Radius (bone)

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Radius
Radius - anterior view2.png
The radius (shown in red) is a bone in the forearm.
Details
Identifiers
Latin radius
MeSH D011884
TA98 A02.4.05.001
TA2 1210
FMA 23463
Anatomical terms of bone

The radius or radial bone (pl.: radii or radiuses) 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.

Contents

The radius is part of two joints: the elbow and the wrist. At the elbow, it joins with the capitulum of the humerus, and in a separate region, with the ulna at the radial notch. At the wrist, the radius forms a joint with the ulna bone.

The corresponding bone in the lower leg is the tibia.

Structure

3D model. Human radius.stl
3D model.
Full anterior view of right radius Full Anterior View of Right Radius.png
Full anterior view of right radius
Full posterior view of right radius Full Posterior View of Right Radius.png
Full posterior view of right radius
Full medial view of right radius Full Medial View of Right Radius.png
Full medial view of right radius
Full lateral view of right radius Full Lateral View of Right Radius.png
Full lateral view of right radius

The long narrow medullary cavity is enclosed in a strong wall of compact bone. It is thickest along the interosseous border and thinnest at the extremities, same over the cup-shaped articular surface (fovea) of the head.

The trabeculae of the spongy tissue are somewhat arched at the upper end and pass upward from the compact layer of the shaft to the fovea capituli (the humerus's cup-shaped articulatory notch); they are crossed by others parallel to the surface of the fovea. The arrangement at the lower end is somewhat similar. It is missing in radial aplasia.

The radius has a body and two extremities. The upper extremity of the radius consists of a somewhat cylindrical head articulating with the ulna and the humerus, a neck, and a radial tuberosity. The body of the radius is self-explanatory, and the lower extremity of the radius is roughly quadrilateral in shape, with articular surfaces for the ulna, scaphoid and lunate bones. The distal end of the radius forms two palpable points, radially the styloid process and Lister's tubercle on the ulnar side. Along with the proximal and distal radioulnar articulations, an interosseous membrane originates medially along the length of the body of the radius to attach the radius to the ulna. [1]

Radius Anteiror Proximal.png
Posterior Radius Proximal.png
Radius Anteiror Distal 01.png
Radius Posterior Distal.png
Anterior and posterior view of radius bone - labelled.

Near the wrist

The distal end of the radius is large and of quadrilateral form.

Joint surfaces

It is provided with two articular surfaces – one below, for the carpus, and another at the medial side, for the ulna.

These two articular surfaces are separated by a prominent ridge, to which the base of the triangular articular disk is attached; this disk separates the wrist-joint from the distal radioulnar articulation.

Other surfaces

This end of the bone has three non-articular surfaces – volar, dorsal, and lateral.

Body

The body of the radius (or shaft of radius) is prismoid in form, narrower above than below, and slightly curved, so as to be convex lateralward. It presents three borders and three surfaces.

Borders

The volar border (margo volaris; anterior border; palmar;) extends from the lower part of the tuberosity above to the anterior part of the base of the styloid process below, and separates the volar from the lateral surface. Its upper third is prominent, and from its oblique direction has received the name of the oblique line of the radius; it gives origin to the flexor digitorum superficialis muscle (also flexor digitorum sublimis) and flexor pollicis longus muscle; the surface above the line gives insertion to part of the supinator muscle. The middle third of the volar border is indistinct and rounded. The lower fourth is prominent, and gives insertion to the pronator quadratus muscle, and attachment to the dorsal carpal ligament; it ends in a small tubercle, into which the tendon of the brachioradialis muscle is inserted.

The dorsal border (margo dorsalis; posterior border) begins above at the back of the neck, and ends below at the posterior part of the base of the styloid process; it separates the posterior from the lateral surface. is indistinct above and below, but well-marked in the middle third of the bone.

The interosseous border (internal border; crista interossea; interosseous crest;) begins above, at the back part of the tuberosity, and its upper part is rounded and indistinct; it becomes sharp and prominent as it descends, and at its lower part divides into two ridges which are continued to the anterior and posterior margins of the ulnar notch. To the posterior of the two ridges the lower part of the interosseous membrane is attached, while the triangular surface between the ridges gives insertion to part of the pronator quadratus muscle. This crest separates the volar from the dorsal surface, and gives attachment to the interosseous membrane. The connection between the two bones is actually a joint referred to as a syndesmosis joint.

Surfaces

The volar surface (facies volaris; anterior surface) is concave in its upper three-fourths, and gives origin to the flexor pollicis longus muscle; it is broad and flat in its lower fourth, and affords insertion to the Pronator quadratus. A prominent ridge limits the insertion of the Pronator quadratus below, and between this and the inferior border is a triangular rough surface for the attachment of the volar radiocarpal ligament. At the junction of the upper and middle thirds of the volar surface is the nutrient foramen, which is directed obliquely upward.

The dorsal surface (facies dorsalis; posterior surface) is convex, and smooth in the upper third of its extent, and covered by the Supinator. Its middle third is broad, slightly concave, and gives origin to the Abductor pollicis longus above, and the extensor pollicis brevis muscle below. Its lower third is broad, convex, and covered by the tendons of the muscles which subsequently run in the grooves on the lower end of the bone.

The lateral surface (facies lateralis; external surface) is convex throughout its entire extent and is known as the convexity of the radius, curving outwards to be convex at the side. Its upper third gives insertion to the supinator muscle. About its center is a rough ridge, for the insertion of the pronator teres muscle. [2] Its lower part is narrow, and covered by the tendons of the abductor pollicis longus muscle and extensor pollicis brevis muscle.

Near the elbow

The upper extremity of the radius (or proximal extremity) presents a head, neck, and tuberosity.

Development

The radius is ossified from three centers: one for the body, and one for each extremity. That for the body makes its appearance near the center of the bone, during the eighth week of fetal life.

Ossification commences in the lower end between 9 and 26 months of age.[ citation needed ] The ossification center for the upper end appears by the fifth year.

The upper epiphysis fuses with the body at the age of seventeen or eighteen years, the lower about the age of twenty.

An additional center sometimes found in the radial tuberosity, appears about the fourteenth or fifteenth year.

Function

Muscle attachments

The biceps muscle inserts on the radial tuberosity of the upper extremity of the bone. The upper third of the body of the bone attaches to the supinator, the flexor digitorum superficialis, and the flexor pollicis longus muscles. The middle third of the body attaches to the extensor ossis metacarpi pollicis, extensor primi internodii pollicis, and the pronator teres muscles. The lower quarter of the body attaches to the pronator quadratus muscle and the tendon of the supinator longus.

Clinical significance

Radial aplasia refers to the congenital absence or shortness of the radius.

Fracture

A subtle radial head fracture with associated positive sail sign Pradialheadfrac.png
A subtle radial head fracture with associated positive sail sign

Specific fracture types of the radius include:

Illustration showing radius shaft fracture Forearm fracture - Radius fracture 2 -- Smart-Servier.png
Illustration showing radius shaft fracture

History

The word radius is Latin for "ray". In the context of the radius bone, a ray can be thought of rotating around an axis line extending diagonally[ clarification needed ] from center of capitulum to the center of distal ulna. While the ulna is the major contributor to the elbow joint, the radius primarily contributes to the wrist joint. [4]

The radius is named so because the radius (bone) acts like the radius (of a circle). It rotates around the ulna and the far end (where it joins to the bones of the hand), known as the styloid process of the radius, is[ clarification needed ] the distance from the ulna (center of the circle) to the edge of the radius (the circle). The ulna acts as the center point to the circle because when the arm is rotated the ulna does not move.

Other animals

In four-legged animals, the radius is the main load-bearing bone of the lower forelimb. Its structure is similar in most terrestrial tetrapods, but it may be fused with the ulna in some mammals (such as horses) and reduced or modified in animals with flippers or vestigial forelimbs. [5]

Related Research Articles

<span class="mw-page-title-main">Ulna</span> Medial bone from forearm

The ulna or ulnal bone is a long bone found in the forearm that stretches from the elbow to the wrist, and when in anatomical position, is found on the medial side of the forearm. That is, the ulna is on the same side of the forearm as the little finger. It runs parallel to the radius, the other long bone in the forearm. The ulna is longer and the radius is shorter, but the radius is thicker and the ulna is thinner. Therefore, the ulna is considered to be the smaller bone of the two bones in the lower arm. The corresponding bone in the lower leg is the fibula.

<span class="mw-page-title-main">Humerus</span> Long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

<span class="mw-page-title-main">Radial nerve</span> Nerve in the human body that supplies the posterior portion of the upper limb

The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.

<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.

The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is used to describe the entire appendage of the upper limb, but which in anatomy, technically, means only the region of the upper arm, whereas the lower "arm" is called the forearm. It is homologous to the region of the leg that lies between the knee and the ankle joints, the crus.

<span class="mw-page-title-main">Extensor carpi radialis longus muscle</span>

The extensor carpi radialis longus is one of the five main muscles that control movements at the wrist. This muscle is quite long, starting on the lateral side of the humerus, and attaching to the base of the second metacarpal bone.

In human anatomy, extensor carpi radialis brevis is a muscle in the forearm that acts to extend and abduct the wrist. It is shorter and thicker than its namesake extensor carpi radialis longus which can be found above the proximal end of the extensor carpi radialis brevis.

<span class="mw-page-title-main">Tibia</span> Leg bone in vertebrates

The tibia, also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates ; it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body.

<span class="mw-page-title-main">Fibula</span> Leg bone in vertebrates

The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.

<span class="mw-page-title-main">Upper limb</span> Consists of the arm, forearm, and hand

The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the arm, forearm and hand, and is primarily used for climbing, lifting and manipulating objects.

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.

The flexor pollicis longus is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is unique to humans, being either rudimentary or absent in other primates. A meta-analysis indicated accessory flexor pollicis longus is present in around 48% of the population.

The pronator teres is a muscle that, along with the pronator quadratus, serves to pronate the forearm. It has two origins, at the medial humeral supracondylar ridge and the ulnar tuberosity, and inserts near the middle of the radius.

<span class="mw-page-title-main">Supinator muscle</span> Muscle of the forearm in humans

In human anatomy, the supinator is a broad muscle in the posterior compartment of the forearm, curved around the upper third of the radius. Its function is to supinate the forearm.

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>

In human anatomy, the extensor pollicis brevis 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 (EPB) 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.

<span class="mw-page-title-main">Posterior interosseous nerve</span> Nerve of the forearm

The posterior interosseous nerve is a nerve in the forearm. It is the continuation of the deep branch of the radial nerve, after this has crossed the supinator muscle. It is considerably diminished in size compared to the deep branch of the radial nerve. The nerve fibers originate from cervical segments C7 and C8 in the spinal column.

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">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>

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.

References

PD-icon.svgThis article incorporates text in the public domain from page 219 of the 20th edition of Gray's Anatomy (1918)

  1. Clemente, Carmine D. (2007), Anatomy: A Regional Atlas of the Human Body (5th ed.), Philadelphia, PA: Lippincott Williams & Wilkins
  2. Moore, Keith; Anne Agur (2007). Essential Clinical Anatomy Third Edition. USA: Lippincott Williams & Wilkins. p. 446. ISBN   978-0-7817-6274-8.
  3. Essex Lopresti fracture at Wheeless' Textbook of Orthopaedics online
  4. Marieb, E., R.N., Ph.D; Mallatt, J., Ph.D. & Wilhelm, P., Ph.D. (2008), Human Anatomy (5th ed.), San Francisco, CA: Pearson Benjamin Cummings, p. 188{{citation}}: CS1 maint: multiple names: authors list (link)
  5. Romer, Alfred Sherwood; Parsons, Thomas S. (1977). The Vertebrate Body. Philadelphia, PA: Holt-Saunders International. p. 199. ISBN   0-03-910284-X.