A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Wadhwa, Ambica
- Morphological Variations of Nutrient Foramina in Lower Limb Long Bones
Authors
1 Department of Anatomy, Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
2 Dep. of Surgery, Civil Hospital Kapurthala, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 4, No 2 (2015), Pagination: 802-808Abstract
Background: The major blood supply to long bone is from the nutrient arteries, which enter through nutrient foramina. Nutrient foramen is an opening into the bone shaft which give passage to the blood vessels of the medullary cavity of a bone The direction of the nutrient foramen of all bones is away from growing end and has a particular position for each bone.
Objective: The aim of the present study was to study the topographic anatomy and morphology of the nutrient foramina in human adult lower limb long bones.
Material and Method: The study was performed on 150 lower limb long bones which included 50 femora, 50 tibiae and 50 fibulae. The bones were obtained from department of anatomy, Punjab Institute of Medical Sciences, Jalandhar.
Results: The variations were found in number and location of nutrient foramen in different lower limb long bones. In femur double and triple foramina were observed. Absence of nutrient foramen was observed in femur and fibula.
Conclusion: The topographical knowledge of these foramina is useful in certain operative procedures, in orthopedics as well as in plastic and reconstructive surgery, to avoid damage to the nutrient vessels.
Keywords
Nutrient Foramen, Nutrient Artery, Femur, Tibia, Fibula, Linea Aspera, Diaphysis.Full Text
References
- Kate BR. Nutrient foramina in human long bones. J Anat Soc Ind 1971;20(3):139-145.
- Forriol Campos F, Gomez Pellico L, Gianonatti Alias M, Fernandez- Valencia R. A study of the nutrient foramina in human long bones. Surg Radiol Anat 1987;9(3): 251-255.
- Lewis OJ. The blood supply of developing long bones with special reference to the metaphyses. J Bone Joint Surg 1956;38b: 928-933.
- Patake SM and Mysorekar VR. Diaphysial nutrient foramina in human in human metacarpals and metetarsals. J Anat 1977; 124:299-304.
- Trueta J. Blood supply and the rate of healing of tibial fractures. Clin Orthop Rel Res 1953;105:11-26.
- Rhinelander FW. The normal microcirculation of diaphseal cortex and its response to fracture. J Bone Joint Surg(Am) 1968;50:784-800.
- Collipol E, Vergas R, Parra X, Silva H, Sol M. Diaphysial nutrient foramina in the femur , tibia and fibula bones. Int J Morphol 2007;25(2):305-308.
- Maulkar O, Joshi H. Diaphysial nutrient foramina in long bones. NJIRM 2011;2(2): 23-26.
- Murlimanju BV, Prasanth KU,rabhu LV, Saralaya VV,ai MM, Rai R. Morphological and topographical anatomy of nutrient foramina in human upper limb long bones and their surgical importance.om J Morphol Embryol 2011;52(3):859-862.
- Lutken P. Investigation into position of nutrient foramen and direction of the vessel canal in the shaft of the humerus and femur in man. Acta Anat 1950;9:57-68.
- Payton CG. The position of the nutrient foramen and direction of the nutrient canal in the long bones of the madder-fed pig. J Anat 1934;68(Pt4):500-510.
- Gray H, William PL, Bannister LH. Bones. In: Williams PL editor. Gray’s Anatomy. 38th ed. New York: Churchill Livingstone; 2000.p.1364,1415,1417.
- Mysorekar VR. Diaphysial nutrient foramina in human long bones.J Anat 1967;101 (4):813-822.
- Taylor GI. Fibular transplantation. In: Serafin D, Bunke HJ editors. Microsurgical composite tissue transplantation. St Louis: CV Mosby Co; 1979.p.418-423.
- McKee NH, Haw P, Vettese T. Anatomic study of the nutrient foramen in the shaft of the fibula. Clin Ortop Relat Res 1984;184: 141-144.
- Ebraheim NA, Elgafy H, Xu R. Bone- graft harvesting from iliac and fibular donar sites: Techniques and complications. J Amer Acad Orthop Surg 2001;9:210-218.
- Skawina A, Wyczolkowski M.Nutrient foamen of humerus, radius and ulna in human fetuses. Folia Morphol1987;46:17-24.
- Longia GS, Ajmani ML, Saxena SK, Thomas RJ. Study of diaphyseal nutrient foramina in human long bones. Acta Anat (Basel) 1980; 107(4):399-406.
- Humphrey GM. Observations on the growth of long bones and of the stump. Medico Chir Trans 1861;44:117-134.
- Harris HA. Bone Growth in Health and Disease. London, Humphrey Milfords.1933.
- Henderson RG. The position of the nutrient foramen in the growing tibia and femur of the rat. J Anat 1978;125:593-599.
- Green DP. Operative hand surgery. 2nd ed New York: Churchill Livingstone; 1988.p.128.
- Rao VS, Kothapalli J. The diaphyseal nutrient foramina architecture – A study on the human upper and lower limb long bones. Journal of Pharmacy and Biological Sciences Jan 2014;9(1):36-41.
- Bhatnagar S, Deshwal AK, Tripathi A. Nutrient foramina in the upper and lower limb long bones: A Morphometric study in bones of western Uttar Pardesh. International Journal of Scientific Research 2014;3(1):301-3.
- Al Motabagani MAH. The arterial architecture of the human femoral diaphysis. J Anat Soc India 2002;51:27-31.
- Gumusburun E, Yucel F, Ozkan Y, Akgun Z. A study of the nutrient foramina of lower limb long bones. Surg Radiol Anat 1994;16:409412.
- Sendemir E, Cimen A. Nutrient foramina in the shafts of lower limb long bones: situation and number. Surg Radiol Anat 1991;13:105-8.
- Laing PG. The blood supply of the femoral shaft; an anatomical study. J Bone Joint Surg 1953;35:462-66.
- Restrepo J, Katz D, Gilbert A. Arterial vascularization of the proximal epiphysis and the diaphysis of the fibula. Int J Microsurg 1980;2:49-54.
- Fen G. Fibular blood supply. Chin Med J 1981;94:396-400.
- Kizilkanat E, Boyan N, Ozsahin ET, Soames R, Oguz O. Location, number and clinical significance of nutrient foramina in human long bones. Ann Anat 2007;189:87-95.