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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus V: Skeletal System: Tibia and Fibula

Illustrated Encyclopedia of Human Anatomic Variation: Opus V: Skeletal Systems: Leg

Tibia and Fibula

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD

Peer Review Status: Internally Peer Reviewed


This tibia may be absent. It may show side-to-side compression of the shaft (platycnemia) and retroversion of the proximal extremity of the bone.

Additional articular facets on the anterior surface of the distal extremity of the tibia have been recorded. The distal part of the tibia occasionally has a bony canal through which a branch of the anterior tibial artery and a branch of the deep peroneal nerve may run.

It has been reported that the tibia presents more variation in length and form than any other long bone of human limbs.

Absence of the fibula has been frequently recorded.

The primary variations are related to the form and relative size of the surfaces of the shaft. It has been reported that in 7% of cases, the posterior margin of the lateral malleolus was not grooved but was tranversely convex.

A sesamoid bone may be found in the superior peroneal retinaculum, articulating with the lateral malleolus.


References

Aitken, D.M. (1905) A note on the variations of the tibia and astragalus. J. Anat. Physiol. 39:489-491.

Aletter, C. (1932) Über die angeborenen Defekte der Tibia. Frankfurter Z. Pathol. 43:196-221.

Buxton, L.H.D. (1938-39) Platymeria and platycnemia. J. Anat. 73:31-36.

Caix, M. (1958) Etude comparée des différentes longueurs du tibia. Assoc. Anatomistes Comptes Rendus 45:227-230.

Corner, E.M. (1913-14) The clinical picture of congenital absence of the fibula. Brit. J. Surg. 1:203-206.

Coventry, M.B. and E.W. Johnson, Jr. (1952) Congenital absence of the fibula. J. Bone Joint Surg. (Am) 34:941-955.

DeCuveland, E. (1955) über Beziehungen zwischen vorderer Aussenknöchelapophyse und Os subfibulare mit differentialdiagnostischen Erwägungen. Fortschr. Röntgenstr. 83:213-221.

DeCuveland, E. and F. Heuck. (1953) Osteochondropathic eines akzessorischen Knochenkernes am Malleolus tibiae (des sog. Os subtibiale). Fortschr. Röntgenstr. 79:728-732.

Desfosses, P. (1922) Anatomie du vivant. Absence congénitale du péroné chez un jeune homme de 17 ans. La Presse Medicale, No. 9, 30:175.

Dubost-Perret, T. (1950) Le traitement des absences congénitales du péroné et ses résultats. Rev. Orthop. 36:392-403.

Ferguson, A.D. and R.B. Scott. (1952) Congenital absence of the tibia. Am. J. Dis. Child. 84:84-89.

Frantz, C.H. and R. O"Rahilly. (1961) Congenital skeletal limb deficiences. J. Bone Joint Surg. (Am.) 43:1202-1224.

Gray, J.E. (1948) Congenital absence of the tibia. Anat. Rec. 101:265-273.

Gupta, A.K., Berry, M. and I.C. Verma. (1994) Congenital absence of both fibula in four siblings. Pediatr. Radiol. 24:220-221.

Gürkan, K.I. (1949) Aplasie totale du tibia. Rev. Orthop. (Paris) 35:389-390.

Hafferl, A. (1914) über einen abnormen Knochenkanal am unteren Ende der Tibia des Menschen. Anat. Anz. 46:271-272.

Harmon, P.H. and J.J. Fahey. (1937) The syndrome of congenital absence of the fibula: Report of 3 cases with special reference to pathogenesis and treatment. Surg. Gynecol. Obstet. 64:876-887.

Ingrassia, G.F. (1603) In Galeni librum de ossibus. Palermo.

Laurin, C.A., Favreau, J.C. and P. Labelle. (1964) Bilateral absence of the radius and tibia with bilateral reduplication of the ulna and fibula. a case report. J. Bone Joint Surg. (Am) 46:137-142.

M'Laren, J.S. (1889) A case of congenital absence of the tibia. J. Anat. Physiol. 23:598-605.

Nutt, J.J. and E.E. Smith. (1941) Total congenital absence of the tibia. Am. J. Roentgenol. 46:841-849.

Petersen, F. (1956) Anomalie der distalen Fibula. Fortschr. Röntgenstr. 85:118.

Ranke, H. (1880) Bemerkungen über ein fünf Monate altes Kind mit angeborenem Mangel aller Gliedmassen. Arch. Pathol. Anat. Physiol. Klin. Med. 82:360-374.

Rendu, A. (1912) Absence congénitale du Péroné. Rev. Orthop. (Paris) 3:169-174.

Roberts, P.W. (1930) An unusual congenital anomaly of the bones of the leg. J. Bone Joint Surg. (Am) 12:414-415.

Sabatini, G. (1910) Sur cas d'absence congénitale du péroné. Arch. Ital. Biol. 53:151.

Schenck, E. (1907) Über zwie Fälle von typischer Extremitaten-Missbildung (Ulnadefkt, Fibuladefkt). Frankfurter Ztschr. f. Path. 1:545-562.

Scott, R.B. (1941) Congenital absence of the fibula. Its occurrence in a premature negro infant. Am. J. Dis. Child. 61:1037-1043.

Smillie, I.S. and J.H. Murdoch. (1952) Man with three legs. J. Bone Joint Surg. (brit) 34:630-635.

Tavernier, L. (1950) A propos du traitment des absences congénitales du péroné. Lyon Chir. 45:764-765.

Thompson, A. (1889) The influence of posture on the form of the articular surfaces of the tibia and astragalus in the different races of man and the higher apes. J. Anat. Physiol. 23:616-639.

Wichtl, O. (1941) Tuberculum intercondylicum quartum tibiae. Röntgenpraxis 13:397-399.

Zammit, J. (1898) Posterior dichotomy: A three-legged boy. Brit. Med. J. 1:1528.

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