01.09.2014 Views

Boyer diss 2009 1046..

Boyer diss 2009 1046..

Boyer diss 2009 1046..

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

The anteromedial side of the tibial shaft is convex due to the curvature of the<br />

shaft. It is also relatively rugose. This rugosity extends for a little over half the length of<br />

the shaft. The lateral and posterior surfaces of the shaft are strongly concave, extending<br />

about a third of the way distally down the shaft. They are separated by a sharp ridge that<br />

would have held the interosseous membrane. Most of the distal two-thirds of the shaft is<br />

subcircular in cross-section, with the anteroposterior dimension being slightly greater.<br />

Just proximal to the distal articular surface the shaft cross-section becomes more<br />

triangular because of an anterolaterally projecting crest. Slightly posterior to this crest<br />

the interosseous crest gains prominence again. Thus, the distal end of the shaft has a<br />

distinct lateral surface formed between these two crests. The surface is slightly concave<br />

and would have articulated with the fibula. It is usually referred to as the fibular notch.<br />

The surface of the fibular notch is relatively rugose.<br />

The distal articular surface for the astragalus is flat and slants to face lateral from<br />

distal by ~20°. It also faces posterior of distal by somewhat less than 20°. The<br />

anteroposterior length of the astragalar facet is greater than its mediolateral width. The<br />

medial malleolus projects beyond the distal articular surface by ~2 mm. Its lateral<br />

surface forms an obtuse angle with the distal articular surface. The medial malleolus is<br />

quite long anteroposteriorly (5 mm), or about half the anteroposterior length of the entire<br />

facet, even if short proximodistally. In distal view, it is clear that the anteroposterior axis<br />

(formed where the malleolus and distal articular surface meet) exhibits medial torsion<br />

relative to the proximal end of the tibia. The lateral surface of the medial malleolus is<br />

also distinctive in being laterally convex, possibly indicating that it met a concave surface<br />

335

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!