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The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute '' tibia''. It is the second largest bone in the human body, after the
femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates ...
. The leg bones are the strongest long bones as they support the rest of the body.


Structure

In human anatomy, the tibia is the second largest bone next to the
femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates ...
. As in other vertebrates the tibia is one of two bones in the lower leg, the other being the fibula, and is a component of the knee and ankle joints. The ossification or formation of the bone starts from three centers, one in the shaft and one in each extremity. The tibia is categorized as a long bone and is as such composed of a diaphysis and two epiphyses. The diaphysis is the midsection of the tibia, also known as the
shaft Shaft may refer to: Rotating machine elements * Shaft (mechanical engineering), a rotating machine element used to transmit power * Line shaft, a power transmission system * Drive shaft, a shaft for transferring torque * Axle, a shaft around whi ...
or body. While the epiphyses are the two rounded extremities of the bone; an upper (also known as superior or proximal) closest to the thigh and a lower (also known as inferior or distal) closest to the foot. The tibia is most contracted in the lower third and the distal extremity is smaller than the proximal.


Upper extremity


Condyles of tibia

The proximal or upper extremity of the tibia is expanded in the transverse plane with a medial and lateral condyle, which are both flattened in the horizontal plane. The medial condyle is the larger of the two and is better supported over the
shaft Shaft may refer to: Rotating machine elements * Shaft (mechanical engineering), a rotating machine element used to transmit power * Line shaft, a power transmission system * Drive shaft, a shaft for transferring torque * Axle, a shaft around whi ...
. The upper surfaces of the condyles articulate with the femur to form the tibiofemoral joint, the weightbearing part of the kneejoint. The medial and lateral condyle are separated by the intercondylar area, where the cruciate ligaments and the menisci attach. Here the medial and lateral intercondylar tubercle forms the intercondylar eminence. Together with the medial and lateral condyle the intercondylar region forms the
tibial plateau Tibial may refer to: * Tibia bone * Tibial nerve * Anterior tibial artery * Posterior tibial artery * Anterior tibial vein * Posterior tibial vein The posterior tibial veins are veins of the leg in humans. They drain the posterior compartment o ...
, which both articulates with and is anchored to the
lower extremity of the femur The lower extremity of femur (or distal extremity) is the lower end of the femur (thigh bone) in human and other animals, closer to the knee. It is larger than the upper extremity of femur, is somewhat cuboid in form, but its transverse diameter i ...
. The intercondylar eminence divides the intercondylar area into an anterior and posterior part. The anterolateral region of the anterior intercondylar area are perforated by numerous small openings for nutrient arteries. The articular surfaces of both condyles are concave, particularly centrally. The flatter outer margins are in contact with the menisci. The medial condyles superior surface is oval in form and extends laterally onto the side of medial intercondylar tubercle. The lateral condyles superior surface is more circular in form and its medial edge extends onto the side of the lateral intercondylar tubercle. The posterior surface of the medial condyle bears a horizontal groove for part of the attachment of the semimembranosus muscle, whereas the lateral condyle has a circular facet for articulation with the head of the fibula. Beneath the condyles is the
tibial tuberosity The tuberosity of the tibia or tibial tuberosity or tibial tubercle is an elevation on the proximal, anterior aspect of the tibia, just below where the anterior surfaces of the lateral and medial tibial condyles end. Structure The tuberosity o ...
which serves for attachment of the patellar ligament, a continuation of the quadriceps femoris muscle.


Facets

The superior articular surface presents two smooth articular facets. * The medial facet, oval in shape, is slightly concave from side to side, and from before backward. * The lateral, nearly circular, is concave from side to side, but slightly convex from before backward, especially at its posterior part, where it is prolonged on to the posterior surface for a short distance. The central portions of these facets articulate with the condyles of the
femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates ...
, while their peripheral portions support the menisci of the knee joint, which here intervene between the two bones.


Intercondyloid eminence

Between the articular facets in the intercondylar area, but nearer the posterior than the anterior aspect of the bone, is the intercondyloid eminence (''spine of tibia''), surmounted on either side by a prominent tubercle, on to the sides of which the articular facets are prolonged; in front of and behind the intercondyloid eminence are rough depressions for the attachment of the anterior and posterior cruciate ligaments and the menisci.


Surfaces

The ''anterior surfaces'' of the condyles are continuous with one another, forming a large somewhat flattened area; this area is triangular, broad above, and perforated by large vascular foramina; narrow below where it ends in a large oblong elevation, the tuberosity of the tibia, which gives attachment to the patellar ligament; a bursa intervenes between the deep surface of the ligament and the part of the bone immediately above the tuberosity. ''Posteriorly,'' the condyles are separated from each other by a shallow depression, the posterior intercondyloid fossa, which gives attachment to part of the posterior cruciate ligament of the knee-joint. The medial condyle presents posteriorly a deep transverse groove, for the insertion of the tendon of the semimembranosus. Its ''medial surface'' is convex, rough, and prominent; it gives attachment to the medial collateral ligament. The lateral condyle presents posteriorly a flat articular facet, nearly circular in form, directed downward, backward, and lateralward, for articulation with the head of the fibula. Its ''lateral surface'' is convex, rough, and prominent in front: on it is an eminence, situated on a level with the upper border of the tuberosity and at the junction of its anterior and lateral surfaces, for the attachment of the iliotibial band. Just below this a part of the
extensor digitorum longus The extensor digitorum longus is a pennate muscle, situated at the lateral part of the front of the leg. Origin and insertion It arises from the lateral condyle of the tibia; from the upper three-quarters of the anterior surface of the body of ...
takes origin and a slip from the tendon of the
biceps femoris The biceps femoris () is a muscle of the thigh located to the posterior, or back. As its name implies, it has two parts, one of which (the long head) forms part of the hamstrings muscle group. Structure It has two heads of origin: *the ''long ...
is inserted.


Shaft

The shaft or body of the tibia is triangular in cross-section and forms three borders: an anterior, medial, and lateral or interosseous border. These three borders form three surfaces: the medial, lateral, and posterior. The forward flat part of the tibia is called the fibia, often confused with the fibula.


Borders

The anterior crest or border, the most prominent of the three, commences above at the tuberosity, and ends below at the anterior margin of the
medial malleolus A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the promi ...
. It is sinuous and prominent in the upper two-thirds of its extent, but smooth and rounded below; it gives attachment to the
deep fascia Deep fascia (or investing fascia) is a fascia, a layer of dense connective tissue that can surround individual muscles and groups of muscles to separate into fascial compartments. This fibrous connective tissue interpenetrates and surrounds the ...
of the leg. The medial border is smooth and rounded above and below, but more prominent in the center. It begins at the back part of the medial condyle, and ends at the posterior border of the medial malleolus; its upper part gives attachment to the tibial collateral ligament of the knee-joint to the extent of about 5 cm., and insertion to some fibers of the
popliteus muscle The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the gait cycle (one with the foot in contact with the ground). In open chain movements ...
. From its middle third some fibers of the soleus and flexor digitorum longus muscles take origin. The interosseous crest or lateral border is thin and prominent, especially its central part, and gives attachment to the
interosseous membrane An interosseous membrane is a thick dense fibrous sheet of connective tissue that spans the space between two bones, forming a type of syndesmosis joint. Interosseous membranes in the human body: * Interosseous membrane of forearm * Interosseous ...
; it commences above in front of the fibular articular facet, and bifurcates below, to form the boundaries of a triangular rough surface, for the attachment of the interosseous ligament connecting the tibia and fibula.


Surfaces

The medial surface is smooth, convex, and broader above than below; its upper third, directed forward and medialward, is covered by the aponeurosis derived from the tendon of the sartorius, and by the tendons of the Gracilis and Semitendinosus, all of which are inserted nearly as far forward as the anterior crest; in the rest of its extent it is subcutaneous. The lateral surface is narrower than the medial; its upper two-thirds present a shallow groove for the origin of the Tibialis anterior; its lower third is smooth, convex, curves gradually forward to the anterior aspect of the bone, and is covered by the tendons of the Tibialis anterior, Extensor hallucis longus, and
Extensor digitorum longus The extensor digitorum longus is a pennate muscle, situated at the lateral part of the front of the leg. Origin and insertion It arises from the lateral condyle of the tibia; from the upper three-quarters of the anterior surface of the body of ...
, arranged in this order from the medial side. The posterior surface presents, at its upper part, a prominent ridge, the popliteal line, which extends obliquely downward from the back part of the articular facet for the fibula to the medial border, at the junction of its upper and middle thirds; it marks the lower limit of the insertion of the Popliteus, serves for the attachment of the fascia covering this muscle, and gives origin to part of the Soleus, Flexor digitorum longus, and
Tibialis posterior The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg. Structure The tibialis posterior muscle originates on the i ...
. The triangular area, above this line, gives insertion to the Popliteus. The middle third of the posterior surface is divided by a vertical ridge into two parts; the ridge begins at the popliteal line and is well-marked above, but indistinct below; the medial and broader portion gives origin to the Flexor digitorum longus, the lateral and narrower to part of the
Tibialis posterior The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg. Structure The tibialis posterior muscle originates on the i ...
. The remaining part of the posterior surface is smooth and covered by the Tibialis posterior, Flexor digitorum longus, and
Flexor hallucis longus The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus an ...
. Immediately below the popliteal line is the nutrient foramen, which is large and directed obliquely downward.


Lower extremity

The distal end of the tibia is much smaller than the proximal end and presents five surfaces; it is prolonged downward on its medial side as a strong pyramidal process, the
medial malleolus A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the promi ...
. The lower extremity of the tibia together with the fibula and talus forms the ankle joint.


Surfaces

The inferior articular surface is quadrilateral, and smooth for articulation with the talus. It is concave from before backward, broader in front than behind, and traversed from before backward by a slight elevation, separating two depressions. It is continuous with that on the medial malleolus. The anterior surface of the lower extremity is smooth and rounded above, and covered by the tendons of the Extensor muscles; its lower margin presents a rough transverse depression for the attachment of the articular capsule of the ankle-joint. The posterior surface is traversed by a shallow groove directed obliquely downward and medialward, continuous with a similar groove on the posterior surface of the talus and serving for the passage of the tendon of the
Flexor hallucis longus The flexor hallucis longus muscle (FHL) is one of the three deep muscles of the posterior compartment of the leg that attaches to the plantar surface of the distal phalanx of the great toe. The other deep muscles are the flexor digitorum longus an ...
. The lateral surface presents a triangular rough depression for the attachment of the inferior interosseous ligament connecting it with the fibula; the lower part of this depression is smooth, covered with cartilage in the fresh state, and articulates with the fibula. The surface is bounded by two prominent borders (the anterior and posterior colliculi), continuous above with the interosseous crest; they afford attachment to the anterior and posterior ligaments of the lateral malleolus. The medial surface -- see
medial malleolus A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the promi ...
for details.


Fractures

Ankle fractures of the tibia have several classification systems based on location or mechanism: *
Medial malleolus A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the promi ...
- Herscovici classification * Posterior malleolus - Haruguchi classification *Mechanism - Lauge-Hansen classification


Blood supply

The tibia is supplied with blood from two sources: A nutrient artery, as the main source, and periosteal vessels derived from the anterior tibial artery.


Joints

The tibia is a part of four joints; the knee, ankle,
superior Superior may refer to: *Superior (hierarchy), something which is higher in a hierarchical structure of any kind Places *Superior (proposed U.S. state), an unsuccessful proposal for the Upper Peninsula of Michigan to form a separate state *Lake ...
and inferior tibiofibular joint. In the knee the tibia forms one of the two articulations with the
femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates ...
, often referred to as the ''tibiofemoral components'' of the knee joint.; it is the weightbearing part of the knee joint. The tibiofibular joints are the articulations between the tibia and fibula which allows very little movement. The proximal tibiofibular joint is a small plane joint. The joint is formed between the undersurface of the lateral tibial condyle and the
head of fibula The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity i ...
. The joint capsule is reinforced by anterior and posterior ligament of the head of the fibula. 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. 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 fibula in the lower limb with the proximal end of the talus. The articulation between the tibia and the talus bears more weight than between the smaller fibula and the talus.


Development

The tibia is ossified from three centers: a primary center for the diaphysis (shaft) and a secondary center for each epiphysis (extremity). Ossification begins in the center of the body, about the seventh week of fetal life, and gradually extends toward the extremities. The center for the upper epiphysis appears before or shortly after birth at close to 34 weeks gestation; it is flattened in form, and has a thin tongue-shaped process in front, which forms the tuberosity; that for the lower epiphysis appears in the second year. The lower epiphysis fuses with the tibial shaft at about the eighteenth, and the upper one fuses about the twentieth year. Two additional centers occasionally exist, one for the tongue-shaped process of the upper epiphysis, which forms the tuberosity, and one for the
medial malleolus A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the promi ...
.


Function


Muscle attachments


Strength

The tibia has been modeled as taking an axial force during walking that is up to 4.7 bodyweight. Its bending moment in the sagittal plane in the late stance phase is up to 71.6 bodyweight times millimetre.


Clinical significance


Fracture

Fractures of the tibia can be divided into those that only involve the tibia; bumper fracture,
Segond fracture The Segond fracture is a type of avulsion fracture (soft tissue structures pulling off fragments of their bony attachment) from the lateral tibial plateau of the knee, immediately below the articular surface of the tibia (see photo). Clinical ...
, Gosselin fracture,
toddler's fracture Toddler's fractures are bone fractures of the distal (lower) part of the shin bone (tibia) in toddlers (aged 9 months-3 years) and other young children (less than 8 years). The fracture is found in the distal two thirds of the tibia in 95% of cas ...
, and those including both the tibia and fibula; trimalleolar fracture, bimalleolar fracture,
Pott's fracture Pott's fracture, also known as Pott's syndrome I and Dupuytren fracture, is an archaic term loosely applied to a variety of bimalleolar ankle fractures. The injury is caused by a combined abduction external rotation from an eversion force. This ...
.


Society and culture

In Judaism, the tibia, or shankbone, of a goat is used in the Passover Seder plate.


Other animals

The structure of the tibia in most other tetrapods is essentially similar to that in humans. The tuberosity of the tibia, a crest to which the patellar ligament attaches in mammals, is instead the point for the tendon of the quadriceps muscle in reptiles, birds, and amphibians, which have no
patella The patella, also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in many tetrapods, such as ...
.


Additional images

File:Right tibia - close up - animation.gif, Shape of right tibia File:Human tibia.stl, 3D image File:Braus 1921 292.png, Longitudinal section of tibia showing interior File:Gray345.png, Right knee-joint. Anterior view. File:Gray347.png, Right knee joint from the front, showing interior ligaments File:Gray348.png, Left knee joint from behind, showing interior ligaments File:Gray356.png, Left talocrural joint File:Gray357.png, Coronal section through right talocrural and talocalcaneal joints File:Slide3Bubu.JPG, Dorsum of Foot. Ankle joint. Deep dissection File:Slide2bubu.JPG, Dorsum of Foot. Ankle joint. Deep dissection File:Slide2tat.JPG, Ankle joint. Deep dissection. Anterior view File:Gray258.png, Bones of the right leg. Anterior surface File:Gray259.png, Bones of the right leg. Posterior surface File:Slide2coco.JPG, Dorsum of Foot. Ankle joint. Deep dissection. File:Slide4CEC3.JPG, Ankle joint. Deep dissection. File:Slide5CEC4.JPG, Ankle joint. Deep dissection. File:Slide7CEC6.JPG, Ankle joint. Deep dissection. File:Slide8CEC7.JPG, Ankle joint. Deep dissection. File:Tibia Anatomy by Jason Christian.webm, Tibia Anatomy


See also

* Shin splints *
Squatting facets Squatting is a versatile posture where the weight of the body is on the feet but the knees and hips are bent. In contrast, sitting involves taking the weight of the body, at least in part, on the buttocks against the ground or a horizontal object. ...


References

{{Authority control Bones of the lower limb Long bones