Type of Article:  Original Research

Volume 5; Issue 3.1 (July 2017)

Page No.: 4152-4157

DOI: https://dx.doi.org/10.16965/ijar.2017.271


Udaya Kumar P *1, Janardhan Rao M 2, Sirisha V 3, Kalpana T 4.

*1 Associate Professor, Department of Anatomy, Mamata Medical College, Khammam, India.

2 Associate Professor, Department of Anatomy, Mamata Medical College, Khammam, India.

3 Assistant Professor, Department of Anatomy, Mamata Medical College, Khammam, India.

4 Associate Professor, Department of Anatomy, Mamata Medical College, Khammam, India.

Corresponding author: Dr. Udaya Kumar P, Associae Professor, Department of Anatomy, Mamata Medical College,  Rotary Nagar, Khammam. Telangana – 507002, India. Mobile No: 09133000191 E-Mail: udaymmc7@gmail.com


Introduction: Nutrient canal opens externally at certain location on the bone surface, called nutrient foramina. Nutrient artery plays major role in bone formation during growth of the embryo.

Aim: The aim of the present study is to determine the number, position, size, direction of the nutrient foramina and the Foramen Index of the human dry tibia bones

Materials and Methods: The study was carried out in 74 right sided and 77 left sided dried human tibia bones of unknown age and sex in telangana population. Foramen index (FI) was calculated using the formula: FI = (Distance of nutrient foramina from upper end/Total length) x 100.

Results: In the present study almost all of the bones showed nutrient foramina away from the knee but two left sided and three right sided tibia bones defied the growing end theory. The total length of the tibia, in the present study, is observed to be 37.26 ± 2.83 on right side and 37.54 ± 2.30 on left side, with foramen Index of 32.09 ± 3.76 cm on right side, and 32.12 ± 3.13 left side. Nutrient foramina are located predominantly in the upper third of the bone. No foramina were observed in lower third of the bones. On an average 79% of foramina are located below the soleal line. In the present study, only two right sided tibia bones, showed three nutrient foramina. Two nutrient foramina were observed in 13.51% right sided and 10.39% left sided tibia.

Conclusion: Preserving the nutrient arterial blood supply is vital in cases of bone grafting, fractures healing, joint replacement therapy and vascularised bone micro surgeries. So the thorough knowledge of morphology and morphometry of nutrient foramina is now a necessity.

Key words: Tibia, Nutrient foramen, Foramen Index.


  1. Fraizer, Ernest J. The Anatomy of Human Skeleton 4th Edition (1964).p5
  2. Lewis, O.J. The blood supply of developing long bones with special reference to the metaphyses. J. Bone Jt. Surg. 1956;38:928-933.
  3. Gray’s Anatomy 38th Ed. (1992) p469
  4. Collipal, E., Vargas, R., Parra, X., Silva, H., Sol, M. Diaphyseal nutrient foramina in the femur, tibia and fibula bones. Int. J. Morphol. 2007;25(2):305-308.
  5. Henderson RG. The position of the nutrient foramen in the growing tibia and femur of the rat. J Anat 1978;125:593-599.
  6. Raj Kumar, Raghuveer Singh Mandloi, Alok Kumar Singh, Devesh Kumar, Pawan Mahato; Analytical and morphometric study of nutrient foramina of femur in rohilkhand region; Innovative Journal of Medical and Health Science March – April2013;3(2):52-54.
  7. Longia GS, Ajmani ML, Saxena SK, Thomas RJ Study of diaphyseal nutrient foramina in human long bones. Acta Anat, 1980;107:399-406.
  8. Hughes H. The factors determining the direction of canal for the nutrient artery in the long bones of mammals and birds. Acta Anat. 1952;15(3):261-280.
  9. S. Shulman, Observations on the nutrient foramina of the human radius and ulna,; The anatomical record 1959;134(4):685-697.
  10. Forriol Campos F, Gomez L, Gianonatti M, Fernandez R. A study of the nutrient foramina in human long bones. Surg Radiol Anat 1987;9:251-255.
  11. Trueta, J. Blood supply and the rate of healing of tibial fractures. Orthop. Rel. Res.,1953;105:11-26.
  12. Morris’ Human Anatomy, 11th Edition, By J Parsons Schaeffer, Philadelphia, USA. Mcgraw Hill Book Company Inc. P91, P217, P253,255,262, 1953
  13. Mysorekar VR. Diaphysial nutrient foramina in human long bones. J Anat 1967;101(Pt 4):813–22.
  14. Agrawal Nidhi, Tiwari A, Parmar AS. Topography and indexing of nutrient foramina of tibia—a study in Vindhya region. Int J Med Sci Public Health 2016;5:1000-1004.
  15. Vadhel CR, Kulkarni MM, Gandotra AR. Anatomy of nutrient foramen of tibia—a study from Gujarat region. Indian J Clin Anat Physiol 2015;2(1):6–10.
  16. Tejaswi HL, Krishnanand Shetty, Dakshayani KR. Anatomic study of nutrient foramina in the human tibiae and their clinical importance. Int J Recent Trends Sci Tech 2014;9(3):334–336.
  17. 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(1):87–95.
  18. Pedzisai Mazengenya and Mamorapelo D. Fasemore; Morphometric studies of the nutrient foramen in lower limb long bones of adult black and white South Africans; Eur. J. Anat. 2015;19(2):155-163
  19. Anjana mathur, Manish D sharma. Study of Nutrient Foramina of Fibula with Other Long Bones: A Central Rajasthan Study. Int J Med Res Prof. 2016;2(3):155-57.
  20. Dr Ales Hrdlicka, Study of the normal tibia; American Anthropologist (Oct, 1898;11(10):307-311. (Version of Record online: 28 OCT 2009)
  21. Roopam Kumar Gupta, Gupta Aruna Kumari; a study of diaphyseal nutrient foramina in Human tibia; National Journal of Medical Research, 2014;4(4):310-13.
  22. KU Prashanth, BV Murlimanju, Latha V. Prabhu, Chettiar Ganesh Kumar, Mangala M. Pai, KVN Dhananjaya; Morphological and topographical anatomy of nutrient foramina in the lower limb long bones and its clinical importance; Australasian Medical Journal 2011;4(10):530-537.
  23. Patake SM, Mysorekar VR. Diaphysial nutrient foramina in human metacarpals and metatarsals. J Anat 1977;124:299-304.
  24. Joshi, B. Doshi, O. Malukar, A study of the nutrient foramina of the humeral diaphysis. NJIRM, 2011;2:14-17.
  25. Vrinda Hari Ankolekar, Lydia S. Quadros, Antony Sylvan D’souza; Nutrient foramen in tibia – A study in coastal region of Karnataka; IOSR-Jour of Dent & Med Sci. 2013;10(3):75-79.
  26. Bichitrananda Roul, Meena Goyal; A Study Of Nutrient Foramen In Long Bones Of Inferior Extremity In Human Being; Int. Jour of Adv Res. 2015;3(4):945-948.
  27. Gupta Chandini, Nayak N, Kalthur SG, D’Souza AS. A morphometric study of tibia and its nutrient foramen in South Indian population with its clinical implications. Saudi J Sports Med 2015;15:244-8.
  28. Udhaya K., Devi K.V., Sridhar J., Analysis of Nutrient Foramen of Tibia-South Indian Population Study; Int J Cur Res Rev, April 2013;05(08):91.
  29. Seema, Poonam Verma, Anupama Mahajan, Deepinder Gandhi. Variation in the number and position of nutrient Foramina of long bones of lower limb in north indians. Int J Anat Res 2015;3(4):1505-1509.
  30. Pradeep Bokariya, Bharat Sontakke, JE Waghmare, Aaditya Tarnekar, BH Tirpude, MR Shende; The Anthropometric Measurements of Tibia; Indian Acad Forensic Med. October-December 2012;34(4):322-23.
  31. Shital T. Shah, Kanan P. Shah, Kiran Arora; Study of Diaphyseal Nutrient Foramen in Human Tibia in People of Gujarat, GCSMC J Med Sci, 2015;4(1):37-39.
  32. Swapna A. Ambekar, Shivaji B. Sukre. Diaphyseal nutrient Foramen of lower limb long bones: variations and Importance. Int J Anat Res 2016;4(3):2684-2688.
  33. Vijayalakshmi SB, Sneha Guruprasad Kalthur, Antony Sylvan D’ Souza. A study of Diaphyseal Nutrient Foramina in human lower limb long bones and its clinical importance. Int. J. Curr. Res. Med. Sci. 2016;2(7):1-12.
  34. Kirschner, M. H., Menck, J., Hennerbichler, A., Gaber, O., Hofmann, G.O., Importance of arterial blood supply to the femur and tibia for transplantation of vascularized femoral diaphyses and knee joints. World J. Surg. 1998;22:845-852.
  35. Chhatrapati DN, Misra BD. Position of the nutrient foramen on the shafts of human long bones. J Anat Soc Ind 1967;16:54-63.
  36. Kate BR. Nutrient foramina in human long bones. J Anat Soc Ind 1971;20(3):139-145.
  37. Sharma M, Prashar R, Sharma T, Wadhwa A, Kaur J. Morphological variations of nutrient foramina in lower limb long bones. Int J Med and Dent Sci 2015;4(2):802-808.
  38. 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. Int J Sci Res 2014;3:301‑
  39. Swati Gandhi, Rajan K Singla, Rajesh K Suri, Vandana Mehta; diaphyseal nutrient foramina of adult human tibia – its Positional anatomy and clinical implications; Rev Arg de Anat Clin; 2013;5(3):222-228.
  40. Pereira, G. A. M.; Lopes, P. T. C.; Santos, A. M. P. V. & Silveira, F. H. S.; Nutrient Foramina in the Upper and Lower Limb Long Bones: Morphometric Study in Bones of Southern Brazilian Adults; Int. J. Morphol., 2011;29(2):514-520.

Cite this article: Udaya Kumar P, Janardhan Rao M, Sirisha V, Kalpana T. A STUDY OF THE NUTRIENT FORAMINA IN DRY HUMAN TIBIA BONES OF TELANGANA REGION. Int J Anat Res 2017;5(3.1):4152-4157. DOI: 10.16965/ijar.2017.271