Anatomic characterization of the humeral nutrient artery: Application to fracture and surgery of the humerus

Ichimura, Koichiro; Kinose, Shota; Kawasaki, Yuto; Okamura, Taro; Kato, Kota; Sakai, Tatsuo

doi:10.1002/ca.22976

Cited by 13 publications

(13 citation statements)

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“…The localization and direction of the nutrient canal in human long tubular bones have been clearly described (Trueta and Caladias, ; Mysorekar, ). In the humerus, the humeral nutrient foramen is primarily found at the anteromedial surface and at the posterior surface along the groove for radial nerve (Ichimura et al, ). In the femur, the FNFs are limited to the posterior surface on or along the linea aspera, but not the anterior surface.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, the femoral nutrient canal is obliquely elongated during bone growth. In the humerus, the above process occurs upside down (Ichimura et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…In a previous study, the unique characteristics with regard to the direction of the anterior humeral nutrient artery (AHNA) before its entry in the nutrient canal were identified (Fig. a; Ichimura et al, ). The AHNA arises from the brachial artery below the level of the anterior humeral nutrient foramen (AHNF), ascends toward the AHNF, and then forms a hairpin loop to enter the anterior humeral canal, which penetrates the bone cortex in a distal direction.…”

Section: Discussionmentioning

confidence: 99%

“…However, accurate information on the origin and extraosseous course of the nutrient arteries is lacking in some types of long tubular and irregular bones. Therefore, the anatomic characteristics of the nutrient arteries have recently been reevaluated through cadaveric dissection (Ichimura et al, ; Kinose et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Anatomic characterization of the femoral nutrient artery: Application to fracture and surgery of the femur

et al. 2019

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The localization of nutrient foramina and direction of nutrient canals have been studied. However, information about the origin and extraosseous course of nutrient arteries is lacking in some types of long tubular and irregular bones. Thus, we aimed to reexamine the origin and course of the femoral nutrient artery (FNA) through cadaveric dissection to clarify its anatomic characteristics. Sixty thighs were collected from 57 cadavers. To fix the cadavers and visualize the small arterial branches, 10% formalin was injected from the femoral artery, followed by an injection of acrylic ink. The arterial tree in the posterior part of the thigh was recorded by line drawings. The femur received single or double FNAs via the femoral nutrient foramina, which were on and along the linea aspera. In cases with single FNA (41 of the 60 thighs), it typically arose from the four parts of the profunda femoris system: profunda femoris artery between the origins of the third and fourth perforating arteries; second perforating artery; third perforating artery; and terminal branch. In cases with double FNAs (remaining 19 thighs), the superior FNA typically arose from the second perforating artery, and the inferior FNA arose from the terminal branch of the profunda femoris artery and popliteal system. FNAs are described as branches of the perforating arteries in Terminologia Anatomica and anatomy textbooks. However, we found that FNAs also frequently arose from the profunda femoris artery and popliteal system, in addition to the perforating arteries. Clin. Anat. 33:479-487, 2020.

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Section: Discussionmentioning

confidence: 99%

“…Consequently, the femoral nutrient canal is obliquely elongated during bone growth. In the humerus, the above process occurs upside down (Ichimura et al, ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anatomic characterization of the femoral nutrient artery: Application to fracture and surgery of the femur

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“…The second topic of macroscopic research concerned the vascular branching pattern. Ichimura studied the branching pattern of nutrient arteries to the extremity bones 19) .…”

Section: Research In the Macroscopic Anatomymentioning

confidence: 99%

On the Human Body: Research, Literacy and Creativity

Sakai

2019

Juntendo Medical Journal

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In the microscopic research on the kidney, I discovered the mechanical function of mesangial cells to counterbalance the expanding force of blood pressure in 1987. Since then I studied the microscopic morphology of renal glomerulus, and of the interstitium and blood vessels in various tissues, 2) In the macroscopic research with my colleagues, I studied the morphology of the peripheral nerves and arteries. In recent years, the isolated muscle specimens became an excellent tool to analyze the functional architecture of skeletal muscles. 3) In the history of medicine, I studied especially the history of anatomy, of medical education and of Western medicine in general. 4) In the academic and social education of the anatomy and body donation, I have published many academic textbooks, including 17 titles and 35 editions of the translated and/or supervised textbooks of anatomy, 17 titles and 26 editions authored and/or edited textbooks of anatomy and biology. I have long been engaged in the activities of Tokushi Kaibo Zenkoku Rengokai [National Confederation of Anatomy Body Donation], and served the executive director from 2002 to 2006 and the chairman from 2006 to 2010. I experienced that the body donation became increasingly popular so that the proportion of donated cadavers to the total dissected ones increased from 42% in the 1983 to more than 99% in the 2018.

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Morphological variations of the brachial artery and their clinical significance: a systematic review

Glin,

Zielinska,

Ruzik

et al. 2023

Surg Radiol Anat

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Purpose Morphological variations of the brachial artery are quite commonly discovered in routine dissection and have been the subject of many studies. However, there is a need for a clear classification. This work presents morphological variations of the brachial artery, based on numerous case reports and studies created for the appropriate classification and interpretation among surgeons and radiologists. It also discusses the most important clinical aspects of the given varieties. Methods The research method is based on the combined interpretation of the researches based on numerous publications concerning both the principles of correctly classifying the described morphological variations of the brachial artery and the resulting clinical implications. This work considers atypical variations such as the presence of the superficial brachial artery, brachoradial artery, accessory brachial artery and absence of the brachial artery. Variations of the brachial artery in relation to the external and internal diameter of the vessel have also been discussed. Results After conducting a complex analysis of the collected data, the fundamental principles for classifying such variability as superficial brachial artery, brachioradial artery and accessory brachial artery were defined. Additionally, clinical implications resulting from the above like the impact of the superficial brachial artery on the median nerve neuropathy and the positive correlation between the brachioradial artery and increased danger of incorrect transradial catheterization were demonstrated. Conclusions The clinical implications of the atypical arterial pattern within the upper limb are crucial during the angiography and surgical procedures so the variations affect the appropriate diagnosis and surgical intervention. Hence, the knowledge about the morphological variations of the brachial artery should be constantly broadened by radiologists and surgeons to improve the accuracy and effectiveness of the treatment process.

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Anatomic characterization of the humeral nutrient artery: Application to fracture and surgery of the humerus

Cited by 13 publications

References 20 publications

Anatomic characterization of the femoral nutrient artery: Application to fracture and surgery of the femur

Anatomic characterization of the femoral nutrient artery: Application to fracture and surgery of the femur

On the Human Body: Research, Literacy and Creativity

Morphological variations of the brachial artery and their clinical significance: a systematic review

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