Anatomy of fibula
LL bone part-5
fibula details, side determination, ossification and it's clinical anatomy. fibula is lateral and smaller bone.
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3. Fibula
It is the lateral and smaller bone of the leg.
It is very thin as compared to the tibia.
It is homologous with the ulna of the upper limb.
4. Side Determination
Upper end and head is expanded in all directions.
Lower end or lateral malleolus is expanded AP direction and
flattened from side to side.
Medial side of lower end bears a triangular articular facet
anteriorly and a deep or malleolar fossa posteriorly.
5. Features
Fibula has an upper end, shaft and lower end.
UPPER END: Expanded
Superior surfaces bears a circular articulate facet; which articulate
with lateral condyle of tibia.
The Apex of head styloid process projects upwards from its
posterolateral aspect.
Constriction below head is known as neck of the fibula.
9. Features
LOWER END: The tips of lateral malleolus is 0.5cm lower than
medial malleolus.
Anterior surface is 1.5 cm posterior to the that of the medial
malleolus.
It has four surfaces: Anterior (rough)
Posterior
Lateral (subcutaneous)
Medial ( bears triangular articular facets)
10. Functions
The fibula's role is to act as and attachment for muscles, as well as
providing stability of the ankle joint.
The fibula is a non-weight-bearing bone.
11. Attachments
Proximally,
Extensor digitorum longus Superior 3/4 of medial border of fibula,
Extensor hallucis longus Middle of anterior surface
Fibularis tertius Inferior 1/3 of anterior surface
Fibularis longus Fibular head and superior 2/3 of lateral surface
12. Fibularis brevis Inferior 2/3 of lateral surface
Soleus Fibular head (posterior) and superior 1/4 of posterior
surface
Flexor hallucis longus: Inferior 2/3 of posterior surface
Flexor digitorum longus Via tendon
Tibialis posterior Posterior surface
Attachments
17. Ossifications
The fibula ossifies from the one primary and two secondary
centres.
The primary centre for the shaft appears during 8th week of
intrauterine life.
A secondary centre for lower end appears during first year and
fuse with shaft by about 16 years.
18. Clinical Anatomy
The upper and lower ends of the fibula are subcutaneous and
palpable
Common peroneal nerve can be rolled against the neck of fibula;
this nerve commonly injured here.
It leads of foot drop
The fibula is an ideal spare bone for a bone graft.
19. The most common area for fibula fractures are 2-6 cm proximal to
distal end of fibula.
It is associated with ankle fracture.