Anatomy Bones and Muscles · MU Pleven

22. Connections of the leg bones. Ankle joint

Covers how the tibia and fibula are joined at three sites: the superior tibiofibular joint, the interosseous membrane with its two openings for vessels, and the inferior syndesmosis that forms the mortise. It then describes the hinge-type ankle joint, its articular surfaces and capsule, the lateral and deltoid ligaments, range of movement, blood and nerve supply, and clinical points on ankle sprain and Pott's fracture.

Inside: 9 sections · 6 labelled pictures · 11 flashcards · 2 min

Topic 22 of 236 in the MU Pleven syllabus for Anatomy Bones and Muscles (Medicine, Year 2). The free AceMed note covers it in 9 sections, about 320 words (2 min of reading), with 11 flashcards.

In this note

  1. Connections of the leg bones. Ankle joint.
  2. Connections of the Leg Bones
  3. Connections between tibia & fibula
  4. Ankle Joint (Talocrural Joint)
  5. Ligaments
  6. Movements
  7. Blood Supply
  8. Nerve Supply
  9. Clinical Anatomy

Connections of the Leg Bones

1. Bones of the leg

  • Tibia (medial, weight-bearing).
  • Fibula (lateral, slender, non-weight-bearing).

Connections between tibia & fibula

They are joined at 3 sites:

A. Superior tibiofibular joint

  • Type: plane synovial joint.
  • Articulation: head of fibula ↔ lateral condyle of tibia.
  • Ligaments: anterior & posterior ligaments of the head of fibula.
  • Movement: slight gliding.

B. Interosseous membrane

  • Strong fibrous sheet connecting the interosseous borders of tibia & fibula.
  • Provides attachment for muscles; stabilizes bones.
  • Upper opening → anterior tibial vessels pass.
  • Lower opening → perforating branch of fibular artery passes.

C. Inferior tibiofibular joint (syndesmosis)

  • Type: fibrous syndesmosis.
  • Articulation: roughened surfaces of distal tibia ↔ distal fibula.
  • Ligaments: anterior & posterior tibiofibular ligaments, interosseous ligament, inferior transverse tibiofibular ligament.
  • Importance: forms a mortise for talus at ankle joint.

Ankle Joint (Talocrural Joint)

1. Type

  • Hinge-type synovial joint.
  • Allows dorsiflexion & plantarflexion.

2. Articular Surfaces

  • Tibia: inferior surface (plafond) + medial malleolus.
  • Fibula: lateral malleolus.
  • Together form a mortise.
  • Talus: trochlea of talus (superior surface wider anteriorly than posteriorly).

3. Capsule

  • Thin and loose anteriorly & posteriorly → allows movement.
  • Strong on sides, attached to articular margins.

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