The study of the number and localization of the nutrient foramen on the clavicle and its relationship with other clavicle parameters
, 2, 2, 3, 4
Abstract
Background: Nutrient foramen (NF) is a hole on the long bones that allows the passage of the nutrient artery. The vasculature of the bone is very important for fracture healing and vascularized bone grafting. Therefore, information about the location and number of NFs is important for surgical and clinical practice. The clavicle is the most commonly fractured bone. The aim of this study was to analyze the relationship between the location and number of NFs on the clavicle and other clavicle parameters.
Materials and methods: This study was performed on 86 dry clavicles of contemporary adult individuals without age and gender records. Some clavicle parameters and NF parameters were measured and the relationship between them was analyzed. Measurements were performed using a digital caliper.
Results: Most of the clavicles had a single NF. There was a positive correlation between DFant/DFpost (distance between NF and anterior border/distance between NF and posterior border) and vertical thickness of sternal end (VTs), vertical thickness of thinnest point (VTt) and clavicular thinnest point index (CIt) in all cases (p < 0.05). Sagittal thickness of acromial end (STa), vertical thickness of clavicle (VTc), sagittal thickness of clavicle (STc) and sagittal thickness of thinnest point (STt) were associated with NF counts. The most common localization of NFs was type 2. The NFs were mostly located in the inferior position.
Conclusions: Relationships between the number and morphometric characteristics of NFs and some clavicle parameters were determined. It was suggested that the knowledge of the number and morphometric characteristics of NFs is important for the protection of the nutrient artery in orthopedic surgery applications.
Keywords: nutrient foramenclaviclelocalizationmorphometry
References
- Aggarwal P, Ghorai S. Variations in nutrient foramina of clavicle — a descriptive study. Natl J Clin Anat. 2021; 10(3): 160.
- Aira JR, Simon P, Gutiérrez S, et al. Morphometry of the human clavicle and intramedullary canal: a 3D, geometry-based quantification. J Orthop Res. 2017; 35(10): 2191–2202.
- Fatima SI, Kauser ST, Althaf M. Determination of sex of adult human clavicle by morphometry parameters. J Cardiovasc Dis Res. 2023; 14: 352–359.
- Bachoura A, Deane AS, Wise JN, et al. Clavicle morphometry revisited: a 3-dimensional study with relevance to operative fixation. J Shoulder Elbow Surg. 2013; 22(1): e15–e21.
- Champatyray S, Nayak SR, Mishra T, et al. Study of neurovascular foramina of the human clavicle and their clinical significance. Ann Romanian Soc Cell Biol. 2021; 25: 14534–14541.
- Cihan Ö, Toma S. Morphology and topography of the nutrient foramina in the shoulder girdle and long bones of the upper extremity. Eur J Ther. 2023; 29(3): 359–369.
- Shivanal U. Morphological study of nutrient foramen in adult human clavicles. Int J Anat Res. 2021; 9(1.2): 7886–7889.
- Fischer LP, Carret JP. Arterial vascularization of human bones. Bull Assoc Anat (Nancy). 1978; 62(179): 419–452.
- Havet E, Duparc F, Tobenas-Dujardin AC, et al. Vascular anatomical basis of clavicular non-union. Surg Radiol Anat. 2008; 30(1): 23–28.
- HUGHES H. The factors determining the direction of the canal for the nutrient artery in the long bones of mammals and birds. Acta Anat (Basel). 1952; 15(3): 261–280.
- Hussain A, Khalid J, Rauf A. Nutrient foramen; study of nutrient foramen in dried human clavicle. Professional Med J. 2018; 25(8): 1252–1255.
- Kamath V, Kumar S, Asif M. A study on topography of clavicular neurovascular foramina and its surgical implications. Indian J Clin Anat Physiol. 2020; 5(2): 278–280.
- Knudsen FW, Andersen M, Krag C. The arterial supply of the clavicle. Surg Radiol Anat. 1989; 11(3): 211–214.
- Kumar D, Raichandani L, Kataria SK, et al. Variation in number and position of nutrient foramen of clavicle — a morphological study in western Rajasthan. Indian J Anat Surg Head Neck Brain. 2019; 5(3): 67–71.
- Leschinger T, Krane F, Hackl M, et al. The dominant nutrient foramen at the clavicular midshaft: an anatomical study. Surg Radiol Anat. 2019; 41(4): 361–364.
- Murlimanju BV, Prabhu LV, Pai MM, et al. Neurovascular foramina of the human clavicle and their clinical significance. Surg Radiol Anat. 2011; 33(8): 679–682.
- Nagarchi K, Pillai T, Saheb SH, et al. Morphometry of clavicle. J Pharm Sci Res. 2011; 6: 112.
- Özturk K, Dursun A, Ayazoğlu M, et al. An investigation of the nutrient foramen in the long bones of the upper and lower limbs in turkish population. Med Rec. 2022; 4(2): 179–86.
- Panuganti P, Reddy M, Poojari M, et al. Morphometry and sexual dimorphism of the human clavicle in south Indian population. Int J Anat Res. 2022; 10(1): 8283–8290.
- Ratnesh R, Kumar S, Fatima N, et al. Morphometric study of number, position and direction of nutrient foramen of clavicle in population of bihar. J Med Clin Res. 2018; 6(1): 32437–32441.
- Saha PK, Mondal M, Sarkar S, et al. An osteological study of the nutrient foramina of human clavicle. J Anat Soc India. 2017; 6: 429–435.
- Sahu S, Meher D. Morphological and topographical anatomy of nutrient foramina in human clavicles of Eastern Odisha. Int J Appl Res. 2017; 3: 521–523.
- Sehrawat J, Pathak RK. Variability in anatomical features of human clavicle: Its forensic anthropological and clinical significance. Transl Res Anat. 2016; 3-4: 5–14.
- L SK, S S. Nutrient foramen of clavicle an anatomical and a topographic study. Indian J Clin Anat Physiol. 2019; 6(4): 454–456.
- Snell RS. Clinical Anatomy by Regions. 8th ed. Lippincott Williams and Wilkins, Philadelphia 2008: 432.
- Standring S. Gray's Anatomy: the anatomical basis of clinical practice. 41st ed. Elsevier Limited, New York 2016: 791–792.
- Vatansever A, Demiryürek D. Morphometric analyses of clavicle's nutrient foramen. Surg Radiol Anat. 2020; 42(8): 871–875.
- Viciano J, Urbani V, D'Anastasio R. Congenital anatomical variant of the clavicle. Anat Rec (Hoboken). 2017; 300(8): 1401–1408.
- Zenker M, Shamsollahi J, Galm A, et al. Three-dimensional morphometric analysis of the lateral clavicle and acromion: Implications for surgical treatment using subacromial support. SAGE Open Med. 2022; 10: 20503121221091395.
