Type of Article : Original Research
Year: 2015 | Volume 3 | Issue 2 | Page No. 1011-1014
Date of Publication: 30-04-2015
DOI: http://dx.doi.org/10.16965/ijar.2015.149
THIRD TROCANTER OF HUMAN FEMORA IN NORTH KARNATAKA REGION
Sarita Sylvia 1, Md.Khaleel Ahmed *2, Priyanka Jainapur 3.
1 Associate Professor, Department of Anatomy, MRMC, Kalaburagi, Karnataka, India
*2 Assistant Professor, Department of Anatomy, KBNIMS, Kalaburagi. Karnataka, India.
3 Assistant Professor, Department of Anatomy, KBNIMS, Kalaburagi. Karnataka, India.
Address: Dr. Md.Khaleel Ahmed, Assistant Professor, Department of Anatomy, KBNIMS, Kalaburagi. Karnataka, India.
E-Mail: dr.mohammedkhaleel786@gmail.com
Abstract
Introduction: In orthopaedic surgery, trochanteric region is an important as it’s an entry point, usually lateral side of the great trochanter, although anterior and posterior approaches have variable interest. For implants such as plates and DHS (dynamic hip screw), lateral approach is standard. After skin, fat tissue and fascia lata, vastuslateralis muscle is reached and elevated to approach lateral surface of subtrochanteric area. For implants as intra-medullar nail, minimally invasive approach is in routine use. Despite abundant research of general femoral morphology, especially its specific morphological parts (femoral head, neck, shaft, and its distal part involved in knee joint).
Materials and methods: Study on 158 dry adult human femur of unknown age & sex collected from the department of anatomy and phase I students of KBNIMS, Kalaburagi, Karnataka. The broken or non-dried specimens were excluded from the study.
Results: The third trochanter was present in 4.43% of the femora. Although the incidence was higher on the right side it was not statistically significant.
Discussion: Another study which reported the side variations in Whites and Negroes, documented higher incidence on right side in White and on left side in Negro population; it also reported the trait to be more common in females in both Whites and Negroes.
Conclusion: The presence of third trochanter at the proximal part of the femur has been found to alter the break lines in the pertrochanteric fracture patients. This study dealt with the incidence of third trochanter in north Karnataka region.
KEY WORDS: Third Trochanter, Gluteal Tuberosity, Proximal End Femur.
References
- Lozanoff S, Sciulli PW, Schneider KN. Third trochanter incidence and metric trait covariation in the human femur. J Anat. 1985 Dec;143:149-59.
- Finnegan M (1976) Non-metric variation of the infracranialskeleton. J Anat, 125: 23–37.
- Gratz S, Rennen HJ, Boerman OC, Oyen WJ, Burma P, Corstens FH. 99mTc-interleukin-8 for imaging acute osteomyelitis. J Nucl Med, 2001;42:1257–1265.
- Kurth AHA. The evaluation of a rat model for the analysis of densitometric and biomechanical properties of tumor-induced osteolysis. J Orthop Res, 2001;19:200–205.
- Meyer RA, Tsahakis PJ, Martin DF, Banks DM, Harrow ME, Kiebzak GM. Age and ovariectomy impair both the normalization of mechanical properties and the accretion of mineral by the fracture callus in rats. J Orthop Res, 2001;19:428–436.
- Bartoska R, Baca V, Kachlik D, Marvan J, Dzupa V. The correlation between muscles insertions and topography of break lines in pertrochanteric fractures: a comprehensive anatomical approach of complex proximal femur injuries. Surg Radiol Anat. 2013 Apr 30.
- Belcastro MG, Mariotti V, Facchini F, Bonfiglioli B. Musculoskeletal stress and adult age markers in the Krapina Hominid collection: the study of Femora. Period Biol 2006 Apr 27; 108(3):319–329.
- Bolanowski W, Smiszkiewicz- Skwarska A, Polguj M, Jedrzejewski K S. The occurrence of the third trochanter and its correlation to certain anthropometric parameters of the human femur. Folia Morphol. 2005;64(3):168-75.
- Finnegan M. Non-metric variation of the infracranial skeleton. J Anat. 1978 Jan; 125(Pt 1):23-37.
- Carolineberry A, Berry RJ. Epigenetic variation in the human cranium. J Anat. 1967 Apr;101(Pt 2):361-79.
- Howe, W L. and Parsons, P A. Genotype and environment in the determination of minor skeletal variants and body weight in mice. J Embryol Exp Morphol. 1967;17:283-92.
- Dahinten SL, Pucciarelli HM. Effect of age, sex and nutrition on discontinuous traits of rat skull. ActaAnat (Basel). 1981;110(2):159-63.
- Pucciarelli, H. M., The influence of experimental deformation on neurocranialWormian bones in rats. Am. J. Phys. Anthropol. 1974;41: 29–37.
- Appleton A B. On the Hypotrochanteric Fossa and Accessory Adductor Groove of the Primate Femur. J Anat. 1922 April; 56(Pt 3-4): 295–306.
Sarita Sylvia, Md.Khaleel Ahmed, Priyanka Jainapur. THIRD TROCANTER OF HUMAN FEMORA IN NORTH KARNATAKA REGION. Int J Anat Res 2015;3(2):1011-1014. DOI: 10.16965/ijar.2015.149