WordNet

a protuberance on a bone especially for attachment of a muscle or ligament (同)tubercle, eminence
the inner and thicker of the two bones of the human leg between the knee and ankle (同)shinbone, shin_bone, shin
relating to or located near a tibia

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脛骨

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/09/14 00:14:59」(JST)

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The tuberosity of the tibia or tibial tuberosity or tibial tubercle is a large oblong elevation on the proximal, anterior aspect of the tibia, just below where the anterior surfaces of the lateral and medial tibial condyles end.

Structure

It 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.^[1] 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.^[1] The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures.^[2]

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.^[3] 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.^[4]

Additional images

Bones of the right leg. Anterior surface.
Front and medial aspect of right thigh.

Notes

^ ^a ^b [1], KneeHipPain (1998)
^ Cipriano (2002), p 356
^ Lau & Ramachandran (2006)
^ [2], Arthroscopy
^ [3], Knee Exam.

References

Cipriano, Joseph J. (2002). Photographic Manual of Regional Orthopaedic and Neurological Tests. Lippincott Williams & Wilkins. ISBN 0-7817-3552-1.
Lau, Kelvin; Ramachandran, Manoj (2006). "Tibial Tubercle Fracture". eMedicine. Retrieved December 2008.

UpToDate Contents

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1. オズグッド-シュラッター病（脛骨粗面剥離） osgood schlatter disease tibial tuberosity avulsion
2. 成人における脛骨近位部骨折 proximal tibial fractures in adults
3. 小児における脛骨近位部骨折 proximal tibial fractures in children
4. 小児における脛骨骨折の概要 overview of tibial fractures in children
5. 膝の疼痛がみられる運動選手または活動的な成人に対するアプローチ approach to the athlete or active adult with knee pain

English Journal

Proximalize osteotomy of tibial tuberosity (POTT) as a treatment for stiffness secondary to patella baja in total knee arthroplasty (TKA).

Vives-Barquiel MA1, Torrents A2, Lozano L3, Martínez-Pastor JC3, Maculé F3, Segur JM4, Popescu D3.
Archives of orthopaedic and trauma surgery.Arch Orthop Trauma Surg.2015 Oct;135(10):1445-51. doi: 10.1007/s00402-015-2312-9. Epub 2015 Aug 23.
INTRODUCTION: Stiffness after a total knee arthroplasty (TKA) is one of the most common post-operative complications. The purpose of this study is the evaluation of the effectiveness of TT proximalization osteotomy of improving a lack of flexion and secondary pain in patella baja (infera) post-TKA.M
PMID 26298563

[Sliding osteotomy of the tibial tuberosity in patellofemoral instability].

Konrads C1, Reppenhagen S2, Hoberg M2, Rudert M2, Barthel T2.
Operative Orthopadie und Traumatologie.Oper Orthop Traumatol.2015 Sep 23. [Epub ahead of print]
OBJECTIVE: The development of a stable patellofemoral joint by distal realignment with normal positioning of the patella.INDICATIONS: Patellofemoral instability with increased tibial tubercle to trochlear groove (TT-TG) distance ≥ 20 mm and higher Caton-Deschamps patellar height index ≥ 1.3.C
PMID 26400222

Comparison of the tibia plateau angle between small and large dogs with cranial cruciate ligament disease.

Aertsens A, Rincon Alvarez J, Poncet CM, Beaufrère H, Ragetly GR1.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T.Vet Comp Orthop Traumatol.2015 Sep 18;28(6). [Epub ahead of print]
OBJECTIVES: To compare the conformation of the proximal tibia evaluated on a medio-lateral radiograph between small and large dogs with cranial cruciate ligament disease (CCLD).METHODS: Retrospective clinical study with dogs having radiographic evaluation and CCLD confirmed at surgery. The first gro
PMID 26382888

Japanese Journal

Relationship between the skeletal maturation of the distal attachment of the patellar tendon and physical features in preadolescent male football players

Nakase Junsuke,Aiba Tomohiro,Goshima Kenichi,Takahashi Ryohei,Toratani Tatsuhiro,Kosaka Masahiro,Ohashi Yoshinori,Tsuchiya Hiroyuki
Knee Surgery, Sports Traumatology, Arthroscopy 22(1), 195-199, 2014-01
… Purpose: The aim of this study was to compare ultrasonography stages of the tibial tuberosity development and physical features. … Tibial tuberosity development on ultrasonography was divided into 3 stages: Sonolucent stage (stage S), Individual stage (stage I), and Connective stage (stage C). …
NAID 120005368225

脛骨粗面裂離骨折の2症例

笠井貞秀,加藤哲司,山岸逸郎,長澤範和
中部日本整形外科災害外科学会雑誌 57(6), 1335-1336, 2014
NAID 130004909247

Related Pictures

$Tibial tuberosity avulsion fracture$

★リンクテーブル★

リンク元	「脛骨粗面」
拡張検索	「tibial tuberosity advancement」「anterior transfer of tibial tuberosity」
関連記事	「tuberosity」「tibial」

「脛骨粗面」

Tuberosity of the tibia
	Lateral aspect of right leg. (Tuberosity of tibia labeled at center right.)
	Upper surface of right tibia. (Tuberosity labeled at top.)
Details
Latin	tuberositas tibiae
Identifiers
Gray's	p.256
Dorlands; /Elsevier	t_21/12829265
TA	A02.5.06.012
FMA	35463
	Anatomical terms of bone