Kanaka iwi tibia. Small a me ka tibia

He aha e hana i ka meaʻuʻuku, a me ka tibia? Where mea kela mea keia mea o lakou? Pehea o kā lākou pili?

Ka mua (tibia) iwi ua loaa medially.

Ke kaupaona ana o ke kino ua pū i hiki ai i ke kākoʻo kahi o ka vertical (me mechanical) holoʻokoʻa wāwae iho (axis). Tibia iwi i pili i ka uha ma ke kuli ami. Lower lala vertical (axis) hele ma ka waena konu o ke kuli ke ami hoi i ka waenakonu o ka puupuu wawae ami. Tibia uha mua keia i ke kaumaha o ke kino, i hiki aku ai i ka nui (i loko o e like me ka mea uuku) kona mānoanoa.

I kekahi manawa, he mea he haiahū kūmau i loko o kaʻaoʻao kīloi paʻewa paha medial, i entails he loli i loko o ka huina ma waena o ka tibia a me ka femur. I ka ikaika haʻi haiahū kūmau o ka malama "X-hoʻokino" a me "O-hoʻokino" ano o nā wāwae.

Ke epiphysis (proximal kaʻe) 'ano apau loa elua (kīloi paʻewa a me ka medial) condyle. Ma hoopii i kaʻaoʻao Hip ka mea, i slabovognutye ami anuu ke hoʻohana ma o ka ai pili aku kuleana pili i. Kaawale ana o ka articular surfaces o na condyles elevation hoʻokō i nā knobs. Ka mua a me ka hope hope o ka elevation mea hoʻokahi liʻiliʻi puka. Nā surfaces o na ami a puni ka naʻe lihi (kumumea o IeIIeYOA o na ami mea hōʻikeʻikeʻuʻuku). Ka mua ili o ka iwi ka loa ino papakaukau bulge - ka tendon IeIIeYOA paena (me ke kukuli-ligament) quadriceps. Posterolateral hapa o ke kīloi paʻewa condyle ka loaʻa o ka mea uuku i lalo ili (IeIIeYOA wahi fibula iwi poʻo). Ke kino ninoieo o ka mua, a me ka kīloi paʻewa medial maka ma waena o i i ke aupuni 'posterior, medial a me kīloi paʻewa surfaces. I ka Ia manawa ka sharpest (mua) maka a me ka medial ili pono e manao ai ma ka ili. Ma kaʻaoʻao medial o ka lalo distal hopena (epiphysis) he ikaika kaʻina (medial malleolus), ma hope a he Groove Ua palahalaha. Ma ke kīloi paʻewa kae o ka distal hopena ua oki, kahi e pili ana i ka nīnūnē liʻiliʻi a me ka tibia. Adaptations i abut iwi wawae e ma ka lalo kaʻe.

Ka lua (liʻiliʻi, he wiwi, a me ka lōʻihi, a meʻia naʻe welau) ua aia i loko o ka tibia tibia laterally. Ke proximal (mauka) poo 'ano apau loa epiphysis. Ma roundish i lalo ami ili mea e pili ana i ka literal tibial condyle iwi. Luna poo - protrusion ke aupuni 'i kekahi mau mea posteriorly a laterally mai keia ili. Triquetrum kino shape i kekahi mau mea haika ma ka lonikū iho (axis). Ke distal (lower) epiphysis uaʻia naʻe, aʻano a ke kīloi paʻewa (ala apuupuu ami ili) o ke kuʻekuʻe wāwae.

Fractures o na condyles (intraarticular poino) o ka tibia.

Ka mea, i hookuu ana i loko o ka haʻahaʻa wāwae ma loko haiahū kūmau a waho, a ma ka manawa o ka haule ana ma ka pololei wāwae. Hoomaopopo fracture kūloko ma, a mawaho condyle. Ke kūʻai '-articular poho hiki e ukali e poho i ka ligament nakeke i loko o ke kuli, meniscus, intercondylar eminence, fibula iwi poo, a no laila, ma luna o.

Fractures pū 'oe me kekahi hua i loko o ka buke o ke ami, a me ka lala iki manao. A haiahū kūmau waho drumsticks (ina poino mawaho condyle) a loko (ina poino maloko condyle). Ma ka condyles transverse Ana me ka nui loa, a mahuahua nui. Aia mea no hoi i ka nele i ka hana neʻe i loko o ka hui, me ka hikiʻole, e hoala i ka wāwae i loko o ka straightened ke ano. Ka wā OE neʻe he mea he pahi eha. Ma kekahi hihia poho ua pu ma ka poho i ka pā condyle fibular iwi ai a me ke poo. Ua hiki e mālama nā aʻalolo poho i ua 'akomi i' aʻe 'pā lonoaʻili a me Hawaii hana o ka wāwae.