Title: Morphometric Study of Number, Position and Direction of Nutrient Foramen of Clavicle in Population of Bihar

Authors: Ruchi Ratnesh, Sanjay Kumar, Nafees Fatima, Binod Kumar, R.R.Sinha, Avanish Kumar, Md. Jawed Akhtar

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.07

Abstract

Introduction: clavicle is the modified long bone placed horizontally and subcutaneously at the root of neck. Clavicle is the most important bone which transmits the body weight from upper limb to axial skeleton.

Objectives: The main objective of this study is to determine the number, position and direction of nutrient foramen of clavicle.  

Material and Methods: The present study was conducted on 60 clavicles (30 right and 30 left) adult human dried clavicle, collected from Department of Anatomy, Department of Forensic medicine and also from first year medical students of Indira Gandhi Institute of Medical Sciences, Patna, Bihar.

Results: The nutrient foramen was present in 100% of clavicle. Single foramen was present in 65%, double foramen in 26.66% and three foramen were present in 8.33% of clavicles. The most common position of nutrient foramen was on the inferior surface in 72.09%. 66.66% of nutrient foramen were found in middle one third of clavicle. All the foramen were directed towards the acromion end of clavicle.

Conclusion: Knowledge about the nutrient foramen of clavicle is important clinically during vascularised bone grafting to preserve the blood supply of graft.

References

  1. Chaurasia BD. Human Anatomy: Upper Limb and Thorax, 5th edn. New Delhi: CBS Publishers. 2009 pp. 7–8.
  2. Standring S. Gray’s Anatomy: The Anato-mical Basis of Clinical Practice, 40th edn. London, UK: Elsevier, 2008 pp.791–5.
  3. Gray's Anatomy. The Anatomical Basis of Clinical Practice. 40th ed. 2008, Standring S, Healy JC, Johnson D, Collins P, et al editor, London: Elsevier Churchil Livingstone;  
  4. Chatrapathi DN, Mishra BD. Positions of nutrient foramen on the shaft of the human long bones. Journal of Anatomical society of India. June 1965; 14: 54-63.
  5. D.Chaurasia’s – Hand book of General Anatomy. 3rd Ed.35-36.
  6. Skawina, A, Wyczolkowski, M. Nutrient foramina of humerus, radius and ulna in Human Fetuses. Folia Morphol 1987; 46: 17 - 24.
  7. Standring S (ed) Gray’s anatomy. The anatomical basis of clinical practice, 39th Ed Churchill Livingstone, Spain,2006: 817–81.
  8. Fischer LP, Carret JP. Vascularisation arte´rielle des oschez l’homme. Bull Assoc Anat 1978; 62:419–454.
  9. Humphrey GM. Observations on the growth of the long bones and of the stumps. Medico Chir. Trans.1861; 44: 117-134.
  10. Green DP (ed). Operative hand surgery. 2nd Ed. Churchill Livingstone, New York. 1988; 1248.
  11. Vinay G, Kumar AS. A Study of Nutrient Foramina in Long Bones of Upper Limb. Anatomica Karnataka. 2011; 5 (3): 53-56.
  12. Johnson, R. W. (1927) A Physiological study of the Blood Supply of the Diaphysis, Journal of Bone & Joint Surgery 9:15
  13. Coolbaugh, C. C. (1952) Effects of Reduced Blood Supply of bone. American Journal of Physiology 169:26.
  14. Mercer,Sir W. (1959) Orthopaedic Surgery, 5th edition. London: Edward Arnold Ltd.
  15. Stewart, M. J and Hundley, J. M. (1955) Fractures of the Humerus Comparative Study in Methods of Treatment. Journal of bone and joint surgery 37-A:681.
  16. Watson-Jones, Sir R. Fractures and Joint Injuries, 4th Edition. Edinburgh and London: E. & S. Livingstone Ltd., 1955.
  17. Kennedy, J. C., Wyatt, J. K. (1957) An Evaluation of the Management of Fractures through the Middle third of the Humerus. Canadian Journal of surgery 1:26.
  18. Joshi H, Doshi B, Malukar O. (2011) A study of the nutrient foramina of the humeral diaphysis NJIRM 2:14-17.
  19. Malukar,O., Joshi,H. (2011) Diaphysial Nutrient Foramina In Long Bones And Miniature Long Bones NJIRM.Vol 2(2):23-26.

Corresponding Author

Sanjay Kumar

Tutor, IGIMS, Patna, Bihar

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