Nutrient foramen of humerus
DOI:
https://doi.org/10.18203/2320-6012.ijrms20233018Keywords:
Nutrient foramen, Humerus, Coracoclavicular, Sternoclavicular ligamentsAbstract
Background: Humerus is a typical long bone of arm in human body extending from shoulders to elbow. Nutrient foramen is the small opening present in most of the bone of human body to transmit the nutrient artery which supplies nutrition to different parts of bone. The aim of the present study is to identify the number of nutrient foramen in dry humerus and to observe direction and allocation of the nutrient foramina.
Methods: The present study was carried out in 60 dry humeri (23 rights and 37 lefts) collected from Department of Anatomy, Government Medical College Srinagar. Bones were examined with respect to the number, direction and anatomical location of nutrient foramen.
Results: Out of 60 dry humeri, 36 (60%) had a single nutrient foramen, 14 (23.3%) had double, 7 (11.6%) had triple and 3 (5%) had no nutrient foramen. About 52% of the bones had nutrient foramen on the medial border, 40% on the Anteromedial surface, 3% on lateral border, 3% on posterior surface and 2% on the anterior border. Majority of the bones i.e., 81% have the nutrient foramen in the middle 1/3rd zone, 17% at the junction between middle 1/3rd zone and lower 1/3rd zone and 2% in the lower 1/3rd zone.
Conclusions: By knowing the number and location of the nutrient foramina in humerus it is useful in preventing intra-operative injury of nutrient artery during orthopedic, plastic and reconstructive surgery.
References
Branemark PI. Vital microscopy of bone marrow in rabbit. Scand J Clin Lab Invest. 1959;11:1-82.
Datta AK. General Anatomy: General Consideration. 4th ed. Kolkata: Current Books International; 1997: 75-7.
Standring S, Williams P, Warwick W, Bannister D. Gray’s Textbook of Anatomy: Pectoral girdle, Axilla. 37th ed. London: Elseveir Churchil Livingstone; 1993:299-300,759.
Mansur DI, Manandhar P, Haque MK, Mehta DK, Duwal S, Timalsina B. A Study on Variations of Nutrient Foramen of Humerus with its Clinical Implications. Kathmandu Univ Med J. 2016;14(53):78-83.
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;9:251-5.
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.
Stewart MJ, Hundley JM. Fractures of the humerus; a comparative study in methods of treatment. J Bone Joint Surg Am. 1955;37:681-92.
Coolbaugh CC. Effects of reduced blood supply on bone. Am J Physiol. 1952;169:26-33.
Laing PG. The arterial supply of the adult humerus. J Bone Joint Surg Am. 1956;38:1105-16.
Bharathi A, Janaki V, Gouri TLS, Archana. Morphometric variations of nutrient foramen in adult human humerus in Telangana region. J Dent Med Sci. 2016;15(4):43-6.
Kulkarni GS, Limaye R. Nonunion of fractures of long bones. Textbook of Orthopedics and Trauma. 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 1999;2:1542-4.
Bhojaraja VS, Kalthur SG, Dsouza AS. Anatomical study of diaphyseal nutrient foramina in human adult humerus. Arch Med Health Sci. 2014;2:165-9.
Chandrasekaran S, Shanthi KC. A study on the nutrient foramina of adult humerii. J Clin Diagn Res. 2013;7:975-7.
Longia GS, Ajmani ML, Saxena SK, Thomas RJ. Study of diaphyseal nutrient foramina in human long bones. Acta Anat. 1980;107:399-406.
Khan AS, Shah Z, Inayat Q. Anatomical variations in diaphyseal nutrient foramina of humerus in cadavers from Khyber Pakhtunkhwa, Pakistan. Khyber Medical Univ J. 2014;6(1):18-21.
Ukoha UU, Umeasalugo KE, Nzeako HC, Ezejindu DN, Ejimofor OC, Obazie IF. A study of nutrient foramina in long bones of Nigerians. Nat J Med Res. 2013;3(4):304-8.
Roul B, Goyal M. A study of nutrient foramen in long bones of superior extremity in human being. Int J Curr Res Life Sci. 2015;4(4):198-200.
Yaseen S, Nitya W, Ravinder M. Morphological and Topographical study of Nutrient foramina in adult humerii. Int J Innovat Res Develop. 2014;3(4):7-10.
Chandrasekaran S, Shanthi K C. A study on the nutrient foramina of adult humerii. J Clin Diag Res. 2013;7(6):975-7.
Joshi H, Doshi B, Malukar O. A study of the nutrient foramina of the humeral diaphysis. Nat J Integrat Res Med. 2011;2(2):14-7.
Asharani SK, Ningaiah A. A study on the nutrient foramen of humerus. Int J Anat Res. 2016;4(3):2706-9.