Anatomical study of nutrient foramen in lower limb dry long bones
Keywords:Nutrient foramen, Foraminal index, Lower limb
Background: Nutrient artery gain access through nutrient foramen and provide vascular supply to bone. Number, size and location of nutrient foramen has significant medical as well as surgical importance. Any insult to nutrient artery during surgical procedure or during trauma may lead to devascualarization or poor prognosis.
Methods: The present study consist of 50 femurs, 50 tibia and 50 fibula, collected from department of anatomy, BPKIHS. Mean length of bone, number, position and size and foraminal index of nutrient foramen was observed and recorded accordingly.
Results: In femur 62% bone shows single nutrient foramen. Nutrient foramen was commonly located in medial lip of linea aspera and in upper third of bone which was noted in 80% of bone. In tibia 82% of total bone shows single foramen with absent of foramen in 6% bone. Foramen was commonly located above the soleal line and middle third of bone which was noted in 56% of bone. In fibula 6% of total bone shows absent of nutrient foramen and majority of bone shows single nutrient foramen (82%). Foramen was commonly located in lower part of posterior surface (60%) and in middle third of bone.
Conclusions: This study provides details topographic knowledge about nutrient foramen which is important clinically for proper planning of surgery and its outcome.
Krishna SM, Kumar PU. Morphologic and Morphometric Study of the Nutrient Foramina in Dry Human Femur Bones of Telangana Region. Int J Anat Res. 2016;4(2):2464-8.
Ambekar SA, Sukre SB. Diaphyseal Nutrient Foramen of Lower Limb Long Bones: Variations and Importance. Int J Anat Res. 2016;4(3):2684-8.
Sharma M, Prashar R, Sharma T, Wadhwa A, Kaur J. Morphological Variations of Nutrient Foramina in Lower Limb Long Bones. Int J Med Dent Sci. 2015;4(2):802.
Mysorekar VR, Nandedkar AN. Diaphysial nutrient foramina in human phalanges. Plast Reconstr Surg. 1980;65(4):542.
Oyedun OS. Morphometric study of diaphyseal nutrient foramen in dried Nigerian femurs: Implications for microvascular bone graft. Adv Life Sci Technol. 2014;23:91-7.
Shrestha P, Mansur I, Mehta K, Shrestha S. Variations of Nutrient Foramen of Femur and its Clinical Implications. 2019;7(2):5-8.
Moore KL, Dalley AF, Agur AMR. Clinically oriented Anatomy: Abdomen. 8th ed. Canada: Wolters Kluwer; 2006: 522-563.
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. Cells Tissues Organs. 1950;9(1):57-68.
Prashanth KU, Murlimanju BV, Prabhu LV, Kumar CG, Pai MM, Dhananjaya KVN. Morphological and topographical anatomy of nutrient foramina in the lower limb long bones and its clinical importance. Australas Med J. 2011;4(10):530-7.
Campos FF, Pellico LG, Alias MG, Fernandez VR. A study of the nutrient foramina in human long bones. Surg Radiol Anat. 1987;9(3):251-5.
Xue Z, Ding H, Hu C, Xu H, An Z. An anatomical study of the nutrient foramina of the human humeral diaphysis. Med Sci Monit. 2016;22:1637-45.
Craig JG, Widman D, Holsbeeck M. Longitudinal stres fracture: Patterns of edema and the importance of the nutrient foramen. Skeletal Radiol. 2003;32(1):22-7.
Exhibit S, Saad J, Zrig A, Marrakchi F, Harbi F, Alghamdi S. Longitudinal stress fracture : patterns of edema and the importance of the nutrient foramen in MRI evaluation . Eur Soc Radiol. 2015;1-17.
Payton CG. The Position of the Nutrient Foramen and Direction of the Nutrient Canal in the Long Bones of the Madder-Fed Pig. J Anat. 1934;68(4):500-10.
Matsuura M, Ohno K, Michi KI, Egawa K. Clinicoanatomic Study on the Craniofacial Bones Used for Cranio- and Maxillofacial Implants. Int J Oral Maxillofac Implant. 2002;17(1):121-9.
Hughes H. The factors determining the direction of the canal for the nutrient artery in the long bones of mammals and birds. Acta Anat. 1952;15(3):261-80.
Gupta AK, Ambekar MN. Study Of Nutrient Foramina In Adult Human Femur Bones. J Nepalgunj Med Coll. 2018;14(2):44-9.
Narasipuram A, Priya KAV, Bindu NH. Morphometric Study of Nutrient Foramen of the Dried Human Tibiae. Int J Anat Res. 2019;7(2):6468-73.
Chandrasekaran S, Shanthi KC. A study on the nutrient foramina of adult humerii. J Clin Diagnostic Res. 2013;7(6):975-7.
Sendermir E, Çimen A. Nutrient foramina in the shafts of lower limb long bones: Situation and number. Surg Radiol Anat. 1991;13(2):105-8.
Seema, Verma P, Mahajan A, Gandhi D. 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):1505-9.
Poornima AA. International Journal of Biomedical Research Epidemiological indicators of Cancer in North Saudi Arabia: A population-based Survey. Int J Biomed Res. 2015;6(9):6.
Kizilkanat E, Boyan N, Ozsahin ET, Soames R, Oguz O. Location, number and clinical significance of nutrient foramina in human long bones. Ann Anat. 2007;189(1):87-95.
Kirschner MH, Menck J, Hennerbichler A, Gaber O, Hofmann GO. Importance of arterial blood supply to the femur and tibia for transplantation of vascularized femoral diaphyses and knee joints. World J Surg. 1998;22(8):845-52.
Vinay G, Gowri SRM. Anatomical study of the nutrient foramen of lower limb long bones in South Indian population. Indian J Clin Anat Physiol. 2017;4(2):222-4.
Mazengenya P, Fasemore MD. Morphometric studies of the nutrient foramen in lower limb long bones of adult black and white South Africans. Eur J Anat. 2015;19(2):155-63.
Pereira GAM, Lopes PTC, Santos AMP, Silveira FHS. Nutrient Foramina in the Upper and Lower Limb Long Bones: Morphometric Study in Bones of Southern Brazilian Adults. Int J Morphol. 2011;29(2):514-20.
Gumusburun E, Yucel F, Ozkan Y, Akgun Z. A study of the nutrient foramina of lower limb long bones. Surg Radiol Anat. 1994;16(4):409-12.
Mohan K, Devaraj B, Ramanathan S, Rethinasamy M. Morphometric Study of Nutrient Foramen in the Long Bones of Lower Limb. Int J Anat Res. 2017;5(2.3):3943-8.
Tejaswi HL, Shetty K, Dakshayani KR. Anatomic Study of Nutrient Foramina in the Human Tibiae and Their Clinical Importance. 2014;9(3):334-6.
Hari V. Nutrient foramen in tibia- A study in coastal region of Karnataka. IOSR J Dent Med Sci. 2013;10(3):75-7.
Sinha P, Mishra SR, Kumar P, Gaharwar A, Sushobhana S. Morphology and Topography of Nutrient Foramina in Fibula. Ann Int Med Dent Res. 2016;2(6):7-12.
Jayaprakash T. Morphologic study of diaphyseal nutrient foramina in dried fibulae and its clinical implications. Int J Res Med Sci. 2016;4(9):3887-9