STUDY OF NUTRIENT FORAMINA OF ADULT HUMERII IN SOUTH INDIAN POPULATION

Dr. Sushma, Kavitha K, Dr. Satheesha K S

Abstract


INTRODUCTION: Fracture of long bones is very common and major complications of these fractures are non-union and delayed union. There
are various reasons for these complications and its blood supply plays an important role. Blood supply of long bones is mainly by nutrient artery.
This study was aimed at analysing the nutrient foramina in dry adult humerii.
MATERIAL AND METHODS:The following parameters were noted; the length of the humerus, the number and its location with respect to the
surfaces, and its distance from the mid-point of the humerus. All the data were noted and the statistical analysis was done by calculating the mean,
the range and the standard deviation.
RESULTS: Out of 100 humerii studied, 92 ℅ had single nutrient foramina and 8℅ showed double nutrient foramina. The nutrient foramina of the
humerii were not only located on the anteromedial surfaces but also on the anterolateral and the posterior surfaces. Similarly, the nutrient foramen
of the humerus was found on both the middle and the lower third of the shaft.
CONCLUSION:The precise anatomical knowledge of the nutrient foramen of the long bones of upper limb is important for orthopaedic surgeons
during surgical procedures like bone grafting, microsurgical bone transplantation.


Keywords


Nutrient foramen, Humerus, Nutrient artery

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References


Carroll SE. A Study of Nutrient Foramina of the Humeral Diaphysis. The Journal of Bone and Joint Surgery. 1963; 45B:176-81.

Chandrasekaran S, Shanthi KC. A Study on the Nutrient Foramina of Adult Humerii. Journal of Clinical and Diagnostic Research : JCDR. 2013;7(6):975-977. doi:10.7860/JCDR/2013/5983.3095.

Coolbaugh CC. Effects of Reduced Blood Supply of bone. American Journal of Physiology. 1952; 169:26.

David B Jenkins. Hollinsheads’s Functional anatomy of the limbs and back. 9th ed, 2009. 107-121

Green DP. Operative han Payton CG. The position of the nutrient foramen anddirection of the nutrient canal in the long bones of the madder-fed pig, J Anat, 1934, 68(Pt 4):500–510.

Hemang Joshi, BhavikDoshi, OjaswiniMalukar. A Study of theNutrient Foramina NJIRM. 2011; 2(2): 14 -17.

Henderson RG, The position of the nutrient foramen inthe growing tibia and femur of the rat, J Anat, 1978,125(Pt 3):593–599.

Johnson RW. A Physiological study of the Blood Supply of the Diaphysis. Journal of Bone & Joint Surgery.1927; 9:153.

Kennedy JC, Wyatt JK. An Evaluation of the Management of Fractures through the Middle Third of the Humerus. Canadian Journal of Surgery. 1957; 1:26.

Kizilkanat E, Boyan N, Ozsahin ET, Soames R, OguzO.Location, number and clinical significance of nutrientforamina in human long bones. Ann Anat, 2007;189(1):87–95.

Lacroix P. The organization of bones, J. & A. Churchill Ltd.,London.1951

Laing PG. The Arterial supply of Adult Humerus.The Journal of Bone and Joint Surgery. 1956; 38A:1105-16.

Longia GS, Ajmani ML, Saxena SK, Thomas RJ. Study of diaphyseal nutrient foramina in human long bones, ActaAnat (Basel). 1980, 107(4):399–406.

Manjunath S Halagatti, PramodRangasubhe. A study of nutrient foramina in dry adult humerii of south Indian subjects. National Journal of Clinical Anatomy. 2011; 1 (2): 76-80

McKee NH, Haw P, Vettese T, Anatomic study of thenutrient foramen in the shaft of the fibula, ClinOrthopRelat.

Mercer, Sir W. Orthopaedic Surgery, 5th edition. London: Edward Arnold Ltd., 1959.

Mysorekar VR, Nandedkar AN. Diaphysial nutrient foramina in human phalanges, J Anat, 1979, 128(2):315–322.

Mysorekar VR, Diaphysial nutrient foramina in human longbones, J Anat, 1967, 101(Pt 4):813–822.

Patake SM, Mysorekar VR, Diaphysial nutrient foraminain human metacarpals and metatarsals, J Anat, 1977,124(Pt 2):299–304.

Payton CG. The position of the nutrient foramen anddirection of the nutrient canal in the long bones of the madder-fed pig.JAnat, 1934, 68(Pt 4):500–510.

Robert WA. A physiological study of the blood supply of the diaphysis. J Bone Joint surg. 1927; 9: 153- 54.

Stewart MJ, Hundley JM. Fractures of the Humerus; a Comparative Study in Methods of Treatment. Journal of Bone and Joint Surgery. 1955; 37A: 681.

Susan Standring. Grays Anatomy 40th Edition. 2008

Watson-Jones, Sir R. Fractures and Joint Injuries, 4th Edition. Edinburgh and London: E. and S. Livingstone Ltd., 1955.


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