Type of Article:  Original Research

Volume 8; Issue 1.3 (March 2020)

Page No.: 7378-7382

DOI: https://dx.doi.org/10.16965/ijar.2020.107


Abhijit K R 1,  Prathap Kumar J *2,  Shailaja Shetty 3.

1 Intern, M.S.Ramaiah Medical College, Bangalore, Karnataka, India.

*2 Assistant Professor, Department of Anatomy, M.S.Ramaiah Medical College, Bangalore, Karnataka, India.

3 Professor & HOD, Department of Anatomy, M.S.Ramaiah Medical College, Bangalore, Karnataka, India.

Corresponding Author: Dr Prathap Kumar J, Assistant Professor, Department of Anatomy, M S Ramaiah Medical College,  M S R Nagar, MSRIT post, Mathikere, Bangalore, Karnataka, India- 560054. Ph No. 9743989426 E-Mail: dr.prathapkumar@gmail.com


Background: The knowledge of variations in the position of nutrient foramina and hence nutrient arteries is important for orthopedicians and radiologists for various procedures.

Introduction: The major blood supply to long bones occurs through the nutrient arteries, which enter through the foramina called nutrient foramina. The blood supply from nutrient artery is essential during the growing period, also during the early phases of ossification, and in procedures such as bone grafts, transplant techniques in orthopaedics. The present study analyzed the position and number of nutrient foramina in the diaphysis of fifty adult femora.

Aim: to determine the number, direction, position of nutrient foramen and whether the nutrient foramina obey the general rule that is, directed away from the growing end of the bone

Materials and Method: The present study has been undertaken in Fifty dry adult femora of South Indian origin in the Department of Anatomy, M.S Ramaiah Medical College, Bangalore. The number, directions, position of nutrient foramen in femur were measured with a digital Vernier caliper. The data were tabulated as mean + SD and statistically compared between the right and left sides.

Results:  A total of 75 foramina were examined in the 50 bones.  40 in Right sided femur and 35 in left sided femur. 46% bones had single foramina and 52% bones had double foramina. Foramen was absent in 2% bones. All nutrient foramina in the femur were directed proximally, away from the growing end. 16% of the foramina were located in the proximal third of the bone and the rest 84% were located in the middle third of the bone. There was no significant difference in location of foramina between right and left sided bones.

Conclusion: This study will provide the ethnic data for comparison among various populations. It is also helpful in interpretation of radiological images and for orthopedic procedures. Precise knowledge of usual and anomalous position of nutrient foramina and hence the nutrient artery may help the orthopaedician for the internal fixation at appropriate place in the long bone. The location of nutrient foramen is important for bone grafts, tumour resections, in traumas, congenital pseudoarthrosis and more recently in microsurgical vascularised bone transplantation.

Key words: Nutrient Artery, Diaphysis, Long Bone, Internal Fixation, Bone Graft, Bone Transplantation.


  1. Grey H, Williams P.L., Bannister L.H, Berry M.M, Collins P, Dyson M, Dussek J.E, Ferguson M.W.J. et al.1995. Gray’s Anatomy: 38 edition. London, Churchill Livingstone. 1995: 1417.
  2. 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.
  3. Rao V.S, Kothapalli J. The Diaphyseal nutrient foramina architecture – a study on the human upper and lower limb long bones. IOSR Journal of Pharmacy and Biological Sciences. 2014;9(1): 36-41.
  4. Mysorekar VR. Diphysial nutrient foramina in human long bones. J Anat. 1967; 101(4): 813-822.
  5. 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.
  6. Campos F.F, Pellico L.G, Alias M.G, Fernandez-Valencia R. A study of the nutrient foramina in human long bones. Surg. Radiol. Anat. 1987; 9: 251 – 255.
  7. Skawina A, Litwin J.A, Gorzyca J, Miodonski A.J. The vascular system of human fetal long bones: A scanning electron microscope study of corrosion casts. J. Anat. 1994; 185: 369 – 376.
  8. Kizilkanata E, Boyana N, Esin T. Ozsahina, Roger Soamesb R, Oguza O.Location, number and clinical significance of nutrient foramina in human long bones. Ann. Anat. 2007; 189: 87 – 95.
  9. Malukar O, Joshi H. Diaphysial nutrient foramina in long bones and miniature long bones. NJIRM; 2011; 2: 23-26.
  10. Lutken P. Investigation into the position of the nutrient foramina and the direction of the vessel canals in the shafts of the humerus and femur in man. Acta anat. 1950; 9: 57 – 68.
  11. Longia G.S, Ajmani M.L, Saxena S.K, Thomas R.J. Study of diaphyseal nutrient foramina in human long bones. Acta Anat. Basel. 1980; 107: 399 – 406.
  12. Sendemir E, Cimen A. Nutrient foramina in the shafts of lower limb long bones: situation and number. Surg. Radiol. Anat. 1991; 13: 105 – 108.
  13. Gumusburun E, Yucel F, Ozkan Y, Akgun Z. A study of the nutrient foramina of lower limb long bones. Surg. Radiol. Anat. 1994; 16: 409 – 412.
  14. 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.
  15. Kumar R, Mandloi R.S, Singh A.K, Kumar D, Mahato P. Analytical and morphometric study of nutrient foramina of femur in rohilkhand region. Innovative Journal of Medical and Health Science.2013; 3(2): 52 – 54.
  16. Le Gros Clark WE. The tissues of the body, 6th edn. Oxford: 1980;105:79-80.                     

Cite this article: Abhijit K R, Prathap Kumar J, Shailaja Shetty. MORPHOLOGICAL AND MORPHOMETRIC STUDY OF NUTRIENT FORAMINA OF FEMUR IN SOUTH INDIAN POPULATION. Int J Anat Res 2020;8(1.3):7378-7382. DOI: 10.16965/ijar.2020.107