Blood Supply of the Human Tibia

Nelson, George E.; Kelly, Patrick J.; Peterson, Lowell F. A.; Janes, Joseph M.

doi:10.2106/00004623-196042040-00007

Cited by 110 publications

(59 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cartilage canals seem to be species specific for analogue cartilages as shown in man (Nelson et al 1960 ;Levene, 1964), rabbit (Gothman, 1960 ;Ganey et al 1992) and other species (Levene, 1964). Moreover, it is to be noted that different patterns of epiphyseal ossification can also coexist in the same bone, as in human metacarpals, metatarsals and phalanges (Ogden et al 1994).…”

Section: mentioning

confidence: 98%

Microvascular features and ossification process in the femoral head of growing rats

et al. 1999

View full text Add to dashboard Cite

In the epiphysis of long bones, different patterns of development of ossification processes have been described in different species. The development of the vascularisation of the femoral head has not yet been fully clarified, although its role in the ossification process is obvious. Our aim was to investigate ossification and vascular proliferation and their relationship, in growing rat femoral heads. Male Wistar rats aged " 1, 5 and 8 wk and 4, 8 and 12 mo were used. Light microscopy frontal sections and vascular corrosion casts observed by scanning electron microscopy were employed. In the rat proximal femoral epiphysis, ossification develops from the medullary circulation of the diaphysis, quickly extending to the neck and the base of the head. Hypertrophic chondrocytes occupy the epiphyseal cartilage, and a physeal plate with regular cell columns is present. Starting from about the end of the third month one or more points of fibrovascular outgrowth, above the physeal line, can be observed in each sample. They are often placed centrally or, sometimes, peripherally. The fibrovascular outgrowths penetrate deeply into the cartilage and extend laterally. At age 8 mo, large fibro-osseous peduncles connect the epiphysis to the diaphyseal tissue. At 12 mo, the entire epiphysis appears calcified with an almost total absence of residual cartilage islands. This situation differs in man and in other mammals due both to differing thickness of the cartilage and to the presence of more extensive sources of blood vessels other than the diaphyseal microcirculation, as supplied by the teres ligament and Hunter's circle. In young rats, subchondral vessels and the synovial fluid could play a role in feeding the ossifying cartilage. Later, a loss of resistance of the physis due to marked degeneration of the cell columns, and extensive chondrocyte hypertrophy permit fibrovascular penetration starting from diaphyseal vessels rather than neighbouring vascular territories, such as those of the periosteum and capsule.

show abstract

Section: mentioning

confidence: 98%

Microvascular features and ossification process in the femoral head of growing rats

et al. 1999

View full text Add to dashboard Cite

show abstract

“…The distal tibial blood supply arises from nutrient arteries from the posterior tibial artery (PTA) and extraosseous metaphyseal and periosteal arteries from branches of the PTA, anterior tibial artery (ATA), and peroneal artery (PA) with a prominent medial Imaging 197 perimalleolar anastomotic ring. [25][26][27] The distal lateral tibial epiphysis is relatively less vascularized compared with the medial and is primarily supplied by the ATA and PA. ATA branches alone nourish this region in approximately a third of cases, possibly further predisposing to ischemia. 25 The association in case reports with syndesmotic injury, bimalleolar and trimalleolar fractures, and tibio-talar joint dislocation suggests patients at risk of AVN have an unstable injury.…”

Section: Imaging Of Postoperative Avascular Necrosis Of the Ankle Andmentioning

confidence: 99%

Imaging of Postoperative Avascular Necrosis of the Ankle and Foot

Buchan

Pearce

Lau

et al. 2012

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Avascular necrosis (AVN) of the ankle and foot is an uncommon and often unexpected postoperative complication in patients with persistent pain and disability postprocedure. Artifacts from metallic implants may obscure characteristic imaging signs of AVN, and radiography and computer tomography are the mainstay imaging modalities of the postoperative ankle and foot. MRI and nuclear medicine imaging play an important complementary role in problem solving and excluding differential diagnostic considerations including infection, nonunion, occult fracture, and secondary osteoarthritis. This review article evaluates different imaging modalities and discusses characteristic sites of AVN of the ankle and foot in the postoperative setting including the distal tibia, talus, navicular, and first and lesser metatarsals. Radiologists play a key role in the initial diagnosis of postoperative AVN and the surveillance of temporal evolution and complications including articular collapse and fragmentation, thus influencing orthopedic management.

show abstract

“…The lack of muscular coats of the sinusoids, venules and the veins is a significant anatomical characteristic of bone marrow vasculature (Nelson et al 1960, Burkhardt 1962, Yoffey 1965, Brookes 1971. Yoffey (1965) found the walls of sinusoids and venules to be identical, composed of a single endothelial layer.…”

Section: Intraep-iphyseal Blood Supplymentioning

confidence: 99%

Hemodynamics of the juvenile knee

Bünger

1987

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Blood Supply of the Human Tibia

Cited by 110 publications

References 0 publications

Microvascular features and ossification process in the femoral head of growing rats

Microvascular features and ossification process in the femoral head of growing rats

Imaging of Postoperative Avascular Necrosis of the Ankle and Foot

Hemodynamics of the juvenile knee

Contact Info

Product

Resources

About