 957–963. doi:10.3348/kjr.2017.18.6.957. ISSN   1229-6929. PMC   5639161 . PMID   29089828.
  2. 1 2 3 Clement, Hans; Pichler, Wolfgang; Nelson, David; Hausleitner, Lisa; Tesch, Norbert Peter; Grechenig, Wolfgang (December 2008). "Morphometric Analysis of Lister's Tubercle and Its Consequences on Volar Plate Fixation of Distal Radius Fractures" . The Journal of Hand Surgery. 33 (10): 1716–1719. doi:10.1016/j.jhsa.2008.08.012. ISSN   0363-5023. PMID   19084168.
  3. 1 2 PICHLER, W.; WINDISCH, G.; SCHAFFLER, G.; RIENMÜLLER, R.; GRECHENIG, W. (2009-10-21). "Computer tomography aided 3D analysis of the distal dorsal radius surface and the effects on volar plate osteosynthesis" . Journal of Hand Surgery (European Volume). 34 (5): 598–602. doi:10.1177/1753193409101471. PMID   19959446. S2CID   45229076.
  4. ↑ Chan, Wan Ying; Chong, Le Roy (2017-12-01). "Anatomical Variants of Lister's Tubercle: A New Morphological Classification Based on Magnetic Resonance Imaging". Korean Journal of Radiology. 18 (6): 957–963. doi:10.3348/kjr.2017.18.6.957. ISSN   1229-6929. PMC   5639161 . PMID   29089828.
  5. ↑ "Wheeless Online". Wheeless' Textbook of Orthopaedics. Retrieved 27 April 2014.
  6. ↑ Ağır, İsmail; Aytekin, Mahmut Nedim; Küçükdurmaz, Fatih; Gökhan, Servan; Çavuş, Umut Yücel (2014-04-04). "Anatomical Localization of Lister's Tubercle and its Clinical and Surgical Importance". The Open Orthopaedics Journal. 8 (1): 74–77. doi: 10.2174/1874325001408010074 . ISSN   1874-3250. PMC   4023390 . PMID   24843388.
  7. ↑ Stahl, Shalom; Wolff, Thomas W. (May 1988). "Delayed rupture of the extensor pollicis longus tendon after nonunion of a fracture of the dorsal radial tubercle" . The Journal of Hand Surgery. 13 (3): 338–341. doi:10.1016/s0363-5023(88)80004-2. ISSN   0363-5023. PMID   3379265.
  8. ↑ Cha, Soo Min; Shin, Hyun Dae; Lee, Soong Hyun (October 2018). ""Island-shape" Fractures of Lister's tubercle have an increased risk of delayed extensor pollicis longus rupture in distal radial fractures" . Injury. 49 (10): 1816–1821. doi:10.1016/j.injury.2018.08.019. ISSN   0020-1383. PMID   30154020. S2CID   52112660.
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