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]

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] [4]

Clinical significance

Lister's tubercle is used as a useful landmark during wrist arthroscopy and other wrist surgery. [1] [5] 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. [6] An "island-shaped" fracture can also expose the tendon to a rough edge and lead to tendon rupture (usually long after the initial fracture). [7]

Related Research Articles

<span class="mw-page-title-main">Wrist</span> Part of the arm between the lower arm and the hand

In human anatomy, the wrist is variously defined as (1) the carpus or carpal bones, the complex of eight bones forming the proximal skeletal segment of the hand; (2) the wrist joint or radiocarpal joint, the joint between the radius and the carpus and; (3) the anatomical region surrounding the carpus including the distal parts of the bones of the forearm and the proximal parts of the metacarpus or five metacarpal bones and the series of joints between these bones, thus referred to as wrist joints. This region also includes the carpal tunnel, the anatomical snuff box, bracelet lines, the flexor retinaculum, and the extensor retinaculum.

<span class="mw-page-title-main">Anatomical snuffbox</span> Indent on back of hand between tendons

The anatomical snuff box or snuffbox or foveola radialis is a triangular deepening on the radial, dorsal aspect of the hand—at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The name originates from the use of this surface for placing and then sniffing powdered tobacco, or "snuff." It is sometimes referred to by its French name tabatière.

<span class="mw-page-title-main">Metacarpal bones</span> Bones of hand

In human anatomy, the metacarpal bones or metacarpus, also known as the "palm bones", are the appendicular bones that form the intermediate part of the hand between the phalanges (fingers) and the carpal bones, which articulate with the forearm. The metacarpal bones are homologous to the metatarsal bones in the foot.

<span class="mw-page-title-main">Radius (bone)</span> One of the two long bones of the forearm

The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is longer than the radius, but the radius is thicker. The radius is a long bone, prism-shaped and slightly curved longitudinally.

<span class="mw-page-title-main">Distal radius fracture</span> Fracture of the radius bone near the wrist

A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Symptoms include pain, bruising, and rapid-onset swelling. The ulna bone may also be broken.

<span class="mw-page-title-main">Smith's fracture</span> Medical condition

A Smith's fracture, is a fracture of the distal radius.

In human anatomy, the extensor pollicis longus muscle (EPL) is a skeletal muscle located dorsally on the forearm. It is much larger than the extensor pollicis brevis, the origin of which it partly covers and acts to stretch the thumb together with this muscle.

In human anatomy, the abductor pollicis longus (APL) is one of the extrinsic muscles of the hand. Its major function is to abduct the thumb at the wrist. Its tendon forms the anterior border of the anatomical snuffbox.

<span class="mw-page-title-main">Extensor pollicis brevis muscle</span> Forearm muscle which moves the thumb

In human anatomy, the extensor pollicis brevis (EPB) is a skeletal muscle on the dorsal side of the forearm. It lies on the medial side of, and is closely connected with, the abductor pollicis longus. The extensor pollicis brevis belongs to the deep group of the posterior fascial compartment of the forearm. It is a part of the lateral border of the anatomical snuffbox.

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Finkelstein's test is a test used to diagnose de Quervain's tenosynovitis in people who have wrist pain.

<span class="mw-page-title-main">Galeazzi fracture</span> Medical condition

The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint.

<span class="mw-page-title-main">Carpometacarpal joint</span> Joint between the wrist and hand

The carpometacarpal (CMC) joints are five joints in the wrist that articulate the distal row of carpal bones and the proximal bases of the five metacarpal bones.

<span class="mw-page-title-main">Radial styloid process</span> Bone projection on the radius

The radial styloid process is a projection of bone on the lateral surface of the distal radius bone.

<span class="mw-page-title-main">Extensor retinaculum of the hand</span> A thickened fascia holding the tendons of the hand extensor muscles in place

The extensor retinaculum is a thickened portion of the antebrachial fascia that holds the tendons of the extensor muscles in place. It is located on the back of the forearm, just proximal to the hand. It is continuous with the palmar carpal ligament.

The posterior compartment of the forearm contains twelve muscles which primarily extend the wrist and digits. It is separated from the anterior compartment by the interosseous membrane between the radius and ulna.

<span class="mw-page-title-main">Muscles of the hand</span> Muscles of the human hand

The muscles of the hand are the skeletal muscles responsible for the movement of the hand and fingers. The muscles of the hand can be subdivided into two groups: the extrinsic and intrinsic muscle groups. The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the radial, median, and ulnar nerves from the brachial plexus.

<span class="mw-page-title-main">Extrinsic extensor muscles of the hand</span>

The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).

<span class="mw-page-title-main">Muscles of the thumb</span> Set of nine human skeletal muscles

The muscles of the thumb are nine skeletal muscles located in the hand and forearm. The muscles allow for flexion, extension, adduction, abduction and opposition of the thumb. The muscles acting on the thumb can be divided into two groups: The extrinsic hand muscles, with their muscle bellies located in the forearm, and the intrinsic hand muscles, with their muscles bellies located in the hand proper.

<span class="mw-page-title-main">Extensor indicis et medii communis muscle</span>

The extensor indicis et medii communis is a rare anatomical variant in the extensor compartment of forearm. This additional muscle lies in the deep extensor layer next to the extensor indicis proprius and the extensor pollicis longus. The characteristics of this anomalous muscle resemble those of the extensor indicis proprius, with split tendons to the index and the middle finger. This muscle can also be considered as a variation of the aberrant extensor medii proprius.

<span class="mw-page-title-main">Extensor pollicis et indicis communis muscle</span> Accessory muscle in the forearm

In human anatomy, the extensor pollicis et indicis communis is an accessory muscle in the posterior compartment of forearm. It was first described in 1863. The muscle has a prevalence from 0.5% to 4%.

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. "Wheeless Online". Wheeless' Textbook of Orthopaedics. Retrieved 27 April 2014.
  5. 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.
  6. 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.
  7. 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.