Tuberosity of the tibia

Structure

The tuberosity of the tibia gives attachment to the patellar ligament, which attaches to the patella from where the suprapatellar ligament forms the distal tendon of the quadriceps femoris muscles. The quadriceps muscles consist of the rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius. These quadriceps muscles are innervated by the femoral nerve. The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when the foot strikes the ground. The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures.

Fractures

Tibial tuberosity fractures are infrequent fractures, most common in adolescents. In running and jumping movements, extreme contraction of the knee extensors can result in avulsion fractures of the tuberosity apophysis. A cast is all that is required if the fragment is not displaced from its normal position on the tibia. However, if the fracture fragment is displaced, then surgery is necessary to allow for normal function.

Additional images

File:Gray258.png|Bones of the right leg. Anterior surface. File:Gray1238.png|Front and medial aspect of right thigh.

Notes

References

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References

1. [http://www.kneehippain.com/patient_pain_anatomy.php], KneeHipPain (1998)
2. Cipriano (2002), p 356
3. Lau & Ramachandran (2006)
4. "Tibial Tubercle Fractures".
5. "Knee Exam".