scholarly journals Study on the Nutrient Foramen of Long Bones of Upper Limb

2020 ◽  
Vol 9 (1) ◽  
pp. 9-15
Author(s):  
Chakka Sreekanth ◽  
◽  
Lattupalli Hema ◽  
Keyword(s):  
Upper Limb ◽  
Long Bones ◽  
Nutrient Foramen

scholarly journals Morphological Variations of Nutrient Foramina in Upper Limb Long Bones

2013 ◽  
Vol 2 (2) ◽  
pp. 177
Author(s):  
M. Sharma ◽  
R. Prashar ◽  
T. Sharma ◽  
A. Wadhwa
Keyword(s):  
Upper Limb ◽  
Growth Period ◽  
Long Bone ◽  
Long Bones ◽  
Active Growth ◽  
Morphological Variations ◽  
Nutrient Foramen ◽  
Nutrient Artery ◽  
Nutrient Foramina ◽  
Active Growth Period

The nutrient artery is the principal source of blood supply to a long bone and is particularly important during its active growth period in the embryo and foetus as well as during the early phase of ossification. The aim of the present study was to study the topographic anatomy and morphology of the nutrient foramina in human adult upper limb long bones. The study was performed on 40 upper limb long bones which include 40 humerii, 40 radii, 40 ulnae. The bones were obtained from department of anatomy Punjab institute of medical sciences, Jalandhar. The variations were found in number and location of nutrient foramen in different upper limb bones. In humerus double and triple foramina were found. In radius and ulna double foramina were observed at the maximum. Absence of nutrient foramen was observed in radius. The knowledge about these foramina is useful in surgical procedures.

A study of nutrient foramen in long bones of upper extremity in western population

2016 ◽  
Vol 65 ◽  
pp. S63
Author(s):  
Karishma Sharma ◽  
L. Raichandani ◽  
S.K. Kataria ◽  
A. Gurjar
Keyword(s):  
Upper Extremity ◽  
Long Bones ◽  
Western Population ◽  
Nutrient Foramen

Sex determination by discriminant function analysis using the human tibia in a Central Indian population

2019 ◽  
Vol 59 (3) ◽  
pp. 171-179 ◽  
Author(s):  
Preetika M Chatterjee ◽  
Kewal Krishan ◽  
RK Singh ◽  
Tanuj Kanchan
Keyword(s):  
Sex Determination ◽  
Discriminant Function ◽  
Discriminant Function Analysis ◽  
Function Analysis ◽  
Articular Surface ◽  
Transverse Diameter ◽  
Long Bones ◽  
Human Beings ◽  
Biological Profile ◽  
Nutrient Foramen

In human beings, sexual dimorphism can be well distinguished in almost every bone of the skeleton. Establishing a reliable biological profile is the foremost step in identifying human skeletal remains. Sex determination along with the estimation of age, stature and ancestry comprise the important parameters in establishing a biological profile. The pelvis and skull are considered the most reliable bones in sexing human remains. In the absence of the pelvis and skull, forensic scientists must rely upon other parts of the skeleton for sex assessment. Determination of sex from long bones based on morphological traits can be a challenging task, as there are a few morphological differences between the sexes for long bones. However, metric variations can prove to be helpful, as they are reproducible and more reliable. Metric analysis also has the added benefit of being less biased than nonmetric analysis. This study aimed to establish sex determination standards from tibiae using discriminant function analysis. A total of 17 measurements were taken on 162 dry tibiae (116 males and 46 females) of known sex and in the age range 20–60 years. Discriminant function analysis was performed to derive models for sexing of the tibiae. The breadth of the medial articular surface was observed to be the best parameter for sex prediction from metric measurements of the tibia. In stepwise analysis, only seven parameters – namely, the breadth of the medial articular surface, the condylo-malleolar length, the circumference at the nutrient foramen, the breadth of the lateral articular surface, the maximum length, the transverse diameter in the middle of the bone and the transverse diameter at the level of the nutrient foramen – were entered into the discriminant functions. Overall, the accuracy of sexing was observed to be 93.8% and 95% with the direct method and the stepwise method, respectively. This study provides a database and standards for sex estimation from tibiae based on discriminant function models. This investigation further concludes that tibiae can be used for sex determination in forensic examinations.

Pakistan Earthquake: Experiences of a Multidisciplinary Surgical Team

2010 ◽  
Vol 25 (4) ◽  
pp. 361-367 ◽  
Author(s):  
Asim Rajpura ◽  
Ihab Boutros ◽  
Tahir Khan ◽  
Sohail Ali Khan
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Femoral Fractures ◽  
Lessons Learned ◽  
Orthopedic Procedures ◽  
Soft Tissue Reconstruction ◽  
Long Bones ◽  
Disaster Victims ◽  
Limb Injuries ◽  
Surgical Teams

AbstractIntroduction:Four weeks after the earthquake in Kashmir, Pakistan, multi-disciplinary surgical teams were organized within the United Kingdom to help treat disaster victims who had been transferred to Rawalpindi. The work of these teams between 05-17 November 2005 is reviewed, and experiences and lessons learned are presented.Methods:Two self-sufficient teams consisting of orthopedic, plastic surgical, anesthetic, and theatre staff were deployed consecutively over a two-week period. A trauma unit was set up in a donated ward within a private ophthalmological hospital in Rawalpindi.Results:Seventy-eight patients with a mean age of 23 years were treated: more than half (40) were <16 years of age. Fifty-two patients only had lower limb injuries, 18 upper limb injuries, and eight combined lower and upper limb. The most common types of injuries were: (1) tibial fractures (n = 24), with the majority being open grade 3B injuries (n = 22); (2) femoral fractures (n = 11); and (3) forearm fractures (n = 9). Almost half (n = 34) of the fractures were open injuries requiring soft tissue cover.Over 12 days, 293 operations were performed (average 24.4 per day). A total of 202 examinations under anesthesia, washouts, and debridements were performed. The majority of wounds required multiple washouts prior to definitive procedures. Thirty-four definitive orthopedic procedures (fixations) and 57 definitive plastic procedures were performed. Definitive orthopedic procedures included 15 circular frame fixations of long bones, nine of which required acute shortening and five open reduction and internal fixation of long bones. Definitive plastic procedures included 21 skin grafts, four amputations, 11 revisions of amputations, 20 regional flaps, and one free flap.Conclusions:A joint ortho-plastic approach was key to the treatment of the spectrum of injuries encountered. Only four patients required fresh amputations. Twenty patients may have required amputation without the use of ring fixators and soft tissue reconstruction. Having self-sufficient teams along with their own equipment and supplies also was mandatory in order not to put further demand on already scarce resources. However, mobilizing such teams logistically was difficult, and therefore, an organization consisting of willing volunteers for future efforts has been established.

scholarly journals DIAPHYSEAL NUTRIENT FORAMINA OF ADULT HUMAN TIBIA - ITS POSITIONAL ANATOMY AND CLINICAL IMPLICATIONS. Foramen nutricio diafisario de la tibia humana adulta – Su anatomía posicional y las implicancias clínicas

2016 ◽  
Vol 5 (3) ◽  
pp. 222-228
Author(s):  
Swati Gandhi ◽  
Rajan K Singla ◽  
Rajesh K Suri ◽  
Vandana Mehta
Keyword(s):  
Fracture Repair ◽  
Orthopedic Procedures ◽  
Long Bones ◽  
Tibial Shaft ◽  
Nutrient Foramen ◽  
Medical College ◽  
Adult Human ◽  
Nutrient Foramina ◽  
The Mean ◽  
The Right

El conocimiento del número y posición de los forámenes nutricios en los huesos largos es importante en los procedimientos ortopédicos, tales como la terapia de reemplazo de articulaciones, reparación de fracturas, injertos de hueso y micro-cirugía de hueso vascularizado. El presente estudio se llevó a cabo en el departamento de Anatomía, Colegio Médico Gubernamental de Amritsar. El estudio comprendió 100 tibias de humanos adultos obtenidas de 50 cadáveres masculinos y 50 femeninos. Todos los huesos del presente estudio presentaban el foramen nutricio situado en el tercio superior del eje y se dirigían hacia abajo. En la mayoría de los huesos, se encuentró lateral a la línea vertical en la superficie posterior de la diáfisis tibial. Las distancias medias de foramen nutricio de los extremos superior e inferior de la tibia eran mayores en los hombres en ambos lados. Además, estas mediciones mostraron valores más altos en los huesos de la mitad derecha. El conocimiento preciso de la ubicación de la forámenes nutricios en los huesos largos es útil en la prevención de las lesiones intra-operatorias en cirugía ortopédica, así como en cirugía plástica y reconstructiva y también es relevante en la práctica médico-legal. An understanding of the number and position of nutrient foramina in long bones is important in orthopedic procedures such as joint replacement therapy, fracture repair, bone grafts and vascularized bone microsurgery. The present study was conducted in the department of Anatomy, Govt. Medical College Amritsar. The study group comprised of 100 adult human tibiae obtained from 50 male and 50 female cadavers. All the bones of the present study depicted single nutrient foramen situated in the upper one third of the shaft and were directed downwards. In majority of the bones, it was located lateral to the vertical line on the posterior surface of tibial shaft. The mean distances of nutrient foramen from the upper and lower ends of tibia were found to be greater in males on both the sides. Also, these measurements showed higher values in the right sided bones.Precise knowledge of the location of the nutrient foramina in long bones is helpful in preventing intra-operative injuries in orthopedic as well as in plastic and reconstructive surgery and is also relevant in medicolegal practice.

scholarly journals Anatomical study of nutrient foramen in lower limb dry long bones

2021 ◽  
Vol 9 (8) ◽  
pp. 2246
Author(s):  
Samyog Mahat ◽  
Shamsher Shrestha ◽  
Prabhakar Yadav
Keyword(s):  
Lower Limb ◽  
Anatomical Study ◽  
Vascular Supply ◽  
Long Bones ◽  
Posterior Surface ◽  
Nutrient Foramen ◽  
Nutrient Artery ◽  
Linea Aspera ◽  
Upper Third ◽  
Gain Access

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.

scholarly journals Study of Nutrient Foramina in Human Typical Long Bones of Lower Limb

2019 ◽  
Vol 08 (02) ◽  
pp. 077-081 ◽  
Author(s):  
Ajay Parmar ◽  
Pankaj Maheria ◽  
Kanan Shah
Keyword(s):  
Blood Supply ◽  
Lower Limb ◽  
Fracture Repair ◽  
Lower Limbs ◽  
Long Bones ◽  
Posterior Aspect ◽  
Nutrient Foramen ◽  
Nutrient Artery ◽  
Nutrient Foramina ◽  
The Right

Abstract Background and Aim Nutrient foramina form important landmarks on human bones as they form portal of entry for nutrient artery. Nutrient artery is an important source of blood supply for a growing bone. Different parameters of nutrient foramina are important in various procedures such as vascularized bone grafting, tumor resections, fracture repair, and other surgical procedures in orthopedics. The objective of the present study was to report the number, position, direction, size, and foraminal index of nutrient foramen in the femur, tibia, and fibula. Materials and Methods The present study analyzed the location, direction, size, and the number of nutrient foramina in the diaphysis of 180 long bones of the lower limbs of adults: 60 femurs, 60 tibiae, and 60 fibulae. Result The location of the nutrient foramina is predominant on the posterior aspect of the lower limb long bones. Single nutrient foramen found in the tibia (100%), femur (48.3%), and fibula (60%) may represent as a single source of blood supply. The majority of the femur (50%) and few fibulae (5%) had a double nutrient foramen. The mean foraminal index for the lower limb bones was 40.5% for the left and 38.2% for the right side of the femur, 31.69% for the left and 32.3% for the right side of the tibia, and 32.7% for the left and 31.7% for the right side of the fibula. Conclusion The present study provides information on the number, size, position, and direction of nutrient foramina of the femur, tibia, and fibula bones.

Patterns and Management of Fractures of Long Bones: A Study of the Ancient Population of Saqqara, Egypt

2013 ◽  
Vol 89 ◽  
pp. 133-156
Author(s):  
Iwona Kozieradzka-Ogunmakin
Keyword(s):  
Medical Treatment ◽  
Upper Limb ◽  
Age Groups ◽  
The State ◽  
Long Bones ◽  
Male And Female ◽  
Ancient Population ◽  
Old Kingdom ◽  
Old Adults ◽  
Location Type

A skeletal collection from 105 burials excavated at the Old Kingdom and Ptolemaic Period cemetery in Saqqara, Egypt, was investigated for evidence of ante-mortem fractures of long bones. The collection comprised 57 males, 30 females, 14 unsexed sub-adults, and 4 unsexed mature individuals. The majority of the skeletons were complete or almost complete, despite the disturbance caused by tomb looters in antiquity. Fractures were recorded by bone, side, location, type and state of healing. The prevalence of fractures was calculated in male and female populations, as well as in individual age groups. The state of healing of the fractures was examined in order to investigate the possibility of medical treatment provided. No evidence of fractures was recorded in subadults. Evidence of single fractures were found in fourteen adults, and a further five individuals sustained two fractures to different bones of the upper limb. The frequency of fractures by bone count was the highest among the Middle and Old Adults. Fractures to the radius (37.5%) and the ulna (33.3%) were the most common, while no fractures were recorded in the tibia. Angulation, rotation and shortening were observed among the healed bones.

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