Type of Article : Original Research
Year: 2015 | Volume 3 | Issue 4 | Page No. 1505-1509
Date of Publication: 31-10-2015
VARIATION IN THE NUMBER AND POSITION OF NUTRIENT FORAMINA OF LONG BONES OF LOWER LIMB IN NORTH INDIANS
Seema *1, Poonam Verma 2, Anupama Mahajan 3, Deepinder Gandhi 4.
*1 Professor, Department of Anatomy, Sri Guru Ram Institute of Medical Sciences and Research, Amritsar, Punjab, India.
2 Professor, Department of Anatomy, Sri Guru Ram Institute of Medical Sciences and Research, Amritsar, Punjab, India.
3 Professor and Head, Department of Anatomy, Sri Guru Ram Institute of Medical Sciences and Research, Amritsar, Punjab, India.
4 Professor, Department of Physiology, Sri Guru Ram Institute of Medical Sciences and Research, Amritsar, Punjab, India.
Address: Dr Seema, Professor, Department of Anatomy, SGRD Medical College, Vallah, Amritsar, Punjab, India. Ph. No +919914754354.
Aims and Objectives: The major blood supply of the long bones is through the nutrient arterywhich enter through the nutrient foramina leadinginto an oblique nutrient canal. The presence, number, position and distances from the various prominent landmarks on the bone have medical as well as surgical significance. The present study was done on the long bones of North Indians to know the mean values of the number, position of nutrient foramina and distance from various landmarks on the bones and ultimately to compare with other populations.
Materials and Methods: The present study consists of 180 long bones of lower limb (60 femora, 60 tibiae, 60 fibulae) which were taken from Department of Anatomy, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah (Amritsar), India and studied carefully for the number, position and distance of nutrient foramina in relation to length and from the proximal epiphysis of the long bones. Also the anteroposterior and lateromedial diameter of the bone at the level of nutrient foramen were studied.
Main outcome measure: Variations in number, position and distance in relation to length and from proximal epiphysis of long bones was seen.
Results: The nutrient foramen of femur was located on the linea aspera in 76.50% of cases(39% in interstice 9.5% on the lateral lip and 28.00% on the medial lip of the linea aspera), 18.50 %on the medial surface and 5%.on the lateral surface. Nutrient foramen of tibia was located in 95.50% of cases under the soleal line at the average distance of 119.8 mm from intercondylar eminence to the nutrient foramen, on the soleal line in 4%and on the lateral border in 0.50% of cases. Nutrient foramen of fibula was found on the posterior surface in 65 % of cases, in 15% on the medial surface, on the interosseous border in 10% ,on the lateral surface in 7% and on the posterior border in 3% of cases.
Conclusion: This study will provide the ethnic data for comparison among various populations. It is also helpful in various surgical procedures and in interpretation of radiological images.
KEY WORDS: Femur, Fibula, Linea aspera, Nutrient, Tibia.
- Mysorekar VR and nandedkar AN. Diaphyseal nutrient foramina in human phalanges. J Anat 1979;128: 315-22.
- Skawina, Wyczolkowski M. Nutrient foramina of humerus, radius and ulna in Human Foetuses. Folia Morphol.1987; 46:17-24.
- Grey H, Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ et al.1995. Gray’s Anatomy: 38 edition. London, Churchill Livingstone. 1995: 1417.
- Trueta J. Blood supply and rate of healing of tibial fracture. Clin Orthop Rel Res.1953; 105:11-26.
- Gumusburun E, Yucel E, OzkanY, Akgun Z. A study of the nutrient foramina of lower limb long bones. SurgRadiol Anat.1994; 16:409-12.
- Kirschner MH, Menck J, Hennerbichler A, Gaber O, Hofman GO . Importance of arterial blood to the femur and tibia for transplantation of vascularized femoral diaphyses and knee joints. World J Sur 1998;22:845-52.
- Longia GS, Ajmani ML, Saxena SK, Thomas RJ . Study of diaphyseal nutrient foramina in human long bones. Acta Anat.1980, 107: 399-06.
- Ongeti KW, Obimbo MM, Bundi PK, Ogeng’ O. Anatomical Variation of position and Location of the fibula Nutrient Foramen in Adult Kenyans. East Afri Ortho J.2007; 1:16-18.
- MalukaralukarO and Joshi H. Diaphysial Nutrient Foramina In Long Bones And Miniature Long Bones.NJIRM. 2011; 2(2):23-26.
- Choi SW,Kim HJ, Koh KS, Chung IH, Cha IH. Topographical anatomy of the fibula and peroneal artery in Koreans. Int J Oral MaxillofacSurg,20014: 329-32.
- Minami A, Kasahima T, Iwasaki N, Kato H, Kaneda K. Vascularised fibular grafts: An experience of 102 patients. J Bone Joint Surg.2000; 82(7): 1022-5.
- Malizos AN, Zalavras CG, Soucacos PN, Beris AE, Urbaniak JR . Free vascularized fibular grafts for reconstruction of skeletal defects. J AmerAcadOrthop Surg.2004;12: 360-69.
- Carroll SE. A study of the nutrient foramina of the humeral diaphisis. J Bone Joint Surg.1963;45: 176-81.
- Lee JH, Eharahara S, TamakawaY, HoriguchiM . Nutrient canal of fibula. Skeletal Radiol.2000; 29:22-6.
- Hughes H. The factors determining the directions of the canal for nutrient artery in long bones of mammals and birds. Acta Anat.1952; 15:261-81.
- Campos FF, Pellico LG, Alias MG, Valencia FR (1995).A study of nutrient foramina of lower limb long bones. SurgRadiolAnat, 16:409-12.
- MysorekarVR. Diaphysial nutrient foramina in human long bones. J Anat, 1967;101:813-22.
- Sendemir E and Cimen A. Nutrient foramina in the shafts of lower limb long bones: situation and number. SurgRadiol Anat.1991;75:105-8.
- Prashanth KU, Murlimanju BV, Prabhu LV, Kumar CJ, Mangala MP , Dhananjava KYN. AnatomyofNutrient Foramina in the LowerLimbLongBones.Australasian Med J.2011; 4, (10):530-37.
- Collipol E, Yargas R, Parra X, Silva H, Mariano DS. Diaphyseal Nutrient Foramina in the Femur, Tibia and Fibula BonesInt J Morphol.2007;25(2):305-08.
- Pereira GAM, Lopes PTC, Santos AMPY, Silveira FHS .Nutrient foramina in the upper and lower limb Bones: Morphometric Study in Bones of South Brazilian Adults. Int J Morpho.2011;29(2):514-20..
- Kizikanat E, Boyan N, Ozsahin ET, Soamrs R, Oguz O.Location, number and clinical significance of nutrient foramina in human long bones. Ann Anat.2007;189:87-95.
- GuoF. Observations of the blood supply to the fibula. Arch OrthopTramat Surg.1981; 98:147-61.
- Forriol E, Gomez L, Gianonatti M, Fernandez R. A study of the nutrient foramina in human long bones. Surg Radiol Anat.1987; 9:251-5.
- Mckee NH, P, VetteseTtAnatomic study of the nutrient foramen in the shaft of the fibula. Clin Orthop Relat Res.1984; 184:141-44.
- Ebraheim NA, ElgafyH. Bone-graft harvesting from iliac and fibular donor sites: Techniques and complications. J Amer Acad Orthop Surg.2001; 9: 210-18.
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. DOI: 10.16965/ijar.2015.285