| Inbound Relationships | Type | Active | Source | Characteristic | Refinability | Group | 
| Structure of supramalleolar region of tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Structure of distal tibial epiphysis | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Entire lower end of tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Structure of distal surface of tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Malleolar structure of tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Structure of posterior process of distal tibia | Is a | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Structure of inferior articular facet of tibia with fibula | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Closed fracture distal tibia, extra-articular | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Closed fracture distal tibia, intra-articular | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Closed fracture distal tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture distal tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Osteotomy of distal tibia | Procedure site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Tillaux fracture | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Fracture of distal end of tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Application of skeletal traction via distal tibia | Procedure site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Epiphyseal arrest by stapling of distal tibia and fibula | Procedure site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Epiphyseal arrest by stapling of distal tibia | Procedure site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Open dislocation of distal end of tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Closed traumatic dislocation of distal end of tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Gosselin's fracture | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture distal tibia, extra-articular | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture distal tibia, intra-articular | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Closed fracture ankle, unspecified | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Fracture of posterior malleolus | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Structure of distal intermedial ridge of tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Open dislocation of distal end of tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Dislocation of tibia, distal end | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Osteotomy of distal tibia | Procedure site - Direct | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Application of skeletal traction via distal tibia | Procedure site - Direct | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Osteotomy of distal tibia | Procedure site - Direct | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Closed fracture distal tibia, intra-articular | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Closed fracture distal tibia, extra-articular | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Tillaux fracture | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture distal tibia, extra-articular | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture distal tibia, intra-articular | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Gosselin's fracture | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Fracture of distal end of tibia | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture distal tibia | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Closed fracture distal tibia | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Dislocation of tibia, distal end | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Application of skeletal traction via distal tibia | Procedure site - Direct | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Open fracture of distal tibia and distal fibula | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Closed fracture of distal tibia and distal fibula | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Closed fracture of epiphyseal plate of distal tibia | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Congenital tibial deficiency type III | Finding site | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 | 
| Structure of epiphyseal plate of distal tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Bone structure of distal right tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Bone structure of distal left tibia | Is a | True | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier |  | 
| Closed fracture of distal tibia and fibula | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Open fracture of distal tibia and fibula | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 2 | 
| Closed fracture ankle, unspecified | Finding site | False | Bone structure of distal tibia | Inferred relationship | Existential restriction modifier | 1 |