The anatomical permanent status?
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Distal means further. So the ankle is distal to the knees. We also use distal to refer to bones. Such as the distal tibia is down closer to the ankle than the knee.
"dis·tal
ADJECTIVE:
Anatomically located far from a point of insinuation, such as an origin or a point of attachment."
http://education.yahoo.com/reference/dic...
Distal
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