00:01
Now let's continue our
journey with the bones
of the lower limb and
look at the tibia.
00:06
So here we've got the anterior
surface of our right leg.
00:10
And you can see we have the
medially positioned tibia,
and then the fibula is
positioned more laterally,
remembering that the
fibula doesn't have
a role to play within
the knee joint.
00:20
So got the tibia and fibula,
forming the bones of the leg.
00:25
Here we can see the
tibia as got a very
similar structure to
that of the femur.
00:30
So it has a proximal end
of shaft and a distal end.
00:33
Let's look at those
in more detail.
00:36
So here we're looking at the
proximal end of the tibia.
00:39
We can see its articular
surface which is going
through articulate with
the condyles of the femur.
00:44
And we have similar names,
we have a lateral
and a medial condyle.
00:48
So those dilations which
enable that increased
bony congruency between
the two surfaces.
00:55
Most anteriorly, we have
the tibial tuberosity.
00:58
And that's an important
attachment site for the tendon
that's coming down from the
thigh through the patella,
so it attaches the
tibial tuberosity.
01:06
There's a quadriceps
tendon continues
through the patella onto
the patellar tendon.
01:11
Here we have in between the
two medial and lateral condyle.
01:15
So in between the two condyles,
we have the
intercondylar eminence,
and then we can see this
tibial plateau really
this broad aspect which
is the articular surface.
01:26
Here we can see the articular
surface in more detail,
the medial and lateral condyles and
anteriorly to orientate ourselves.
01:33
In this view, we have
the tibial tuberosity.
01:36
Again, here's the
intercondylar eminence.
01:39
What we have in this
region is important
landmarks for various
ligaments to attach to
and again, we'll come
back to that when
we look at the knee
joints specifically.
01:47
But here we have the
anterior intercondylar area
and we have the posterior
intercondylar area.
01:52
Important attachment sites
for our cruciate ligaments,
which again, we'll come
to in the knee joint,
but important attachment sites.
01:59
So remember their name
and their location.
02:02
If we then have a look at
the shaft of the tibia,
we've got an anterior
view and a posterior view.
02:07
Here we've got a nice
broad anterior border,
there we can see it as a sharp
ridge that's coming along,
giving way down to the
lateral border and to
the medial border, we
can see there as well.
02:19
So we've got a sharp anterior
ridge forming that border.
02:22
And you can see it's kind
of broadly sweeping down
from the tibial tuberosity
all the way down the shaft,
but it's quite an
elevated ridge which means
we then have a medial
border and a lateral border
on the sides of that
ridge we can see there.
02:35
This gives rise to the lateral
and the medial surface,
very similar to what
we had on the posterior
aspects of the femur
we saw previously.
02:44
Then on the posterior surface,
we have a smooth
flat surface which
we've got this
posterior surface here,
there's a slight line
called the soleal line.
02:53
And that helps with the
position of the soleus muscle
which we'll see in a moment or
two when we look at those muscles.
03:00
Okay, if we move on to the
distal end of the tibia,
here we can see we
have a distal tip
and then a medial malleolus.
03:08
Notice that you don't
have a lateral malleolus
because this time, the tibia and
the fibula formed the ankle joint.
03:16
So the lateral malleolus is
actually located on the fibula.
03:20
Here we can bring in the fibula.
03:21
And we can see how the
fibula and the tibia
unite there with the
tibiofibular sydesmosis
we can see a union between
those two bones there.
03:30
And here, we can now see we've
got the articular surfaces.
03:33
So this is the
articular surface that's
articulating with
the ankle joint.
03:37
And again, we'll come
back to that later on,
specifically with the talus of
the tassel bones within the foot.
03:45
So we're gonna see the articular
surface of the medial malleolus
and the articular surface
of the lateral malleolus,
which you can see on the
underside of the fibula.
03:54
And here when we introduce the
talus of the foot into this region,
you can see how it
forms the ankle joint.
04:01
Therefore, what I didn't
mention previously
because it wasn't there, but now
we can see the lateral malleolus.
04:06
If we go back to
the previous slide,
we can see we have the articular
surface of the lateral malleolus.
04:11
You can see indicated
on the undersurface
as we bring that in, you can see
that lateral malleolus there.
04:17
So notice the tibia
doesn't have a
lateral malleolus,
but the fibula does.
04:21
And notice how the
fibula doesn't have
a medial malleolus
but the tibia does.
04:26
Together they form those
two malleoli that enable
articulation with the
talus at the ankle joint.