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

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.

2019 ◽  
Vol 08 (02) ◽  
pp. 077-081 ◽  
Author(s):  
Ajay Parmar ◽  
Pankaj Maheria ◽  
Kanan Shah

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.


2021 ◽  
Vol 10 (14) ◽  
pp. 999-1002
Author(s):  
Suja R.S. ◽  
Mini Alikunju ◽  
Aswathy Maria Oommen ◽  
Sreekumar R ◽  
Sheena Kalyani Sukumaran ◽  
...  

BACKGROUND Nutrient foramina are seen in the shaft of long bones. They vary in number, size and their position on the surface of bones. It transmits the nutrient artery which is the main source of blood supply to the long bones. We intend to study the location, number, type and direction of primary nutrient foramina (PNF) on the shaft of tibia. METHODS The descriptive study was done using 120 tibiae (right-66, left-54) from Department of Anatomy, Govt. Medical College, Thiruvananthapuram. Length of each bone and distance of the nutrient foramen from the upper end of tibia was measured using osteometric board. The location of the primary nutrient foramina on the surface of tibia, the direction of the nutrient canal and the presence of secondary nutrient foramina were noted. RESULTS Single primary nutrient foramina were located on the posterior surface of 113 tibiae. 4 tibiae showed PNF and secondary nutrient foramina (SNF). No nutrient foramina were observed in 3 tibiae. CONCLUSIONS The precise knowledge and topography of PNF of tibia will help orthopaedic surgeons in minimising damage to vasculature of tibia during various surgical procedures. KEY WORDS Tibia, Nutrient Foramen, Nutrient Artery


2021 ◽  
pp. 11-14
Author(s):  
Rani Raphael M ◽  
Sajey P. S. ◽  
Rajad. R ◽  
Varghese P. D

Introduction: In human anatomy the acetabulum is a cavity on the lateral aspect of the hip-bone. The purpose of this study is to record the depth and diameter of the acetabulum cavity to accumulate morphological data helpful for anthropologists, Forensic medicine experts and orthopedicians. Materials And Methods: The study was done on 88 adult human hip bones (42 right and 46 left) collected from Department of Anatomy, Govt.T.D Medical College, Alappuzha, Kerala state. The diameters and maximum depth were measured using digital vernier calliper. The measurements were compared with other studies in the world. The mean diam Results: eter of acetabulum was 48.08 ± 3.21mm, 44.16 ± 2.60 mm in male and female respectively. The mean ± S.D value of depth was 29.11± 2.37 and 27.20± 2.01 mm. in male and female respectively. The correlation between depth and diameter was signicant only in the right male hip bones. There is signicant variation in the Conclusion: anatomical parameters of hip bone between different Indian population groups. The data from this study may be used for designing population specic hip prosthesis.


2015 ◽  
Vol 9 (1) ◽  
pp. 11-16
Author(s):  
Fatema Johora ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Sunjida Shahriah ◽  
Rukshana Ahmed ◽  
Shamim Ara

Background: Controversies still prevail on glomerular changes of kidney whether due to normal aging or its association with diseases Objective: The aim of the present study was to see the variation in number and size of the glomeruli of kidney with increasing age in a Bangladeshi population based on autopsy. Methods: This cross-sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from July 2008 to June 2009, based on collection of 140 post mortem human kidneys collected from 70 unclaimed dead bodies from the morgue. All the samples were divided into three age-groups: 10-19 years, 20-39 years and 40-59 years. Histological slides were prepared by using routine Harris’ Haematoxylin and Eosin (H & E) stain. The number of glomeruli was measured by point counting technique, while the size (diameter) was measured by using ocular and stage micrometer. Results: The mean ± SE number of glomeruli per sq. mm found in the right and left kidney were 8.45±0.52 and 8.67±0.80 in group 10-19 years, 9.90±0.42 and 9.92±0.47 in 20-39 years, and 8.52±0.18 and 8.55±0.16 in 40-59 years respectively. Besides, the size (mean ± SE diameter) of glomeruli was found in the right and left kidney were 43.96±3.01ìm and 143.92±2.90ìm in group 10-19 years, 153.69±5.18ìm and 153.61±5.24ìm in 20-39 years, and 140.48±0.95ìm and 140.78±0.88ìm in 40-59 years respectively. Conclusion: No difference was found in number and size of glomeruli between right and left kidney in any group. Similarly, no difference was also evident among different age groups. DOI: http://dx.doi.org/10.3329/jbsp.v9i1.22788 Bangladesh Soc Physiol. 2014, June; 9(1): 11-16


2018 ◽  
Vol 14 (2) ◽  
pp. 44-49 ◽  
Author(s):  
Anil Kumar Gupta ◽  
M. N. Ambekar

 Background: The role of nutrient foramen (NF) in nutrition and growth of the bones is evident from term Nutrient itself. The nutrient foramen is opening of nutrient canal on the surface of shaft of the bone which conducts the nutrient artery and the peripheral nerves to bones. Long bones receive most of the interosseous blood supply (70% to 80%) from the nutrient arteries and remaning (20% to 30%) through the periosteal vessels. Nutrient arteries play an important role in nutrition and growth of the bones particularly during early phases of ossification and growth. The present study is of great importance to orthopedic surgeons in planning repair of fracture, amputation and bone grafting procedures.Aim and objective of study: A study regarding nutrient foramina in femur was not conducted in the past in Nepal. Its importance in orthopedic procedures has inspired us to undertake this study.Materials and methods: This study was conducted on 100 adult dry femur bones (50 right and 50 left). All the important parameters were studied using osteometric board, vernier calipers, and needles of different gauges.Results: Mean distance of nutrient foramen from upper end was 18.09 cms. The most common location of NF was on lateral surface 58.8%. In 71% femur only one NF was seen, while 25% had two NF, 1% femur had three NF and 3% femur had no NFs. In 64.5% femur big size or dominant NFs were seen in present study.Conclusions: The findings of this study on nutrient foramen adds to the information from studies in the past by other authors. The fact that maximum number of the nutrient foramina are present in the middle third of the shaft of the femur is of clinical importance for proper diagnosis, planning of surgery and predict the prognosis. JNGMC,  Vol. 14 No. 2 December 2016, Page: 44-49


2019 ◽  
Vol 1 (4) ◽  
pp. 29-32
Author(s):  
Amjad N Bhatti ◽  
C Smith

Background Free vascularised fibular bone grafting has gained popularity in various Orthopaedic and Oral & maxillofacial reconstructive surgeries. The objective of the present study was to identify the morphology and topography of nutrient foramina of fibula and to determine the foraminal index (FI) of the fibula using a more surgeon friendly bony landmark. Methods The study comprised examination of 100 fibulae specimens. Each bone was divided into 03 parts and topographical analysis was performed on each section. The nutrient foramina were identified macroscopically using size 24-gauge needle. Modified Hughes formula was used to calculate the foraminal index using distance of foramen (DF) from distal end which is easier to palpate in living human beings, total length of fibula (TL); and the formula was DF/TL x100. Results With respect to fibulae, 98% had single foramen and foramen was absent in 2%. The mean foraminal index (FI) was 56% for fibulae using modified Hughes’ formula. The majority of the fibulae showed nutrient foramen in the middle 3rd in relation to distal end of fibula. Conclusion The study provides information on the morphology of nutrient foramina in relation to easily palpable landmark on living human beings, which can provide guidance to surgeon while performing microvascular bone transfer procedures.


2018 ◽  
Vol 25 (08) ◽  
pp. 1252-1255
Author(s):  
Anwaar Hussain ◽  
Jawaria Khalid ◽  
Abdul Rauf

Objectives: To study the nutrient foramina of the dried human clavicle with respectto their position, number and direction for clinical interest. Study Design: Cross sectional study.Setting: Anatomy Department Faisalabad Medical University Faisalabad. Period: Six monthsfrom July to December 2017. Material and Methods: 60 dried human clavicles taken frombone bank of Anatomy Department Faisalabad Medical University Faisalabad. The foraminawere studied according to their location, and number and direction. The foramina index wascalculated using Hughes Formula by measuring the average total length and average lengthof foramina from sternal end of the clavicle. Results: The nutrient foramen was observed in all60(100%) of the clavicle. Single foramen was present in 22 (36.6%) clavicle and double foramenin 30(50%) clavicle. Triple and quadruple foramen in 6(10%) and 2(3.3%) clavicles respectively.The 34 left clavicles posses single foramen 12 (41.1%), double foramen 14(35.2%) while tripleand quadruple are 6(17.6%) and 2(5.8%) respectively. Total 26 right clavicles had 10 (38.4%)single foramen and 16(61.5%) double foramen. Total number of foramen in all 60 clavicleswere 108 of which 61.1% are located on posterior surface of the clavicle, 27% were found oninferior surface and rest 11.1% were on anterior surface. The clavicle having more than oneforamina are 28 out of which 64.2% was having both inferior and posterior foramina, 21.4 % wasanterior and posterior while 14.28% was located on triple sites anterior, inferior and posterior.We also found 90% of foramina were present on middle 1/3 and 10% on lateral 1/3. 98.3% ofthe foramina were directed to acromial end while rest 1.7 % to sternal end. The mean length offoramina from sternal end is 7.46 cm and mean maximum length of the clavicle was 14.51cm.The mean foramina index was 51.41. Conclusion: It is concluded from the study that most ofthe foramina are located on middle 3rd of the clavicle the commonest site of the fractures of thebone. Most of the foramina are located on the posterior surface denoting its blood supply fromthe neighboring blood supply. The knowledge of the foramina and its blood supply is importantfor fracture healing and bone grafting.


2020 ◽  
Vol 7 (51) ◽  
pp. 3090-3093
Author(s):  
Monjushree Chakravarty ◽  
Rashmi Rekha Bordaloi

BACKGROUND Assam is in the North East of India. The earliest inhabitants of Assam were people who came from Southeast Asia. The ethnic communities constitute about 12 to 13 percent of the state population. The present study was undertaken to evaluate the carrying angle of the elbow in ethnic Assamese community. METHODS The study was conducted in the Department of Anatomy, Tezpur Medical College. Out of 225 students admitted in first semester M.B.B.S. in two consecutive years in Tezpur Medical College, 20 students belonged to different ethnic communities of Assam. The carrying angle of both the right and left upper limbs were measured in the twenty selected students. Evaluation was done following all legal formalities. RESULTS The mean carrying angle in males was 10.33 + / - 1.56 in the right limb and 12.11 + / - 1.72 in the left limb; in the females it was 11.73 + / - 2.73 on the right side and 11.45 + / - 3.26 degree on the left side. CONCLUSIONS The study was done to find the carrying angle of the elbow in the ethnic Assamese community. The results of this study will be of help in the diagnosis and treatment of deformity and injury around the elbow. KEYWORDS Carrying Angle, Elbow, Ethnic Assamese Community


2016 ◽  
Vol 44 (1) ◽  
pp. 8-10
Author(s):  
Hosna Ara Perven ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Dilruba Siddiqua ◽  
Fatema Johora ◽  
Halima Afroz ◽  
...  

This cross sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka from January to December 2009, to determine the proportion of cortex and medulla of the ovary in di_erent age group of Bangladeshi women. This study was based on collection of 140 ovaries of 70 unclaimed female dead bodies from the morgue of Dhaka Medical College, Dhaka. The samples were divided into three age-groups including A (10-13 years), B (14-45 years) & C (46-52 years). Histological slides were prepared by using routine haematoxylin and eosin stain. Ten best prepared histological slides from each age group were examined to determine the thickness of the cortex and medulla & proportion of the thickness of the cortex and the medulla of the ovary were expressed in percentages. The mean proportion of the cortex and the medulla of the right ovary were found 80.83±0.58% and 19.17±0.58% in group A, 86.95±1.14% and 13.05±1.14% in group B, 70.53±1.53% and 29.47±1.53% in group C respectively. The mean proportion of the cortex and the medulla of the left ovary were found 80.63±0.58% and 19.37±0.58% in group A, 86.78±1.14% and 13.22±1.14% in group B, 70.41±1.50% and 29.59±1.50% in group C respectively. The difference in mean proportion of the cortex and the medulla was not signi_cant in between the ovaries. However, the difference in mean proportion of the cortex and the medulla of the ovary between group A & group B, group A & group C and group B & group C were statistically significant.Bangladesh Med J. 2015 Jan; 44 (1): 8-10


2013 ◽  
Vol 22 (1) ◽  
pp. 34-38
Author(s):  
Sabiha Mahbub ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Abdul Alim ◽  
Rukshana Ahmed ◽  
Shamim Ara

Context: A cross-sectional descriptive type of study was designed to find out the difference in weight of the parathyroid glands of Bangladeshi people in relation to age and sex and to compare with the previous studies. Methods: This study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2008. The study was performed on 207 post mortem human parathyroid glands collected from 60 unclaimed dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-30 years), group B (31-60 years) & group C (61-90 years) and the weight of the parathyroids were measured and recorded. Results: The mean weight of the right superior parathyroid glands were 13.43±13.77 mg in group A, 13.86±19.15 mg in group B and 9.25±5.12 mg in group C in males and 16.00±6.69 mg in group A and 8.57±5.97 mg in group B in females respectively. The mean weight of the right inferior parathyroids were 17.78±13.94 mg, 16.75±15.67 mg and 23.00±11.53 mg in group A, B and C respectively in males and 26.00±4.18 mg in group A and 15.20±4.32 mg in group B in females. The mean weight of the left superior parathyroid glands were 13.63±6.08 mg in group A, 10.58±7.57 mg in group B and 11.00±3.74 mg in group C in males and 16.20±7.89 mg in group A and 8.29±5.47 mg in group B in females respectively. The mean weight of the left inferior parathyroid gland was 26.11±24.29 mg, 15.81±10.28 mg and 25.25±25.28 mg in group A, B and C respectively in males and 32.25±13.82 mg in group A and 13.29±5.41 mg in group B in females. No difference was found in the weight of superior parathyroid glands at right side between sexes and age groups excepting in superior and inferior parathyroid glands at left side between group A & B (p<0.05). DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15603 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 34-38


Sign in / Sign up

Export Citation Format

Share Document