Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 1 | Page No. 1941-1944
Date of Publication: 29-02-2016
DOI: http://dx.doi.org/10.16965/ijar.2016.117
MORPHOMETRIC STUDY OF THE SUPRACONDYLAR PROCESS OF THE HUMERUS WITH ITS CLINICAL UTILITY
Roopali D. Nikumbh *1, Dhiraj B. Nikumbh 2, Megha A. Doshi 3, Manohar N Ugadhe 4.
*1 Assistant Professor, Department of Anatomy, JMF’s ACPM Medical College, Dhule, Maharashtra, India.
2 Associate Professor, Department of Pathology, JMF’s ACPM Medical College, Dhule, Maharashtra, India.
3 Professor & Head, Department of Anatomy, KIMS University, Karad, Maharashtra, India.
4 Professor, Department of Anatomy, JMF’s ACPM Medical College, Dhule, Maharashtra, India.
Address: Dr. Roopali D. Nikumbh. M.D. Assistant Professor, Department Of Anatomy, JMF’S ACPM Medical College, Dhule, Maharashtra, India.
E-Mail:drrdnikumbh@gmail.com
Abstract
Background: The Supracondylar process is a beak like bony spine/ projection that arises from the anteromedial surface of the Humerus. It is also called Supraepitrochlear, epicondylar, epicondylic process or Supracondylar spur. It represents a phylogenetic remnants of complete osseous bride found in climbing animals and many reptiles mostly marsupials, cats, lemurs and American monkeys.
Materials and Methods: The two hundred and eighty dried humeri were studied in the Dept of Anatomy, KIMSDU, Karad and ACPM Medical College, Dhule, India. The bones were examined for any osseous projection from distal part under day light. On findings, the dimensions were recorded and photographed.
Results: Out of 280 dried humeri examined, we found only 1 humerus of the right side with an osseous spine on the anteromedial surface. The incidence calculated in this study was 0.36%.
Conclusion: The Supracondylar process is usually clinically silent but may become symptomatic by presenting as a mass or can be associated with symptoms of median nerve compression and claudication of brachial artery especially when associated with Struthers ligament. Hence the knowledge of the presence of variations in anatomy like Supracondylar process is important for anatomists, radiologists, anesthesiologists, surgeons, and anthropologists.
KEYWORDS: Humerus, Supracondylar process, Struther’s ligament.
References
- In: Williams PL, Warwick R, Dyson M, Bannister LH, editors. Gray' Anatomy. 39 th ed. Edinburgh London: Churchill Livingstone; 2005. p. 850.
- Datta AK. Essentials of human Anatomy. In: Superior and inferior extremity. 3 rd ed. Kolkatta: Current Books International; 2004. p. 60
- Kessel L , Rang M. Supracodylar spur of the humerus.J Bone Joint Surg Br 1966;48:765-769.
- Struthers J on the processus supracondyloideus humeri of man. Trans Int Med Congr. London; 1881;1:148-51
- Solieri S.: Nervalgia del nervo mediano da processo sopraepitrocleare. Chirurgia dcgli Organi di Movimento 1929; 14, 71.
- Aydinlioglu A, Cirak B, Akpinar F, Tosun N, Dogan A. Bi lateral Median Nerve Compression At The Level Of Struthers’ Ligament. J. Neurosurg. 2000; Vol 92: 693-96.
- Tiedmann F. Tabulae arterium corporis humani. Carlsruhae: Muller; 1822.
- Gupta RK, Mehta CD. A study of the incidence of supracondylar process of the humerus. J Anat Soc India 2008;57:111-115.
- Spinner R.J., Lins, R.E., Jacobson, S.R. and J.A. Nunley. Fractures of the supracondylar process of the humerus. The Journal of Hand Surgery (Am) 1994; 19(6):1038-41.
- Prabahita B, Pradipta RC, Talukdar KL. A study of supracondylar process of humerus. Journal of Evolution of Medical and Dental Sciences. 2012;1(5):822
- Shivaleela C, Suresh BS, Kumar GV, Lakshmiprabha S. Morphological study of Supracondylar process of the humerus and its clinical implications.JCDR.2014;8(1):1-3
- Ravi V and Patil SP. Study of Supracondylar process of humerus.International Jr of Helath &Allied Sciences2014;3(2):134-136.
- Oluyemi KA, Okwuonu UC, Adesanya OA, Akinola OB, Ofusori DA, Ukwenya VO and Odion BI. Supracondylar and infratubercular processes observed in the humeri of Nigerians. African Journal of Biotechnology. 2007 Novemver 5; Vol. 6 (21), pp. 2439-41.
- Subasi M, Kesemenli C, Necmioqlu S, Kapukaya A, Demirtas M. Supracondylar process of the Humerus. Acta Orthop. Belg. 2002; 68 (1):72-75.
- Peters FLM. Radiologic manifestations of the Cornelia de Lange syndrome. Pediatr Radiol. 1975; 3:41-46.
- Parkinson C. The supracondylar process. Radiology. 1954; 62: 556-58
- Ivins G. K., Fulton M. O. Supracondylar process syndrome: A case report. J. Hand Surg., 1996, 21-A, 279-81
- Barnard LB, Mccoy SM. The supracondyloid process of the humerus, J Bone Joint Surg 1946; 28(4):845–50.
- Mittal RL, Gupta BR. Median and ulnar-nerve palsy: an unusual presentation of the supracondylar process. Report of a case, J Bone Joint Surg Am 1978; 60(4): 557–58.
- Pecina M, Boric I, Anticevic D. Intraoperatively Proven Anomalous Struthers’ Ligament Diagnosed by MRI. Skeletal Radiol. 2002; 31(9): 532-35.
- Newman A. The supracondylar process and its fracture. Am J Roentgenol Radium Ther Nucl Med. 1969; 105: 844–49.
- Thompson JK, Edwards JD. Supracondylar process of the humerus causing brachial artery compression and digital embolization in a fast-pitch softball player. A case report. Vasc Endovascular Surg. 2005; 39(5):445-8.
Roopali D. Nikumbh, Dhiraj B. Nikumbh, Megha A. Doshi, Manohar N Ugadhe. MORPHOMETRIC STUDY OF THE SUPRACONDYLAR PROCESS OF THE HUMERUS WITH ITS CLINICAL UTILITY. Int J Anat Res 2016;4(1):1941-1944. DOI: 10.16965/ijar.2016.117