The demonstration of the number, course, and the location of nutrient artery canals of the femur by multidetector computed tomography

İmre, Nurcan; Battal, Bilal; Açıkel, Cengiz Han; Akgün, Veysel; Cömert, Ayhan; Yazar, Fatih Mehmet

doi:10.1007/s00276-011-0930-7

Cited by 14 publications

(31 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nutrient foramina transmit the nutrient artery through the diaphysis of the bone, supplying the medullary cavity with 70–80% of the nutrients and oxygen [ 12 , 13 ]. In long bones, these holes or foramina are found on the diaphysis [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Differentiating human versus non-human bone by exploring the nutrient foramen: implications for forensic anthropology

2017

View full text Add to dashboard Cite

One of the roles of a forensic anthropologist is to assist medico-legal investigations in the identification of human skeletal remains. In some instances, only small fragments of bone may be present. In this study, a non-destructive novel technique is presented to distinguish between human and non-human long bones. This technique is based on the macroscopic and computed tomography (CT) analysis of nutrient foramina. The nutrient foramen of long bone diaphyses transmits the nutrient artery which provides much of the oxygen and nutrients to the bone. The nutrient foramen and its canal were analysed in six femora and humeri of human, sheep (Ovies aries) and pig (Sus scrofa) species. The location, position and direction of the nutrient foramina were measured macroscopically. The length of the canal, angle of the canal, circumference and area of the entrance of the foramen were measured from CT images. Macroscopic analysis revealed the femora nutrient foramina are more proximal, whereas humeri foramina are more distal. The human bones and sheep humerus conform to the perceived directionality, but the pig bones and sheep femur do not. Amongst the parameters measured in the CT analysis, the angle of the canal had a discriminatory power. This study shows the potential of this technique to be used independently or complementary to other methods in distinguishing between human and non-human bone in forensic anthropology.

show abstract

Section: Introductionmentioning

confidence: 99%

Differentiating human versus non-human bone by exploring the nutrient foramen: implications for forensic anthropology

2017

View full text Add to dashboard Cite

show abstract

“…Moreover, we provided two regression models to estimate the relationship between height and TFD or length of nutrient artery canals, which are easier to calculate the location of foramina. In most previous studies, nutrient foramina were evaluated by their outer orifices macroscopically or direct radiography [ 11 – 13 , 15 , 19 – 22 ]. Earlier researchers gained anatomical information through cadavers which could be inevitably frayed and thus the accuracy of data could be affected.…”

Section: Discussionmentioning

confidence: 99%

“…We found that the range of the foraminal index was from 24.5% to 42.9% and the mean value was 31.8%. It should be mentioned that Prashanth et al [ 19 ], Imre et al [ 15 ], and Sendemir and Cimen [ 28 ] reported that the range of I was 28–54%, 11.0–67.2%, and 30–40%, respectively. In Prashanth et al's research [ 19 ], they concluded that the location of the foramina would change with aging.…”

Section: Discussionmentioning

confidence: 99%

“…However, these methods are not very sensitive to ensure the details of the location. Although there is higher sensitivity by measuring nutrient foramina of femur through multidetector computed tomography [ 15 ], all these data were obtained through the two-dimensional images. Moreover, these measurements were carried out in cadaver bones and thus the results cannot be very accurate because of the bone abrading.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A New Measurement Technique of the Characteristics of Nutrient Artery Canals in Tibias Using Materialise’s Interactive Medical Image Control System Software

Zhang²,

Yin

et al. 2015

BioMed Research International

View full text Add to dashboard Cite

We established a novel measurement technique to evaluate the anatomic information of nutrient artery canals using Mimics (Materialise's Interactive Medical Image Control System) software, which will provide full knowledge of nutrient artery canals to assist in the diagnosis of longitudinal fractures of tibia and choosing an optimal therapy. Here we collected Digital Imaging and Communications in Medicine (DICOM) format of 199 patients hospitalized in our hospital. All three-dimensional models of tibia in Mimics were reconstructed. In 3-matic software, we marked five points in tibia which located at intercondylar eminence, tibia tuberosity, outer ostium, inner ostium, and bottom of medial malleolus. We then recorded Z-coordinates values of the five points and performed statistical analysis. Our results indicate that foramen was found to be absent in 9 (2.3%) tibias, and 379 (95.2%) tibias had single nutrient foramen. The double foramina was observed in 10 (2.5%) tibias. The mean of tibia length was 358 ± 22 mm. The mean foraminal index was 31.8% ± 3%. The mean distance between tibial tuberosity and foramen (TFD) is 66 ± 12 mm. Foraminal index has significant positive correlation with TFD (r = 0.721, P < 0.01). Length of nutrient artery canals has significant negative correlation with TFD (r = −0.340, P < 0.01) and has significant negative correlation with foraminal index (r = −0.541, P < 0.01).

show abstract

“…Most studies evaluating numbers, locations, and levels of femoral nutrient foramina (Santolini et al 2014; Imre et al 2012; Murlimanju et al 2011a, b, c) have focused primarily on the shaft or diaphysis of the femur; few have been based on the MDCT (Imre et al 2012). None of those studies provided conclusive evidence concerning the number of foramina (Santolini et al 2014).…”

Section: Discussionmentioning

confidence: 99%

Number and distribution of nutrient foramina within the femoral neck and their relationship to the retinacula of Weitbrecht: an anatomical study

Mei

Wang

et al. 2015

Anat Sci Int

View full text Add to dashboard Cite

Precise knowledge of the vascular supply of the femoral head is critical when contemplating surgery around the femoral head and neck junction. To determine the blood supply to the femoral neck, 2417 nutrient foramina from 76 cadaveric specimens were analyzed based on size, number, and distribution. Within the subcapital, transcervical, and basicervical regions of the femoral neck, the largest numbers of nutrient foramina were found on the superior (lateral) surface, followed by the anterior and posterior surfaces, and then the inferior (medial) surface (all p < 0.001). The diameters of most of the nutrient foramina were less than 1 mm. For the posterior and superior surfaces, the nutrient foramina in the basicervical region were significantly larger than those within the transcervical or subcapital regions (nutrient foramina >2 mm posteriorly: 23.6, 12.7, and 9.0 % in the basicervical, transcervical, and subcapital regions, respectively; superiorly: 23.7 vs. 15.4 vs. 16.8 %, respectively). In conclusion, neither the anterior nor the inferior surfaces in the basicervical, transcervical, and subcapital regions showed any significant differences in nutrient foraminal size. The areas containing densely distributed nutrient foramina were consistent with the regions covered by the retinacula of Weitbrecht.

show abstract

The demonstration of the number, course, and the location of nutrient artery canals of the femur by multidetector computed tomography

Abstract: In conclusion, the knowledge of the topographic features of the nutrient artery canals may be useful in various clinical implications such as bone grafting or radiologic evaluation for the fracture lines.

Cited by 14 publications

References 14 publications

Differentiating human versus non-human bone by exploring the nutrient foramen: implications for forensic anthropology

Differentiating human versus non-human bone by exploring the nutrient foramen: implications for forensic anthropology

A New Measurement Technique of the Characteristics of Nutrient Artery Canals in Tibias Using Materialise’s Interactive Medical Image Control System Software

Number and distribution of nutrient foramina within the femoral neck and their relationship to the retinacula of Weitbrecht: an anatomical study

Contact Info

Product

Resources

About