Skip to main content
Log in

Fibula: The Forgotten Bone—May It Provide Some Insight On a Wider Scope for Bone Mechanostat Control?

  • Invited Commentary
  • Published:
Current Osteoporosis Reports Aims and scope Submit manuscript

Abstract

The human fibula responds to its mechanical environment differently from the tibia accordingly with foot usage. Fibula structure is unaffected by disuse, and is stronger concerning lateral bending in soccer players (who evert and rotate the foot) and weaker in long-distance runners (who jump while running) with respect to untrained controls, along the insertion region of peroneus muscles. These features, strikingly associated to the abilities of the fibulae of predator and prey quadrupeds to manage uneven surfaces and to store elastic energy to jump, respectively, suggest that bone mechanostat would control bone properties with high selective connotations beyond structural strength.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Frost HM, editor. The Utah paradigm of skeletal physiology. Athens: ISMNI; 2002.

    Google Scholar 

  2. Lanyon L. Strain-related control of bone (re)modeling: objectives, mechanisms and failures. J Musculoskelet Neuronal Interact. 2008;8:298–300.

    CAS  PubMed  Google Scholar 

  3. Cointry GR, Nocciolino L, Ireland A, Hall NM, Kriechbaumer A, Ferretti JL, et al. Structural differences in cortical shell properties between upper and lower fibula as described by pQCT serial scans. A biomechanical interpretation. Bone. 2016;90:185–94.

    Article  Google Scholar 

  4. Schaffler MB, Burr DB, Jungers WL, Ruff CB. Structural and mechanical indicators of limb specialization in primates. Folia Primatol. 1985;45:61–75.

    Article  CAS  Google Scholar 

  5. • Wang Q, Whittles M, Cunningham J, Kenwright J. Fibula and its ligaments in load transmission and ankle joint stability. Clin Orthop Relat Res. 1996;330:261–70. This article described the substantial variance in the fibula’s contribution to shank loading dependent on ankle position and load magnitude.

    Article  Google Scholar 

  6. Pecina M, Ruszkowsky I, Muftik O, Anticevic D. The fibula in clinical and experimental evaluation of the theory of functional adaptation. Coll Anthropol. 1982;6:197–206.

    Google Scholar 

  7. •• Capozza RF, Feldman S, Mortarino P, Reina PS, Schiessl H, Rittweger J, et al. Structural analysis of the human tibia by tomographic (pQCT) serial scans. J Anat. 2010;216:470–81. This article described the striking variation in cortical structure of the fibula along its length.

    Article  Google Scholar 

  8. • Ireland A, Capozza RF, Cointry GR, Nocciolino L, Ferretti JL, Rittweger J. Meagre effects of disuse on the human fibula are not explained by bone size or geometry. Osteoporos Int. 2017;28:633–451. This article described similar bone mass throughout the fibula shaft of individuals with spinal cord injury and uninjured controls, in contrast to large deficits observed in the tibia of the same individuals.

    Article  Google Scholar 

  9. Feldman S, Capozza RF, Mortarino P, Reina P, Ferretti JL, Rittweger J, et al. Site and sex effects on tibia structure in distance runners and untrained people. Med Sci Sports Exerc. 2012;44:1580–8.

    Article  Google Scholar 

  10. Rittweger J, Goosey-Tolfrey VL, Cointry GR, Ferretti JL. Structural analysis of the human tibia in men with spinal cord injury by tomographic (pQCT) scans. Bone. 2010;47:511–8.

    Article  Google Scholar 

  11. Timoshenko PS, Godier JN, editors. Theory of Elasticity. New York: McGraw Hill; 1982.

    Google Scholar 

  12. Nocciolino L, Lüscher S, Cointry G, Pisani L, Pilot N, Rittweger J, et al [Contrasting biomechanical response of mid-proximal fibula and tibia to the same mechanical environment] (abstract). Actual Osteol. 2017;13(Suppl 1):46–7.

  13. Lüscher S, Nocciolino LM, Pilot N, Pisani L, Cointry GR, Rittweger J, et al. Description of cortical fibula structure in trained footballers using peripheral quantitative computed tomography (pQCT), with dynamometric correlates. ECTS, Abstracts of the ECTS Congress (Abstract Nr P091), Valencia (Spain), 2018. Calcif Tissue Int. 2018;102:S1–S159.

    Google Scholar 

  14. Capozza RF, Rittweger J, Reina PS, Mortarino P, Nocciolino LM, Feldman S, et al. pQCT-assessed relationships between diaphyseal design and cortical bone mass and density of the tibiae of healthy sedentary and trained men and women. J Musculoskelet Neuronal Interact. 2013;13:195–205.

    CAS  PubMed  Google Scholar 

  15. Sherbondy PS, Sebastianelli WJ. Stress fractures of the medial malleolus and distal fibula. Clin Sports Med. 2006;25:129–37.

    Article  Google Scholar 

  16. Howell AB, editor. Speed in animals. Chicago: University of Chicago Press; 1944.

    Google Scholar 

  17. McLean SP, Marzke M. Functional significance of the fibula: contrasts between humans and chipanzees. Folia Primatol. 1994;63:107–15.

    Article  CAS  Google Scholar 

  18. Beumer A, Valstar ER, Garling EH, Niesing R, Ranstam J, Löfvenberg R, et al. Kinematics of the distal tibiofibular syndesmosis. Acta Orthop Scand. 2003;74:337–43.

    Article  Google Scholar 

  19. Barnett CH, Napier JR. The rotatory mobility of the fibula in eutherian mammals. J Anat. 1953;87:11–21.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Marchi D, Shaw CN. Variation on fibular robusticity reflects variation in mobility patterns. J Hum Evol. 2011;609:16.

    Google Scholar 

  21. Huiskes R. If bone is the answer, then what is the question? J Anat. 2000;197:145–56.

    Article  Google Scholar 

  22. Pearson OM, Lieberman DE. The aging of Wolff’s “Law”: ontogeny and responses to mechanical loading in cortical bone. Yearb Phys Anthropol. 2004;47:63–99.

    Article  Google Scholar 

  23. Vatsa A, Breuls RG, Semeins CM, Salmon PL, Smit TH, Klein-Nulend J. Osteocyte morphology in fibula and calvaria - is there a role for mechanosensing? Bone. 2008;43:452–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Ireland.

Ethics declarations

Conflict of Interest

J. Rittweger, A. Ireland, S. Lüscher, L.M. Noccioliono, N. Polit, L. Pisani, G.R. Cointry, J.L. Ferretti and R.F. Capozza declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rittweger, J., Ireland, A., Lüscher, S. et al. Fibula: The Forgotten Bone—May It Provide Some Insight On a Wider Scope for Bone Mechanostat Control?. Curr Osteoporos Rep 16, 775–778 (2018). https://doi.org/10.1007/s11914-018-0497-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11914-018-0497-x

Keywords

Navigation