Anatomical Variants of Lister’s Tubercle. Presentation of an Imaging Classification and Its Clinical Utility
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Abstract
Materials and Methods: Retrospective study using images from MRI database files between 03/01/19 to 11/10/19. We included MRI of the wrist of healthy patients (axial, sagittal, and coronal slices of 1 mm thickness) who were older than 18 years, with no history of previous or current wrist or carpal fracture, excluding those who did not meet these criteria. We analyzed LT, height of the radial and ulnar peaks, the angle, tubercle length, depth of the grooves and septum height. We evaluated the EPL, analyzing the height, thickness, surface, and presence of associated inflammation.
Results: We evaluated 500 MRI of the wrist, obtaining 11 different subtypes of LT. We found 411 type 1 Lister tubercles, 58 type 2, and 26 type 3. Among these, the most frequent were types 1b. 26.6% presentedasymptomatic inflammation in 3rd and 4th compartments.
Conclusion: Lister’s tubercle is of importance in many procedures and serves as an anatomical landmark, meriting to know its most frequent pattern and its anatomical variants. We propose an extension of the classification, adding new types of tubercles to be known and their relationship with the EPL.
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References
magnetic resonance imaging. Korean J Radiol 2017;18(6):957-63. https://doi.org/10.3348/kjr.2017.18.6.957
2. Agir I, Aytekin MN, Kucukdurmaz F, Gokhan S, Cavus UY. Anatomical localization of Lister’s tubercle and its
clinical and surgical importance. Open Othorp J 2014;8:74-7. https://doi.org/10.2174/1874325001408010074
3. Tubbs RS, Salter EG, Wellons JC 3rd, Blount JP, Oakes WJ. Superficial surgical landmarks for indentifying the
posterior interosseous nerve. J Neurosurg 2006;104(5):796-9. PMID: 16703886
4. Netscher DT, Hamilton KL. Interphalangeal joint salvage arthrodesis using the Lister tubercle as bone graft. J Hand Surg Am 2012;37(10):2145-9. https://doi.org/10.1016/j.jhsa.2012.05.043
5. Clement H, Pichler W, Nelson D, Hausleitner L, Tesch NP, Grechenig W. Morphometric analysis of Lister´s tubercle and its consequences on volar plate fixation of distal radius fractures. J Hand Surg Am 2008;33(10):1716-9. https://doi.org/10.1016/j.jhsa.2008.08.012
6. Ferreres A, Llusá M, García-Elías M, Lluch A. A possible mechanism of direct injury to the EPL tendon at Lister´s
tubercle during falls with the wrist fully extended. J Hand Surg Eur Vol 2008;33(2):149-1. https://doi.org/10.1177/1753193407087575
7. Benson EC, DeCarvalho A, Mikola EA, Veitch JM, Moneim MS. Two potential causes of EPL rupture after distal
radius volar plate fixation. Clin Orthop Relat Res 2006;451:218-22. https://doi.org/10.1097/01.blo.0000223998.02765.0d
8. De Maeseneer M, Marcelis S, Osteaux M. Sonography of a rupture of the tendon of the extensor pollicis longus
muscle: initial clinical experience and correlation with fingings at cadaveric dissection. AJR Am J Roentgenol
2005;184(1):175-9. https://doi.org/10.2214/ajr.184.1.01840175
9. Perugia D, Ciurluini M, Ferretti A. Spontaneous rupture of the extensor pollicis longus tendon in a young
goalkeeper: a case report. Scand J Med Sci Sports 2009;19(2):257-9. https://doi.org/10.1111/j.1600-0838.2008.00779.x
10. Park HY, Roy HT, Min DU, Song SW, Sur YJ. Two-dimensional morphological characteristics of the distal
radius on axial magnetic resonance image and the effects on distal screw length. J Hand Surg Asian Pac Vol
2017;22(2):167-73. https://doi.org/10.1142/S0218810417500204