A study of nutrient foramina in dry adult humeri of South Indian subjects

Halagatti, ManjunathS; Rangasubhe, Pramod

doi:10.4103/2277-4025.298010

Cited by 8 publications

(12 citation statements)

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“…Joshi et al [16] found a higher incidence of a double nutrient foramen in 33% of humeri. Almost all authors observed the presence of triple nutrient foramina in humeri [14][15][16]. The present study observed that triple nutrient foramen was found in 1.25% of humeri, which was very close to studies done by Halagatti and Rangasubhe (2%) [15] and Bhatnagar et al (1.43%) [21].…”

Section: Table 5: Comparison Of the Incidence Of The Number Of The Nu...supporting

confidence: 90%

Morphometric Study of the Nutrient Foramen of the Humerus in the Population of Bihar

Kumar¹,

Sinha²,

Akhtar³

et al. 2022

Cureus

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Introduction: Fracture or surgical intervention of fracture of the shaft of the humerus may cause injury to the nutrient artery leading to the nonunion or delayed union of the fracture. It is important to find the number and location of the nutrient artery. So the knowledge regarding the nutrient foramen helps to protect them during any operative procedure of the shaft of the humerus. The main objective of this study is to find out the number, location, and direction of the nutrient foramen of the humerus.Materials and methods: The study was conducted on 80 dried humeri of unknown gender obtained from Narayan Medical College, Sasaram, Bihar, India, and also from other medical colleges of Bihar. The number, location, and direction of nutrient foramen were observed.Results: The majority of humeri showed one nutrient foramen, which was found in 91.25%, followed by 3.75% with double foramen and 1.25% with triple foramen. Nutrient foramen was absent in 3.75% of the humerus. The majority (89.02%) of nutrient foramen was found on the anteromedial surface followed by anterolateral (9.76%) and posterior surface (1.22%). The majority of nutrient foramen was found on the middle third (86.58%) of the shaft, followed by 13.42% on the distal third. No nutrient foramen was found on the proximal third of the humerus. All nutrient foramina were directed downward. Conclusion:The location of the nutrient foramen of the humerus was not constant; it may present on anteromedial, anterolateral, or posterior surfaces. Similarly, it may present on the middle or distal third of the shaft of the humerus. This study will help surgeons planning the surgical intervention of the shaft of the humerus, which will possibly reduce the chances of nonunion or delayed union.

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Section: Table 5: Comparison Of the Incidence Of The Number Of The Nu...supporting

confidence: 90%

Morphometric Study of the Nutrient Foramen of the Humerus in the Population of Bihar

Kumar¹,

Sinha²,

Akhtar³

et al. 2022

Cureus

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“…The present study showed that the majority of nutrient foramina (86.11%) were found to be present in zone II (the middle one-third) of the shaft of the humerus which was correlated with the study conducted by Halagatti et al noticed that (84%) incidence of presence of nutrient foramina in the middle one-third of the shaft of Humerus [22]. Khan [27,30].…”

Section: Location Of Foraminasupporting

confidence: 87%

“…The direction of the nutrient foramina were directed horizontally before birth but as the growth proceeds the direction of nutrient foramina were directed from the growing end of the Humerus [32]. The present study observed that the direction of all the nutrient foramina of humerus was directed towards the lower end of humerus which was supported by many studies [22,23,25,30]. Which revealed that the direction of nutrient foramina were constant and obeys the law of ossification [17,23,24,28,33].…”

Section: Location Of Foraminasupporting

confidence: 87%

“…[27,35]. However, one study reported the lower value of mean foraminal index for humerus (52.65%) [22]. The present study was retrospective study.…”

Section: Location Of Foraminamentioning

confidence: 60%

“…It is well known fact that one of the causes of delayed union or non-union of fracture is lack of arterial supply [15]. [20][21][22]. In contrast to this result, Joshi et al reported 33% and 33.3% of double nutrient foramina observed by Shaheen.…”

Section: Discussionmentioning

confidence: 96%

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A Study on Variations of Nutrient Foramen of Humerus With Its Clinical Implications

Rathwa¹,

Chavda²

2019

IJAR

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Background: Nutrient foramen is an opening into shaft of humerus which gives passage to the blood vessels of medullary cavity. The knowledge of nutrient foramen is important in surgical procedures like bone grafting and more recently in microsurgical vascularized bone transplantation. Lack of an adequate vascular supply can significantly delay or prevent fracture healing. Nutrient artery is the major source of blood supply to the long bone and hence plays an important role in fracture healing.Objective: The nutrient foramens obey the rule of ossification, that is directed away from the growing end of the bone or not. Materials and Methods:The present study consisted of 68 (34 right and 34 left) dried humeurus excluding any fracture or pathological abnormalities. Number and direction of nutrient foramen was observed in each humerus. Location of nutrient foramen in relation with surfaces and zones of humeurus was determined.Result: It has been observed that 94.12% of the humerus had a single nutrient foramen, 6.39% double foramen, all humerus have nutrient foramina. It was concluded that the majority (73.61%) of the nutrient foramina were present on the antero-medial surface, 8.33% on the anterolateral surface and 8.33% on the posterior surface of the shaft of humerus and 8.33% of nutrient foramina present on anterior border. It was also concluded that most (86.11%) of the foramina present in the zone II followed by zone I (8.33%) then by zone III (5.56%). All foramina were directed toward the lower end of humerus. Conclusion:By knowing the number and location of the nutrient foramina in humerus would be useful in preventing intra-operative injury of nutrient artery during orthopedic, plastic and reconstructive surgery and will also be relevant in medico legal practice.

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Morphometric study of the diaphysial nutrient foramen of the humerus in the Indore population

Singh,

Modi,

Singh

2023

Int J Res Med Sci

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Background: The nutrient arteries may be affected to a consequence of fracture/surgical intervention of fracture of the humeral shaft, which may result in nonunion or delayed union of fracture. Number and position of nutrient arteries must be determined. In order to preserve them during any surgical procedure of the humeral shaft, it is therefore essential to be aware of the existence of the nutrient foramen. The primary objective of this research is to identify the number, location, and orientation of nutrient foramina (NF) of humerus. Methods: The study was conducted on 100 dried humeri of unknown gender obtained from department of anatomy, Index Medical College, Indore (M.P), India. The number, location, and direction of NF were observed. Results: One nutrient foramen was present in 77% of humeri, followed by double foramen in 20% of cases and triple foramen in 3% of cases. The anteromedial surface hosted the majority (80.16%) of the NF, followed by the anterolateral (4.76%) and posterior surfaces (15.08%). The middle third of the shaft (96.03%) included the greatest number of NF, followed by the distal third (3.97%). On the distal end of the humerus, there was no nutrient foramen to be observed. All NF were directed downward. Conclusions: The location of the nutrient foramen of the humerus was not constant; it may present on anteromedial, anterolateral, or posterior surfaces. Similarly, it may present on the middle or distal third of the shaft of the humerus. This study will help surgeons planning the surgical intervention of the shaft of the humerus, which will possibly reduce the chances of nonunion or delayed union.

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A study of nutrient foramina in dry adult humeri of South Indian subjects

Cited by 8 publications

References 0 publications

Morphometric Study of the Nutrient Foramen of the Humerus in the Population of Bihar

Morphometric Study of the Nutrient Foramen of the Humerus in the Population of Bihar

A Study on Variations of Nutrient Foramen of Humerus With Its Clinical Implications

Morphometric study of the diaphysial nutrient foramen of the humerus in the Indore population

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