Cargando…

An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis

BACKGROUND: Understanding the nutrient foramina is critical to clinical practice. An insult to the nutrient foramina can be caused by trauma and/or surgical dissection and lead to devascularization and bad outcomes. Few studies have looked at the humerus, and no studies have described relative infor...

Descripción completa

Detalles Bibliográficos
Autores principales: Xue, Zichao, Ding, Haoliang, Hu, Chuanzhen, Xu, Haitao, An, Zhiquan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917311/
https://www.ncbi.nlm.nih.gov/pubmed/27180828
http://dx.doi.org/10.12659/MSM.898361
_version_ 1782438932252721152
author Xue, Zichao
Ding, Haoliang
Hu, Chuanzhen
Xu, Haitao
An, Zhiquan
author_facet Xue, Zichao
Ding, Haoliang
Hu, Chuanzhen
Xu, Haitao
An, Zhiquan
author_sort Xue, Zichao
collection PubMed
description BACKGROUND: Understanding the nutrient foramina is critical to clinical practice. An insult to the nutrient foramina can be caused by trauma and/or surgical dissection and lead to devascularization and bad outcomes. Few studies have looked at the humerus, and no studies have described relative information of humeral nutrient foramen related to anatomical structures that might be located by palpable landmarks. In this study, we analyzed the anatomical features of the nutrient foramina of the diaphyseal humerus and provide a discussion of clinical relevance. MATERIAL/METHODS: We dissected 19 cadavers and analyzed the relative positions of the foramina and surrounding muscles, and the number, direction, diameter, and location of the nutrient foramina. Foramina index and a new landmark index were used to calculate the location. We compared the data from both sides and the relationships between transverse and longitudinal locations, diameter and total length, and foramina index and landmark index were also analyzed. RESULTS: The humeri had one or two main nutrient foramina located in a small area between the coracobrachialis and brachial muscles and oriented toward the elbow. The mean diameter was 1.11±0.32 mm. The mean index and landmark index were 43.76±4.94% and 42.26±5.35%, respectively. There were no differences between sides in terms of diameter, length, or nutrient foramina index. There were no significant correlations between transverse and longitudinal locations or diameter and total length. The foramina index and landmark index showed strong positive correlation (r=0.994, p<0.0001). CONCLUSIONS: Our study provides details about the nutrient foramina that will benefit clinicians who treat injuries and diseases of the humerus. Surgeons should be mindful of soft tissue in the foraminal area during surgical procedures.
format Online
Article
Text
id pubmed-4917311
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-49173112016-06-30 An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis Xue, Zichao Ding, Haoliang Hu, Chuanzhen Xu, Haitao An, Zhiquan Med Sci Monit Clinical Research BACKGROUND: Understanding the nutrient foramina is critical to clinical practice. An insult to the nutrient foramina can be caused by trauma and/or surgical dissection and lead to devascularization and bad outcomes. Few studies have looked at the humerus, and no studies have described relative information of humeral nutrient foramen related to anatomical structures that might be located by palpable landmarks. In this study, we analyzed the anatomical features of the nutrient foramina of the diaphyseal humerus and provide a discussion of clinical relevance. MATERIAL/METHODS: We dissected 19 cadavers and analyzed the relative positions of the foramina and surrounding muscles, and the number, direction, diameter, and location of the nutrient foramina. Foramina index and a new landmark index were used to calculate the location. We compared the data from both sides and the relationships between transverse and longitudinal locations, diameter and total length, and foramina index and landmark index were also analyzed. RESULTS: The humeri had one or two main nutrient foramina located in a small area between the coracobrachialis and brachial muscles and oriented toward the elbow. The mean diameter was 1.11±0.32 mm. The mean index and landmark index were 43.76±4.94% and 42.26±5.35%, respectively. There were no differences between sides in terms of diameter, length, or nutrient foramina index. There were no significant correlations between transverse and longitudinal locations or diameter and total length. The foramina index and landmark index showed strong positive correlation (r=0.994, p<0.0001). CONCLUSIONS: Our study provides details about the nutrient foramina that will benefit clinicians who treat injuries and diseases of the humerus. Surgeons should be mindful of soft tissue in the foraminal area during surgical procedures. International Scientific Literature, Inc. 2016-05-16 /pmc/articles/PMC4917311/ /pubmed/27180828 http://dx.doi.org/10.12659/MSM.898361 Text en © Med Sci Monit, 2016 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
spellingShingle Clinical Research
Xue, Zichao
Ding, Haoliang
Hu, Chuanzhen
Xu, Haitao
An, Zhiquan
An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis
title An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis
title_full An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis
title_fullStr An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis
title_full_unstemmed An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis
title_short An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis
title_sort anatomical study of the nutrient foramina of the human humeral diaphysis
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917311/
https://www.ncbi.nlm.nih.gov/pubmed/27180828
http://dx.doi.org/10.12659/MSM.898361
work_keys_str_mv AT xuezichao ananatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT dinghaoliang ananatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT huchuanzhen ananatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT xuhaitao ananatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT anzhiquan ananatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT xuezichao anatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT dinghaoliang anatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT huchuanzhen anatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT xuhaitao anatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis
AT anzhiquan anatomicalstudyofthenutrientforaminaofthehumanhumeraldiaphysis