A Morphological and Topographical Study of Diaphyseal Nutrient Foramen (NF) In Dried Human Adult Long Bones of Upper Limbs

Nutrient Foramen in Upper Limbs

Authors

  • Godfrey Paul William Department of Anatomy, Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore, Pakistan
  • Saira Munawar Department of Anatomy, Fatima Jinnah Medical University, Lahore, Pakistan
  • Shumaila Sohail Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore, Pakistan
  • Mehreen Salauddin Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore, Pakistan
  • Nimrah Fahim Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore, Pakistan
  • Arooj Nawaz Department of Anatomy, University of Lahore, Lahore, Pakistan
  • Shaukat Sayal Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i1.2580

Keywords:

Nutrient Foramen, Upper Limb, Bone Anatomy, Surgical Implications

Abstract

The morphological and topographical characteristics of diaphyseal Nutrient Foramina (NF) in the long bones of the upper limbs is essential for optimizing surgical interventions, particularly in fracture management and bone grafting procedures. Objective: To assess the anatomical features (number, location and foramina index) of diaphyseal NF in cadaveric long bones of upper limb in adult Pakistani population. Methods: This cross-sectional study was undertaken on human cadaveric upper limb bones from the bone bank of the Anatomy department of FMH College of Medicine and Dentistry, Lahore. The age and gender of the bones were not known, and the duration of the study was four months. A total of 195 non-pathological, undistorted bones of upper limb (57 clavicles, 34 humeri, 50 radii and 54 ulnae) with were randomly selected. Results: In cases of clavicle 58% had a single NF (NF), 33% double & 5% triple, in humerus 100% had a single NF, 96% of radii had a single NF & 4% double whereas in ulna 98% had single NF and 2% double. In majority of the clavicle, humerii and radii the NF was in the 2/3rd of the bone whereas in case of ulnae majority of NF occupied the proximal 1/3rd of the shaft of the ulnae. Conclusion: A good knowledge about the anatomy of the NF is necessary for orthopaedic or trauma surgeons while doing critical bone reconstructive or graft implantation surgeries.

References

Xue Z, Ding H, Hu C, Xu H, An Z. An anatomical study of the nutrient foramina of the human humeral diaphysis. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2016; 22: 1637. doi: 10.12659/MSM.898361. DOI: https://doi.org/10.12659/MSM.898361

Thakur UP, Yadav PK, Sah BK, Prasad RJ, Shah TN. Topography and indexing of the nutrient foramina of the adult long bones. Nepal Medical College Journal. 2023 Oct; 25(3): 259-64. doi: 10.3126/nmcj.v25i3.58733. DOI: https://doi.org/10.3126/nmcj.v25i3.58733

Cihan ÖF, Toma S. Morphology and topography of the nutrient Foramina in the Shoulder Girdle and Long bones of the Upper Extremity. European Journal of Therapeutics. 2023; 29(3): 359-369. DOI: https://doi.org/10.58600/eurjther.20232902-395.y

Gupta RK, Gupta AK. A study of human diaphyseal nutrient foramina in fibula. Journal of the Anatomical Society of India. 2015 Aug; 64: S18-23. doi: 10.1016/j.jasi.2015.06.002. DOI: https://doi.org/10.1016/j.jasi.2015.06.002

Murlimanju BV, Prashanth KU, Prabhu LV, Chettiar GK, Pai MM, Dhananjaya KV. Morphological and topographical anatomy of nutrient foramina in the lower limb long bones and its clinical importance. The Australasian medical journal. 2011; 4(10): 530. doi: 10.4066/AMJ.2011.725. DOI: https://doi.org/10.4066/AMJ.2011.725

Dervisevic L, Dervisevic A, Ajanovic Z, Kapur E, Lujinovic A, Voljevica A et al. Anatomical variations of nutrient foramina on the long bones of the upper extremities-Importance and application in everyday clinical practice. Acta Marisiensis-Seria Medica. 2023 Feb; 69(1): 55-60. doi: 10.2478/amma-2023-0011. DOI: https://doi.org/10.2478/amma-2023-0011

Pereira GA, Lopes PT, Santos AM, Silveira FH. Nutrient foramina in the upper and lower limb long bones: morphometric study in bones of Southern Brazilian adults. International journal of Morphology. 2011 Jun; 29(2): 514-20. doi: 10.4067/S0717-95022011000200035. DOI: https://doi.org/10.4067/S0717-95022011000200035

Dakshayani K, Shivanal U. Morphological study of nutrient foramen in adult human clavicles. International Journal of Anatomy and Research. 2021; 9(1.1): 7886-9. doi: 10.16965/ijar.2020.255. DOI: https://doi.org/10.16965/ijar.2020.255

Dhoot M, Harode HA, Kumar V. The clinical significance of the ulnar nutrient foramen: a morphological analysis. Student's Journal of Health Research Africa. 2023 Sep; 4(9): 5.

Ruthwik B, Padmalatha K, Shyam Sunder B. A Study On Nutrient Foramen Of Humeri And Its Clinical Significance. International Journal of Anatomy and Research. 2019; 7(3.1): 6700-11. doi: 10.16965/ijar.2019.220. DOI: https://doi.org/10.16965/ijar.2019.220

Joshi P, Mathur S. A comprehensive study of nutrient foramina in human lower limb long bones of Indian population in Rajasthan state. Galore International Journal of Health Sciences and Research. 2018; 3(3): 34-42.

Ullah N. Diaphyseal nutrient foramina in dried human adult long bones of upper and lower limbs in Pakistan. Advances in Basic Medical Sciences. 2017; 1(1).

Tomlinson RE, Silva MJ. Skeletal blood flow in bone repair and maintenance. Bone Research. 2013 Dec; 1(1): 311-22. doi: 10.4248/BR201304002. DOI: https://doi.org/10.4248/BR201304002

Trueta J. Blood supply and the rate of healing of tibial fractures. Clinical Orthopaedics and Related Research®. 1974 Nov; 105: 11-26. doi: 10.1097/00003086-197411000-00003. DOI: https://doi.org/10.1097/00003086-197411000-00003

Ara R, Bhuiyan MA, Epsi EZ, Haque SM, Islam S, Shanto RA et al. Study of Nutrient Foramina of Dry Adult Human Clavicle. Mymensingh medical journal: MMJ. 2024 Jan; 33(1): 31-8.

Sar M, Behera S, Dutta BK. A Morphometric Study Of Nutrient Foramina In Upperlimb Long B0nes In Western Odisha Population. International Journal of Anatomy and Research. 2020; 8(3.1): 7589-93. doi: 10.16965/ijar.2020.168. DOI: https://doi.org/10.16965/ijar.2020.168

Kumar S, Sinha SK, Akhtar MJ, Kumar B, Sinha RR, Kumar A. Morphometric Study of the Nutrient Foramen of the Humerus in the Population of Bihar. Cureus. 2022 Dec; 14(12). doi: 10.7759/cureus.32856. DOI: https://doi.org/10.7759/cureus.32856

Toklu E, Sağlam L, Coşkun O, Ertaş A, Gayretli Ö. An investigation regarding nutrient foramen of the Radius. Journal of Istanbul Faculty of Medicine. 2024; 87(2): 121-6.

Vaghela B, Shah K, Patel B, Trivedi B. Morphometric Analysis of Nutrient Foramina in Human Typical Long Bones Of Upper Limb. National Journal of Integrated Research in Medicine. 2014 Sep; 5(5).

Mishra AK, Jaiswal S, Verma RK, Mishra G, Kumar N. A topographical study of nutrient foramen in dry human long bones of the superior extremity. Era's Journal of Medical Research. 2019 Jul; 6(2): 67-70. doi: 10.24041/ejmr2019.132. DOI: https://doi.org/10.24041/ejmr2019.132

Azizi J, Danish H, Kabul A. Anatomical study of nutrient foramen in the long bones of upper extremities. International Journal of Engineering Applied Sciences and Technology. 2019; 4(6): 7-10. doi: 10.33564/IJEAST.2019.v04i06.002. DOI: https://doi.org/10.33564/IJEAST.2019.v04i06.002

Öztürk K, Dursun A, Ayazoğlu M, Kastamoni Y. An Investigation of the Nutrient Foramen in the Long Bones of the Upper and Lower Limbs in Turkish Population. Medical Records. 2022 May; 4(2): 179-86. doi: 10.37990/medr.1049282. DOI: https://doi.org/10.37990/medr.1049282

Nashi N, Kagda FH. Current concepts of bone grafting in trauma surgery. Journal of Clinical Orthopaedics and Trauma. 2023 Aug: 102231. doi: 10.1016/j.jcot.2023.102231. DOI: https://doi.org/10.1016/j.jcot.2023.102231

Downloads

Published

2025-01-31
CITATION
DOI: 10.54393/pjhs.v6i1.2580
Published: 2025-01-31

How to Cite

William, G. P., Munawar, S., Sohail, S., Salauddin, M., Fahim, N., Nawaz, A., & Sayal, S. (2025). A Morphological and Topographical Study of Diaphyseal Nutrient Foramen (NF) In Dried Human Adult Long Bones of Upper Limbs : Nutrient Foramen in Upper Limbs. Pakistan Journal of Health Sciences, 6(1), 353–358. https://doi.org/10.54393/pjhs.v6i1.2580

Issue

Section

Original Article

Plaudit