Article:
Topography and indexing of the nutrient foramina of the adult long bones

creativeworkseries.issnOnline ISSN: 2676-1424; Print ISSN: 2676-1319
dc.contributor.authorThakur, Umeshwar Prasad
dc.contributor.authorYadav, Pranav Kumar
dc.contributor.authorSah, Brijendra Kumar
dc.contributor.authorPrasad, Ram Jiban
dc.contributor.authorShah, Tirtha Narayan
dc.creator.affiliationDepartment of Clinical Anatomy and Cell Biology, Karnali Academy of Health Sciences, Chandannath-4, Jumla
dc.creator.affiliationDepartment of Anatomy, Universal College of Medical Sciences and Teaching Hospital, Ranigaon, Bhairahawa
dc.creator.affiliationDepartment of Radiology, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke
dc.creator.affiliationDepartment of Biochemistry, Karnali Academy of Health Sciences, Chandannath-4, Jumla
dc.creator.affiliationDepartment of Biochemistry, Karnali Academy of Health Sciences, Chandannath-4, Jumla
dc.date.accessioned2026-11-02T08:35:01Z
dc.date.available2026-11-02T08:35:01Z
dc.date.issued2023
dc.description.abstractAbstract: The primary source of blood supply for long bones comes from the nutrient arteries that pass through the nutrient foramen. Understanding the location and structure of these foramens is important in surgical procedures to ensure that the bone’s blood supply is not disrupted. To study the morphology and topography of nutrient foramina and to determine the foraminal index of the upper and lower limb long bones. The long bones of the upper and lower limbs including 47 humeri, 38 radii, 38 ulnae, 53 femurs, 57 tibiae, and 44 fibulae were studied. The number and position of primary nutrient foramina were noted and the foraminal index was calculated. Results showed that 82.9% of the humeri had a single nutrient foramen, and 17.0% had double foramina. For the radii, 97.4% had single nutrient foramen and 2.6% had double foramina. A single nutrient foramen was observed in all the ulnae. In the lower limb bone, the femurs had 41.5% of single nutrient foramen, 56.6% had double foramina and only 1.9% had triple nutrient foramina. The tibiae showed 93.0% of the single nutrient foramen and only 7.0% had double foramen. In fibulae, only one nutrient foramen was seen. The mean foraminal index was 57.26 for the humerus, 34.82 for the radius, and 39.32 for the ulna. Similarly, the mean foraminal index of the femur was 44.73, the tibia was 32.32 and the ulna was 46.18. Understanding the location of foramina is crucial inmaintaining bone vasculature during surgical procedures, which can improve the success rates of bone grafting, fracture fixation, and replacement surgeries involving the shoulder, elbow, and knee joints.
dc.identifier.doihttps://doi.org/10.3126/nmcj.v25i3.58733
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8297
dc.language.isoen_US
dc.publisherNepal Medical College Pvt. Ltd.
dc.subjectForaminal index
dc.subjectNutrient foramen
dc.subjectNutrient artery
dc.subjectMorphometry
dc.titleTopography and indexing of the nutrient foramina of the adult long bones
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage264
oaire.citation.startPage259
relation.isJournalIssueOfPublication5258e331-b1bd-41c8-ac28-d151c61e7539
relation.isJournalIssueOfPublication.latestForDiscovery5258e331-b1bd-41c8-ac28-d151c61e7539
relation.isJournalOfPublication865934c8-5e95-468c-8ca6-7bb2529e4064

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