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Body of fibula

The body of the fibula (shaft of the fibula) is the elongated, slender middle portion of the fibula extending between its proximal and distal ends. It contributes primarily to muscle attachment and ankle stability rather than weight-bearing and plays a vital role in the biomechanics of the leg and ankle.

It is an important anatomical structure in orthopedics, trauma assessment, sports medicine, and musculoskeletal imaging.

Synonyms

  • Shaft of fibula

Location

  • Situated in the lateral aspect of the leg

  • Extends from the fibular head proximally to the lateral malleolus distally

  • Parallel and lateral to the tibial shaft

  • Forms part of the interosseous compartment of the leg

  • Separated from the tibia by the interosseous membrane

Anatomical components

  • Shaft (diaphysis):

    • Long, slender, slightly twisted structure

  • Borders:

    • Anterior border

    • Posterior border

    • Interosseous border (medial)

  • Surfaces:

    • Lateral surface

    • Medial surface

    • Posterior surface

  • Nutrient foramen:

    • Usually directed proximally

Relations

Anteriorly:

  • Extensor muscles of the leg

    • Tibialis anterior

    • Extensor digitorum longus

    • Extensor hallucis longus

Posteriorly:

  • Flexor muscles of the leg

    • Soleus

    • Flexor hallucis longus

Laterally:

  • Peroneal (fibular) muscles

    • Peroneus longus

    • Peroneus brevis

Medially:

  • Interosseous membrane

  • Tibia

Muscle and ligament attachments

  • Peroneus longus and brevis on the lateral surface

  • Soleus and flexor hallucis longus on the posterior surface

  • Extensor muscles on the anterior surface

  • Interosseous membrane along the medial border

X-ray appearance

Plain radiographs (AP and lateral leg views):

  • Fibular shaft: Thin, tubular radiopaque structure lateral to tibia

  • Cortical margins: Smooth and well-defined

  • Medullary canal: Central radiolucent line

  • Alignment: Parallel to tibial shaft

CT appearance

Non-contrast CT:

  • Cortex: Dense outer cortical bone

  • Medulla: Lower-density marrow cavity

  • Shaft contour: Smooth, cylindrical morphology

  • Anatomical detail: Excellent delineation of cortical integrity

MRI appearance

T1-weighted images:

  • Cortical bone: Low signal intensity

  • Marrow: High signal intensity in adults

  • Surrounding muscles: Intermediate signal

T2-weighted images:

  • Cortex: Low signal

  • Marrow: Intermediate-to-high signal

  • Muscles and soft tissues: Intermediate-to-high signal

STIR:

  • Marrow fat: Suppressed signal

  • Cortex: Remains low signal

  • Soft tissues: High contrast against suppressed fat

Proton density fat-saturated (PD FS):

  • Bone marrow: Fat suppressed

  • Cortical bone: Low signal

MRI image

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CT image

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CT VRT 3D image

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