The Radius

Original Author: Oliver Jones
Last Updated: March 23, 2017
Revisions: 29
Fig 1.0 - The anatomical position of the ulna.

Fig 1.0 – The anatomical position of the radius.

The radius is a long bone in the forearm. It lies laterally and parallel to ulna, the second of the forearm bones. The radius pivots around the ulna to produce movement at the proximal and distal radio-ulnar joints.

The radius articulates in four places:

  • Elbow joint – Partly formed by an articulation between the head of the radius, and the capitulum of the humerus.
  • Wrist joint – An articulation between the distal end of the radius and the carpal bones.
  • Distal radioulnar joint – An articulation between the ulnar notch and the head of the ulna.

In this article, we shall look at the bony landmarks and osteological features of the radius.


Proximal Region of the Radius

The proximal end of the radius articulates in both the elbow and proximal radioulnar joints.

Important bony landmarks include the head, neck and radial tuberosity:

  • Head of radius –  A disk shaped structure, with a concave articulating surface. It is thicker medially, where it takes part in the proximal radioulnar joint.
  • Neck – A narrow area of bone, which lies between the radial head and radial tuberosity.
  • Radial tuberosity – A bony projection, which serves as the place of attachment of the biceps brachii muscle.

Fig 1.1 – Bony landmarks of the proximal radius.


Shaft of the Radius

The radial shaft expands in diameter as it moves distally. Much like the ulna, it is triangular in shape, with three borders and three surfaces.

In the middle of the lateral surface, there is a small roughening for the attachment of the pronator teres muscle.


Distal Region of the Radius

In the distal region, the radial shaft expands to form a rectangular end. The lateral side projects distally as the styloid process. In the medial surface, there is a concavity, called the ulnar notch, which articulates with the head of ulna, forming the distal radioulnar joint.

The distal surface of the radius has two facets, for articulation with the scaphoid and lunate carpal bones. This makes up the wrist joint.

Fig 1.0 - Articular surfaces of the wrist joint.

Fig 1.0 – Articular surfaces of the wrist joint.

Clinical Relevance: Common Fractures of the Radius

The forearm is a common site for bone fractures. Here, we shall look at the common fracture types involving the radius:

  • Colles’ Fracture – The most common type of radial fracture. A fall onto an outstretched hand causing a fracture of the distal radius. The structures distal to the fracture (wrist and hand) are displaced posteriorly. It produces what is known as the ‘dinner fork deformity’.
  • Fractures of the radial head – This is characteristically due to falling on an outstretched hand. The radial head is forced into the capitulum of humerus, causing it to fracture.
  • Smith’s Fracture –  A fracture caused by falling onto the back of the hand. It is the opposite of a Colles’ fracture, as the distal fragment is now placed anteriorly.
Fig 1.3 - Colles' fracture of the wrist. Note the 'dinner fork' deformity, produced by the posterior displacement of the radius.

Fig 1.3 – Colles’ fracture of the wrist. Note the ‘dinner fork’ deformity, produced by the posterior displacement of the radius.

The radius and the ulna are attached by the interosseous membrane. The force of a trauma to one bone can be transmitted to the other via this membrane. Thus, fractures of both the forearm bones are not uncommon.

There are two classical fractures:

  • Monteggia’s Fracture – Usually caused by a force from behind the ulna. The proximal shaft of ulna is fractured, and the head of the radius dislocates anteriorly at the elbow.
  • Galeazzi’s Fracture – A fracture to the distal radius, with the ulna head dislocating at the distal radio-ulnar joint.

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Quiz

Question 1 / 8
Which of the following bones does the radius not articulate with?

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Question 2 / 8
Which of the following is NOT a landmark located on the proximal radius?

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Question 3 / 8
Which muscle attaches to the lateral surface of the radius?

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Question 4 / 8
What landmark on the radius articulates with the distal ulna?

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Question 5 / 8
In a Colles fracture, in which direction is the distal radius displaced?

Quiz

Question 6 / 8
The radial tuberosity serves as an attachment point for which muscle?

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Question 7 / 8
Which of the following carpals articulate with the radius?

Quiz

Question 8 / 8
Falling onto the back of the hand will most likely result in which of the following fractures?

Results

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