Shin

Level VI

    14pt 18pt 22pt
Shin level 1
Shin level 2
Shin level 3
Shin level 4
Shin level 5
Shin level 6
Shin level 7
Shin level 8

Forbidden positions: 5, 6, 9.

Safe positions: 1, 2, 3, 4, 7, 8, 10, 11, 12.

Reference positions: 1, 2, 3, 4, 12.

COMMENTS:

Only console transosseous elements can be used in the projection of positions 3, 11 and 12. Close disposition of anterior neuro-vascular fascicle of the shin to the tibia in the projection of pos.9 proposes the application in the projection of pos. 3 of console transosseous elements that perforate only medial cortical plate. Insertion of K-wire in frontal plane is possible threw the anterior third of the tibia at this level. The application of positions 1, 2, 3, 4 and 12 is optimal at this level, because in this case the transosseous elements will minimally stand in the way of soft tissue displacement relative to the tibia while motions in the ankle and (in lesser degree) in the knee joints.
 

   

 

The transosseous elements recommended for use at the level VI of the shin can be designated as: VI,1; VI,2; VI,3; VI,4; VI,12 and VI,4-10.