Study of the Anatomical Variations in the Nutrient Foramina of Fibula

Hina  Majid; Syed Muhammad Yasoob Ali; Rabia  Ejaz; Tahira  Athar; Mulazim Hussain Bukhari; Salman  Shahid

doi:10.29054/apmc/2020.707

Hina Majid Demonstrator, Anatomy Department, Postgraduate Medical Institute/AMC/LGH, Lahore Pakistan
Syed Muhammad Yasoob Ali Professor & Head of Anatomy Department, Postgraduate Medical Institute/AMC/LGH, Lahore Pakistan
Rabia Ejaz Demonstrator, Anatomy Department, Postgraduate Medical Institute/AMC/LGH, Lahore Pakistan
Tahira Athar Demonstrator, Anatomy Department, Services Institute of Medical Sciences, Lahore
Mulazim Hussain Bukhari Professor & Head of Pathology, Department of Public Health, University of Lahore, Lahore Pakistan
Salman Shahid Department of Public Health, University of Lahore, Lahore.

DOI: https://doi.org/10.29054/apmc/2020.707

Keywords: Nutrient artery, Nutrient foramina, Fibula, Orthopedics, Topographic anatomy

Abstract

Background: The main blood supply to a growing bone is through its nutrient artery. It enters the bone through nutrient foramina (NF). Fibula is commonly used as a bone graft. The anatomical location of NF on fibula is valuable during surgeries. Objective: Topographic assessment of nutrient foramina on human fibulae. Study Design: Cross Sectional Observational Study. Settings: Anatomy Department, Postgraduate Medical Institute, Lahore Pakistan. Duration: 4 months (from 1-12-2018 to 31-3-2019). Methodology: 100 fibulae were obtained from the bone bank of anatomy department, Postgraduate Medical Institute, Lahore. The number of NF and their position on the fibular shaft were observed. Results: Single foramen was observed in 90 (90%) fibulae, 4 (4%) had two foramina, while 6 (6%) had no NF. 86 (93%) foramina were seen on the middle third of the bone. 47 (50%) NF were present on the posterior aspect. 2 (2%) foramina were on the proximal third and 4 (4%) were on the distal third of the fibulae. Conclusion: The posterior aspect and the middle third of the bony shaft bore most of the nutrient foramina.