title: The posterior medial blind spot of the distal tibia: implications for surgical fixation.
abstract: The distal tibial blind spot represents an area where improperly measured long screws may pose a risk to surrounding anatomic structures and is not well visualized on AP, mortise, and lateral radiographs. Awareness of this area as well as the use of a 45° external rotation oblique view when placing fixation in this area may prevent iatrogenic injury.
  
  
  METHODS
  Level V, Expert Opinion.
authors.affiliation: Harvard Combined Orthopaedic Residency Training Program, Boston, Massachusetts (TOW)The Orthopaedic Institute, Gainesville, Florida (RJT)OrthoCarolina, Foot and Ankle Institute, Charlotte, North Carolina (JKE)Institute for Foot & Ankle Reconstruction at Mercy, Mercy Medical Center, Baltimore, Maryland (JYK) twusu@partners.org.
authors.forename: Timilehin O
authors.initials: TO
authors.lastname: Wusu
authors.affiliation: Harvard Combined Orthopaedic Residency Training Program, Boston, Massachusetts (TOW)The Orthopaedic Institute, Gainesville, Florida (RJT)OrthoCarolina, Foot and Ankle Institute, Charlotte, North Carolina (JKE)Institute for Foot & Ankle Reconstruction at Mercy, Mercy Medical Center, Baltimore, Maryland (JYK).
authors.forename: Rull James
authors.initials: RJ
authors.lastname: Toussaint
authors.affiliation: Harvard Combined Orthopaedic Residency Training Program, Boston, Massachusetts (TOW)The Orthopaedic Institute, Gainesville, Florida (RJT)OrthoCarolina, Foot and Ankle Institute, Charlotte, North Carolina (JKE)Institute for Foot & Ankle Reconstruction at Mercy, Mercy Medical Center, Baltimore, Maryland (JYK).
authors.forename: J Kent
authors.initials: JK
authors.lastname: Ellington
authors.affiliation: Harvard Combined Orthopaedic Residency Training Program, Boston, Massachusetts (TOW)The Orthopaedic Institute, Gainesville, Florida (RJT)OrthoCarolina, Foot and Ankle Institute, Charlotte, North Carolina (JKE)Institute for Foot & Ankle Reconstruction at Mercy, Mercy Medical Center, Baltimore, Maryland (JYK).
authors.forename: John Y
authors.initials: JY
authors.lastname: Kwon
mesh_terms: D016512:Ankle Injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D008953:Models, Anatomic; D013977:Tibia / Q000033:anatomy & histology*; D013978:Tibial Fractures / Q000601:surgery*
keywords: 45 degree; blind spot; external rotation; extracortical; iatrogenic; radiograph; radiographic; sawbone; screw; tibia; tibial