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Distal radius fractures are the most common fractures seen in adults and children. [4] Distal radius fractures account for 18% of all adult fractures with an approximate rate of 23.6 to 25.8 per 100,000 per year. [25] For children, both boys and girls have a similar incidence of these types of fractures, however the peak ages differ slightly.
The radius is a long bone, prism-shaped and slightly curved longitudinally. 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 head of the radius has a cylindrical form, and on its upper surface is a shallow cup or fovea for articulation with the capitulum of the humerus. The circumference of the head is smooth; it is broad medially where it articulates with the radial notch of the ulna , narrow in the rest of its extent, which is embraced by the annular ligament .
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]
The distal radioulnar joint (DRUJ) is a pivot joint located between the distal ends of the radius and ulna, which make up the forearm. Formed by the head of the ulna and the ulnar notch of the radius, the DRUJ is separated from the radiocarpal (wrist) joint by an articular disk lying between the radius and the styloid process of the ulna.
De Quervain syndrome causes pain over the styloid process of the radius. [3] [4] This is due to the passage of the inflamed extensor pollicis brevis tendon and abductor pollicis longus tendon around it. [4] [5] The styloid process of the radius is a useful landmark during arthroscopic resection of the scaphoid bone. [6]
The radial inclination of a distal radius fracture is shown in red in image at right. The angle is measured between: [4] [5] A line drawn between the distal ends of the articular surface of the radius on an AP view of the wrist. A line that is perpendicular to the diaphysis of the radius. Radial inclination is normally 21-25°. [6]
The terms proximal (from Latin proximus 'nearest') and distal (from Latin distare 'to stand away from') are used to describe parts of a feature that are close to or distant from the main mass of the body, respectively. [29] Thus the upper arm in humans is proximal and the hand is distal.