Variation of the Nutrient Foramen of Fibula and its Clinical Significance

Background: The fibula is a long bone located at the lateral aspect of the leg. Its diaphysis is principally nourished by one or more nutrient arteries entering the shaft through an opening referred to as the nutrient foramen. The present findings on the morphometrics of the foramen may be helpful t...

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Main Authors: Sushma Khatiwada, Budhi Nath Adhikari
Format: Article
Language:English
Published: Nobel Medical College Teaching Hospital 2020-12-01
Series:Journal of Nobel Medical College
Subjects:
Online Access:https://www.nepjol.info/index.php/JoNMC/article/view/33383
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author Sushma Khatiwada
Budhi Nath Adhikari
author_facet Sushma Khatiwada
Budhi Nath Adhikari
author_sort Sushma Khatiwada
collection DOAJ
description Background: The fibula is a long bone located at the lateral aspect of the leg. Its diaphysis is principally nourished by one or more nutrient arteries entering the shaft through an opening referred to as the nutrient foramen. The present findings on the morphometrics of the foramen may be helpful to forensic experts, radiologists and clinicians for diagnosis and management of various bony conditions. Materials and Methods: This was a descriptive cross sectional study conducted on fifty dry adult human fibulae collected at the Department of Anatomy, Chitwan Medical College from June to September 2020. Total fibular length along with the number and location of all nutrient foramina present were recorded. Foraminal index of the fibula was calculated as well. Results: The study revealed that the average length of Nepalese fibulae was 34.1 ± 1.9 cm. Eighty-eight percent fibula had a single nutrient foramen, 4 % had two and 8 % had none. The most common location was between the medial crest and posterior border (63%, in fibula with single foramen), followed by the medial crest (30%) and between the medial crest and interosseous border (7%). The average foraminal index was 44.01 ± 7.9 % with a range of 34.9 to 65.7 %. Conclusion: Single nutrient foramen located at the middle third on posterior aspect was the most common finding. Regional data on the number and location of the foramina would be useful to forensic experts and clinicians for various diagnostic and treatment purposes.
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spelling doaj.art-c4e8dd10a9f4428a8ffa00ded27880242022-12-21T22:01:43ZengNobel Medical College Teaching HospitalJournal of Nobel Medical College2091-23312091-234X2020-12-0192343810.3126/jonmc.v9i2.3338333383Variation of the Nutrient Foramen of Fibula and its Clinical SignificanceSushma Khatiwada0Budhi Nath Adhikari1Department of Anatomy, Chitwan Medical College, Bharatpur, NepalDepartment of Surgical Oncology, Plastic and Reconstructive Surgery Unit, B. P. Koirala Memorial Cancer Hospital, Bharatpur, NepalBackground: The fibula is a long bone located at the lateral aspect of the leg. Its diaphysis is principally nourished by one or more nutrient arteries entering the shaft through an opening referred to as the nutrient foramen. The present findings on the morphometrics of the foramen may be helpful to forensic experts, radiologists and clinicians for diagnosis and management of various bony conditions. Materials and Methods: This was a descriptive cross sectional study conducted on fifty dry adult human fibulae collected at the Department of Anatomy, Chitwan Medical College from June to September 2020. Total fibular length along with the number and location of all nutrient foramina present were recorded. Foraminal index of the fibula was calculated as well. Results: The study revealed that the average length of Nepalese fibulae was 34.1 ± 1.9 cm. Eighty-eight percent fibula had a single nutrient foramen, 4 % had two and 8 % had none. The most common location was between the medial crest and posterior border (63%, in fibula with single foramen), followed by the medial crest (30%) and between the medial crest and interosseous border (7%). The average foraminal index was 44.01 ± 7.9 % with a range of 34.9 to 65.7 %. Conclusion: Single nutrient foramen located at the middle third on posterior aspect was the most common finding. Regional data on the number and location of the foramina would be useful to forensic experts and clinicians for various diagnostic and treatment purposes.https://www.nepjol.info/index.php/JoNMC/article/view/33383diaphysisfibulagraftsosteology
spellingShingle Sushma Khatiwada
Budhi Nath Adhikari
Variation of the Nutrient Foramen of Fibula and its Clinical Significance
Journal of Nobel Medical College
diaphysis
fibula
grafts
osteology
title Variation of the Nutrient Foramen of Fibula and its Clinical Significance
title_full Variation of the Nutrient Foramen of Fibula and its Clinical Significance
title_fullStr Variation of the Nutrient Foramen of Fibula and its Clinical Significance
title_full_unstemmed Variation of the Nutrient Foramen of Fibula and its Clinical Significance
title_short Variation of the Nutrient Foramen of Fibula and its Clinical Significance
title_sort variation of the nutrient foramen of fibula and its clinical significance
topic diaphysis
fibula
grafts
osteology
url https://www.nepjol.info/index.php/JoNMC/article/view/33383
work_keys_str_mv AT sushmakhatiwada variationofthenutrientforamenoffibulaanditsclinicalsignificance
AT budhinathadhikari variationofthenutrientforamenoffibulaanditsclinicalsignificance