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In the leg, the syndesmosis between the tibia and fibula strongly unites the bones, allows for little movement, and firmly locks the talus bone in place between the tibia and fibula at the ankle joint. This provides strength and stability to the leg and ankle, which are important during weight bearing.
The ankle joint is a highly constrained, complex hinge joint composed of three bones: the tibia, the fibula, and the talus. [6] [7] The weight-bearing aspect of the tibia closest to the foot (known as the plafond) connects with the talus.
The bony architecture of the ankle consists of three bones: the tibia, the fibula, and the talus. The articular surface of the tibia may be referred to as the plafond (French for "ceiling"). [10] The medial malleolus is a bony process extending distally off the medial tibia. The distal-most aspect of the fibula is called the lateral malleolus ...
The distal tibiofibular joint (tibiofibular syndesmosis) is formed by the rough, convex surface of the medial side of the distal end of the fibula, and a rough concave surface on the lateral side of the tibia. [2] The part of the ankle joint known as the talocrural joint, is a synovial hinge joint that connects the distal ends of the tibia and ...
The ankle joint consists of the talus resting within the mortise created by the tibia and fibula as previously described. Since the talus is wider anteriorly (in the front) than posteriorly (at the back), as the front of the foot is raised (dorsiflexed) reducing the angle between the foot and lower leg to less than 90°, then the mortise is confronted with an increasingly wider talus.
The joint between the tibia and fibula above and the tarsus below is referred to as the ankle joint proper. In humans the largest bone in the tarsus is the calcaneus, which is the weight-bearing bone within the heel of the foot.
Stress fractures most frequently occur in weight-bearing bones of the lower extremities, such as the tibia and fibula (bones of the lower leg), metatarsal and navicular bones (bones of the foot). Less common are stress fractures to the femur, pelvis, and sacrum. Treatment usually consists of rest followed by a gradual return to exercise over a ...
Patients generally do not report pain near the proximal fibula, so physical examination such as palpation along the fibula is effective for differentiating a Maisonneuve fracture from an isolated syndesmotic injury. [4] Feeling pain near the proximal fibula during palpation is a positive indication of a Maisonneuve fracture. [12]
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