Bones/Fibula Unit LS12/12

Bones/Fibula/Begin

[Animation (2-3 seconds): Brief "wowee" animation of Fibula (blue bones effect), twisting, turning, zooming into view. (Note: LO is to graphically capture/focus student's attention and excite them vs. to each anatomy.) Last image of animation shows three areas of Fibula highlighted in different colors. Label proximal end, diaphysis, distal end.]

The fibula is a long, slender bone that articulates with the lateral condyle of the tibia and runs parallel to the shaft of the tibia. Technically, it is not part of the knee joint, but it does contribute to the functioning of the joint in some important ways.

The fibula provides an attachment site for some of the muscles that support the knee joint, and it is indirectly involved in stabilizing the joint. In addition, the ankle joint gains stability from its' articulation with the distal end of the fibula.

By studying the three sections of the fibula, (proximal epiphysis, diaphysis, distal epiphysis) you will learn the locations and the functions of each of the important anatomic features.

By the end of this unit, you should be able to:

- Locate the features and markings of the Fibula on its anterior, medial, lateral, and posterior aspects.

- Describe the functions of the features and markings of the Fibula.

- Identify the features and markings of the Fibula on a plain film x-ray.

Fibula1.0

Black screen

Animation plays as soon as screen is opened. Once it has ended, final image from animation remains.

Bullet icon (small dot?) to go in front of learning objectives (instead of number)

Bones/Fibula Unit LS12/12

Bones/Fibula/Proximal End Features

The proximal epiphysis of the fibula articulates with the tibia to form the tibiofemoral joint. As with the femur, the head of the fibula is the knobby projection of the proximal shaft. It has a facet or groove for articulation with the lateral tibial condyle.

Locate and identify the head of the fibula. (Click on feature to identify it.)

[Graphic: Explore the anatomy button]

Fibula2.0

Change to

IAA relating to head: begin with full view of Fibula and semi-transparent tibia (so you can see through to bone features); zoom in and rotate; then make tibia disappear and rotate (as you already have). Color for tibia transparency should match text color for "tibia".

structure names in text match structure colors in IAAs (color choice above is just a sample; Dave to determine actual structure colors)

light blue terms link to glossary

When students click on structure's IAAs, specific structure name appears in text field.

Bones/Fibula/Shaft Features

Like the tibia, the fibula has an interosseus border. It is a sharp ridge that serves as a site of attachment for the interosseous membrane to the medial surface of the fibula.

[Graphic: Explore the anatomy button]

Fibula3.0

IAA's:

IAA relating to interosseus border: same as in Fibula2.0, only with related membrane highlighted.

structure names in text match structure colors in IAA's (color choice above is just a sample; Dave to determine actual structure colors)

When students click on structure's IAAs, specific structure name appears in text field.

Bones/Fibula Unit LS12/12

Bones/Fibula/Distal End Features

There are 2 primary features on the distal epiphysis of the right fibula. The lateral malleolus is a bony prominence that may be palpated on the lateral aspect of the ankle. The medial surface of this malleolus articulates with the tibia superiorly and the talus inferiorly. Locate and identify the lateral malleolus and its medial surface.

[Graphic: Explore the anatomy button]

Fibula4.0

IAA relating to malleolus: same as in Fibula2.0, only with related ??? highlighted.

structure names in text match structure colors in IAA's (color choice above is just a sample; Dave to determine actual structure colors)

When students click on structure's IAAs, specific structure name appears in text field.

Bones/Fibula Unit LS12/12

Bones/Fibula/Left Fibula Features Self-Test

Test your knowledge of fibula features by examining the anatomy of the LEFT fibula and locating the features listed below. You have three tries to identify each structure; after that, the listed structure will be highlighted for you.

apex of head

[Graphic: Explore the anatomy button]

articular surface of head

[Graphic: Explore the anatomy button]

interosseus border

[Graphic: Explore the anatomy button]

lateral malleolus

[Graphic: Explore the anatomy button]

articular surface of lateral malleolus

[Graphic: Explore the anatomy button]

View all highlighted structures.

[Graphic: Explore the anatomy button]

You have reached the end of the Fibula unit. Continue your learning by studying the patella.

Fibula5.0

IAA:

Use existing IAA

Add IAA with all structures highlighted; to appear at the end of the activity.

Feature names presented separately, at first (as in existing IAA). Once students have progressed through entire list, full list is presented with feature name colors matching highlighted feature colors in IAA. Colors should be same as in previous screen.

When students click on correct structure,structure is highlighted (same colors as on previous screen) and specific structure name appears in text field in matching color.

Bones/Fibula Unit LS12/12

Bones/Fibula/End Comparison

You have learned about the primary features of the fibula. Apply this knowledge as you examine the anatomy and discriminate between the proximal and the distal ends of the fibula.

Locate and identify the distal end (which includes the head and its articular facet) and the proximal end (which includes the lateral malleolus and its articular surface) of the fibula.

[Graphic: Explore the anatomy button]

Fibula6.0

Create new IAA:

Chop off the distal and proximal ends of the fibula and place them side by side in the IAA. Start with view that shows the two similar articulating surfaces side by side. Then rotate/scan distal end (proximal stays stationary), then switch.

structure names in text match structure colors in IAA's (color choice above is just a sample; Dave to determine actual structure colors)

When students click on structure's IAAs, specific structure name appears in text field.

Bones/Fibula Unit LS12/12

Bones/Fibula/Xray Application

Damage to a bone can usually be seen by taking a radiographic image called an x-ray. A radiologist must be able to identify all parts of a healthy bone in order to determine if anything is damaged.

First, identify and name the different structures of the fibula seen on these x-rays.

[Graphics: Two x-rays (labeled lateral view and medial view) of a Fibula with ABC's and arrows for all Fibula features/structures listed below. One feature/structure is obviously damaged.]

head (abc with buttons)

interosseus border (abc with buttons)

lateral malleolus (abc with buttons)

In examining the structures, you'll note that one of the structures is damaged. Can you determine which of the above structures it is? (abc with buttons)

Once you have entered all your responses, view the correctly labeled xray.

[Graphic: same as above only with labels.]

You have reached the end of the Fibula unit. Continue your learning by studying the patella.

Fibula7.0

Black screen

Structure names presented with abc list with buttons to identify correct label.

Correctly labeled xray opens labeled xrays graphic only after all responses have been completed.

Fibula unit

1. Locate the features and markings of the fibula on its anterior, medial, lateral, and posterior aspects
2. Describe the functions of the features and markings of the fibula.
3. Identify the features and markings of the fibula on a plain film x-ray.

File name

Description

Status

Fibula1.0: Begin

bones_fibula_attn.mov

Attention grabber animation (1000x1000); Brief "wowee" animation of fibula, twisting, turning, zooming into view. Intent is to graphically wow student vs. presenting anatomy. Plays as soon as unit is opened; shown along side initial text. Once it has ended, next IAA/mov is opened.

bones_fibula_pieces.txt

Descriptive text: [The fibula is a long, slender bone that articulates with the lateral condyle of the tibia and runs parallel to the shaft of the tibia. Technically, it is not part of the knee joint, but it does contribute to the functioning of the joint in some important ways. The fibula provides an attachment site for some of the muscles that support the knee joint, and it is indirectly involved in stabilizing the joint. In addition, the ankle joint gains stability from its' articulation with the distal end of the fibula.] [By studying the three sections of the fibula (proximal epiphysis, diaphysis, distal epiphysis) you will learn the locations and the functions of each of the important anatomic features.] [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Final

bones_fibula_pieces.mov

Animation (1000x1000): Initial image showing composite knee in complete rotation. Then all bones but fibula become transparent; rotate again. Next, the three sections of the fibula are separately highlighted (boxed in separate colored backgrounds?), with labels appearing [Proximal End, Shaft, Distal End].

Fibula3.0: Proximal End Features

bones_fibula_prox_intro.txt

Descriptive text: [The proximal epiphysis of the fibula articulates with the tibia to form the tibiofemoral joint. Examine the markings and formations of this region. Activate the compass tool and familiarize yourself with the anterior, posterior, medial, and lateral sides of the fibula.] [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Final

bones_fibula_prox_intro.mov

Animation (1000x1000): Initial image shows the three sections of the R fibula separately highlighted, with labels (as above). Proximal end is enlarged to fill screen and is rotated to show features, no labels.

Fibula3.1

bones_fibula_prox_head.txt

Inquiry text: [The head of the fibula is the knobby projection of the proximal shaft. It has a facet or groove for articulation with the lateral tibial condyle. [Explore the anatomy and locate the head and its articular facet.(remember to click on the feature once you have located it.] When students click correct structure, label appears. For incorrect clicks, no label appears. [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Final

bones_femur_prox_head.vrml

IAA: View of R fibula (with the proximal end highlighted) rotates and zooms in and out to show best view of head and its articular surface: anatomists to define….

Fibula4.0: Shaft Features

bones_fibula_shaft_ s.txt

Descriptive text: [Like the tibia, the fibula has an interosseus border. It is a sharp ridge that serves as a site of attachment for the interosseous membrane to the medial surface of the fibula.] [Explore the anatomy and locate the interosseus border.] [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Final

bones_fibula_shaft_vrml

IAA: Initial image shows the three sections of the R fibula separately highlighted, with labels (as above). Shaft is enlarged to fill screen and rotates one time. View moves back to complete fibula with shaft highlighted; view rotates and zooms in and out to show best view of interosseus border: anatomists to define….

Fibula5.0: Distal End Features

bones_fibula_distal_fndftr.txt

Inquiry text: [There are 2 primary features on the distal epiphysis of the right fibula. Thelateral malleolus is a bony prominence that may be palpated on the lateral aspect of the ankle. The medial surface of this malleolus articulates with the tibia superiorly and the talus inferiorly.] [Explore the anatomy and locate lateral malleolus and its articular surface.] When students click correct structures, label appears. For incorrect clicks, no label appears. [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Final

bones_fibula_distal_fndftr.vrml

IAA: Initial image shows the three sections of the fibula separately highlighted, with labels (as above). Distal end is enlarged to fill screen and rotates one time. View returns to complete fibula with distal end highlighted. View rotates and zooms in and out to show best view of the lateral malleolus and the articular surface of the lateral malleolus: anatomists to define….

Fibula6.0: Left Fibula Application

bones_fibula_idleft.txt

Descriptive text: [Now that you have learned the locations and the names of the features of the right fibula, apply your knowledge to the left fibula.] [Explore the anatomy and match the names to the features.] Opens bones_fibula _idleft.vrml [ABCDE] [apex of head, articular surface of head, interosseus border, lateral malleolus, articular surface of lateral malleolus] Presented as matching list to letter labels; again, mix up the order of the above list to make it more challenging. [Submit response.] [Clear response.] [After you’ve submitted your responses, view correct anatomy labels.] Opens bones_fibula_idleft2s.vrml.

Final

bones_fibula_idleft.vrml

IAA: Fibula rotates to show best view of anatomy of each feature with ABCDE labels and pointers for each feature, no names.

bones_fibula_idleft2s.vrml

IAA: Same as bones_fibula namesyst.vrml, this time with names labeled.

Fibula7.0: Fibula palpations

bones_fibula_palpate.txt

Inquiry text: [You have learned about the primary features of the fibula. Apply this knowledge as you palpate the anatomy and discriminate between the proximal and the distal ends of the fibula.] [Explore the anatomy and match each end of the fibula with its correct anatomic label] [End A/ End B] [proximal end,: distal end] Presented as matching activity. [Submit response.] [Clear response.] [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Final

bones_fibula_palpate.vrml

IAA: tibia presented with muscles and skin, one end is labeled as A, the other is labeled as B. Rotates for best palpation possible.

Fibula7.1

bones_fibula_idnames.txt

Response text: [End A is the proximal end, End B is the distal end. The lateral malleolus is…as compared to the head of the fibula…anatomists to write brief description of correct palpation experience. By now, you have learned all the locations, functions and names of the anatomic features of the fibula. Explore the anatomy one last time to confirm your knowledge.] [Continue.] Hot text and navigation arrow opens next text/graphic/IAA segments.

Nora to complete

bones_fibula_idnames.vrml

IAA: Layers peeled down to fibula bone. Fibula rotates to show best view of anatomy (anatomists to define…) of each feature with labels and pointers.

Fibula8.0: Xray Application

bones_fibula_xrayapp.txt

Application text

Nora to complete

bones_fibula_xrayapp.gif

Xray views:

bones_fibula_xrayresp.txt

Response text

Nora to complete