Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=The Tibia.=--The tibia or _shin bone_ is next longest to the femur
and is on the inner side of the leg, corresponding to the ulna in the
arm. The _shaft_ is prismoid and is more slender for the lower quarter,
where fracture is consequently most frequent. The anterior border forms
the _crest_ or shin and can be felt for its upper two-thirds. The
lower extremity, which is smaller than the upper, articulates with the
astragalus bone of the ankle and with the fibula. Its _head_ or upper
extremity is expanded into two lateral _tuberositis_ for articulation
with the femur and for muscular attachment, both of which can easily
be felt just below the bend of the knee. Their upper surfaces are
smooth and concave, with a vertical bifid spine in the middle and a
prominent tubercle for the attachment of the semilunar cartilages on
either side. On the anterior surface of the head, below, is a rough
eminence or tubercle, which also can be felt. The lower part of this
is for the attachment of the ligamentum patellæ, while the upper part,
which is smoother, is for the bursa that is placed under the tendon to
prevent friction. On the back of the outer tuberosity is a facet for
the head of the fibula. At the lower end there projects downward on the
inner side, overhanging the arch of the foot, the _internal malleolus_,
the prominent part of the ankle. It is on a higher level and somewhat
farther forward than the _external malleolus_.
=The Fibula.=--The fibula is the most slender of all the bones in
proportion to its length and is on the outer side of the leg. Its
_head_ is small and placed toward the back of the tibia below the
knee-joint, from which it is excluded. The head articulates with the
external tuberosity and has extending upward from it the styloid
process. To it is attached the _biceps tendon_ or _outer hamstring_.
At the lower extremity of the shaft is the _external malleolus_, which
articulates with the astragalus and forms the outer ankle. The only
parts of the fibula that can be felt, besides the malleolus, which is
very prominent, are the head and the lower external surface of the
shaft.
In _fracture of the leg_ both bones are usually broken, though either
may be broken separately. _Pott’s fracture_ is fracture of the lower
fibula, and may be caused by stamping hard when stepping on to the
sidewalk. In rickets the tibia becomes bowed outward and forward,
causing _bow leg_, a condition which in very young children may be
rectified by manipulation. Later on braces are needed and after five
years the bones have to be broken and set straight.
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