IJAR.2018.368

Type of Article:  Original Research

Volume 6; Issue 4.2 (November 2018)

Page No.: 5888-5891

DOI: https://dx.doi.org/10.16965/ijar.2018.368

VARIATION IN THE NUMBER OF NUTRIENT FORAMINA IN LONG BONES OF LOWER LIMB IN CENTRAL INDIA

Rakate Nilesh S 1, Gadekar Savita H *2, Dhoot Mahesh B 3.

1 Assistant Professor, Department of Anatomy R.K.D.F Medical College hospital and Research Centre, Jatkhedi, Bhopal. M.P, India.

2 Associate Professor, Department of Anatomy R.K.D.F Medical College hospital and Research Centre, Jatkhedi, Bhopal. M.P, India.

3 Assistant Professor, Department of Anatomy R.K.D.F Medical College hospital and Research Centre, Jatkhedi, Bhopal. M.P, India.

Address for correspondence: Dr. Savita Hemant Gadekar, Department of Anatomy R.K.D.F Medical College hospital and Research Centre, Jatkhedi, Bhopal. M.P 462026, India. contact number-9826657118 E-Mail: drsavitagadekar@gmail.com

ABSTRACT:

Background: The major blood supply of long bone is from the nutrient arteries, these nutrient arteries enter the bone through a foramen called nutrient foramen. This is an opening into the shaft of a bone.  Nutrient foramen gives passage to the blood vessels of the bone. The nutrient foramen has a particular position for every bone and the direction of foramen is away from growing end of bone.

Objective: The aim of the present study was to study the anatomy and morphology of the nutrient foramina in human lower limb long bones.

Materials and Method: The study was performed on 120 lower limb long bones which included 40 femur, 40 tibia and 40 fibula. The bones were obtained from department of anatomy, R.K.D.F Medical college hospital & research centre and R.K.D.F Dental college & hospital Bhopal.

Results: The variations were found in number and position of nutrient foramen in different lower limb long bones. Double and triple foramina were observed in femur. In few lower limb long bones nutrient foramen was absent.

Conclusion: The knowledge of these foramina is useful in orthopaedics certain operative procedures as well as in plastic and reconstructive surgery, to avoid harm to the nutrient artery.

Key Words: Nutrient Foramen, Nutrient Artery, Femur, Tibia, Fibula.

REFERENCES

  1. Mysorekar VR and nandedkar AN. Diaphyseal nutrient foramina in human phalanges. J Anat 1979;128: 315-22.
  2. 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.
  3. Lewis OJ. The blood supply of developing long bones with special reference to the metaphyses. J Bone Joint Surg 1956;38b: 928-933.
  4. Patake SM and Mysorekar VR. Diaphysial nutrient foramina in human in human metacarpals and metetarsals. J Anat 1977;124:299-304.
  5. Trueta J. Blood supply and the rate of healing of tibial fractures. Clin Orthop Rel Res 1953;105:11-26.
  6. Collipol E, Vergas R, Parra X, Silva H, Sol M. Diaphysial nutrient foramina in the femur, tibia and fibula bones. Int J Morphol2007;25(2):305-308.
  7. Maulkar O, Joshi H. Diaphysial nutrient foramina in long bones. NJIRM 2011;2(2):23-26.
  8. 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.
  9. 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.
  10. 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.
  11. Mysorekar VR. Diaphysial nutrient foramina in human long bones. J Anat 1967;101(4):813-822.
  12. Taylor GI. Fibular transplantation. In: Serafin D, Bunke HJ editors. Microsurgical composite tissue transplantation. St Louis: CV Mosby Co; 1979.p.418-423.
  13. 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.
  14. Skawina A, Wyczolkowski M.Nutrient foamen of humerus, radius and ulna in human fetuses. Folia Morphol1987;46:17-24.
  15. 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.
  16. 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.
  17. 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.
  18. Al Motabagani MAH. The arterial architecture of the human femoral diaphysis. J Anat Soc India 2002;51:27-31.
  19. Gumusburun E, Yucel F, Ozkan Y, Akgun Z. Astudy of the nutrient foramina of lower limb long bones. Surg Radiol Anat 1994;16:409-412.
  20. Sendemir E, Cimen A. Nutrient foramina in the shafts of lower limb long bones: situation and number. Surg Radiol Anat1991;13:105-8.
  21. Laing PG. The blood supply of the femoral shaft; an anatomical study. J Bone Joint Surg 1953;35:462-66.
  22. 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.
  23. Fen G. Fibular blood supply. Chin Med J 1981;94:396-400.
  24. 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.

Cite this article: Rakate Nilesh S, Gadekar Savita H, Dhoot Mahesh B. VARIATION IN THE NUMBER OF NUTRIENT FORAMINA IN LONG BONES OF LOWER LIMB IN CENTRAL INDIA. Int J Anat Res 2018;6(4.2):5888-5891. DOI: 10.16965/ijar.2018.368