Advertisement

Surgical and Radiologic Anatomy

, Volume 41, Issue 4, pp 361–364 | Cite as

The dominant nutrient foramen at the clavicular midshaft: an anatomical study

  • Tim LeschingerEmail author
  • Felix Krane
  • Michael Hackl
  • Alexander van Tongel
  • Martin Scaal
  • Lars Peter Müller
  • Kilian Wegmann
Original Article

Abstract

Background

The aim of the present study was to describe the prevalence and topography of the dominant nutrient foramen at the clavicle.

Methods

317 macerated human clavicles (167 right and 150 left) were available for the study. After detecting the dominant nutrient foramen, the total distance from the sternal surface to the examined nutrient foramen was measured. A foramen index (FI) was used for further data processing.

Results

We detected a dominant foramen in 300/317 (94.64%) clavicles, which was located in the middle third in 287/300 (95.7%) clavicles. The average clavicular length was measured at 14.9 cm ± 1.0 cm (range 11.6–17.5 cm) with an average foraminal distance from the sternoclavicular joint surface of 7.9 cm ± 1.3 cm (range 0.9–12.6 cm) in total. The mean FI was 53.2% ± SD 7.4% (range 5.5–79.3%).

Conclusion

The present study provides a topographic mapping of the foraminal area (46–60% of the total clavicular length). The findings help to assess clavicular fracture patterns, which pass through the foraminal area.

Keywords

Clavicula Fracture Nutrient foramen Blood supply Complication Fracture pattern Non-union Mal-union 

Notes

Compliance with ethical standards

Conflict of interest

The authors, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article.

Ethical approval

The Ethics Commission of the Faculty of Medicine of Cologne University has approved the study.

References

  1. 1.
    Fischer LP, JP C (1978) Vascularisation artérielle des os chez l’homme. Bull Assoc Anat 62:419–454Google Scholar
  2. 2.
    Freyschmidt J, Sternberg A, Brossmann J (2003) Borderlands of normal and early pathological findings in skeletal radiography, 5th edn. Thieme, New York, pp 305–318Google Scholar
  3. 3.
    Gardner E (1968) The embryology of the clavicle. Clin Orthop Relat Res 58:9–16CrossRefGoogle Scholar
  4. 4.
    Garzon-Alvarado DA, Gutierrez ML, Calixto LF (2014) A computational model of clavicle bone formation: a mechano-biochemical hypothesis. Bone 61:132–137.  https://doi.org/10.1016/j.bone.2014.01.007 CrossRefGoogle Scholar
  5. 5.
    Havet E, Duparc F, Tobenas-Dujardin AC et al (2008) Vascular anatomical basis of clavicular non-union. Surg Radiol Anat 30:23–28.  https://doi.org/10.1007/s00276-007-0278-1 CrossRefGoogle Scholar
  6. 6.
    Kizilkanat E, Boyan N, Ozsahin ET et al (2007) Location, number and clinical significance of nutrient foramina in human long bones. Ann Anat 189:87–95.  https://doi.org/10.1016/j.aanat.2006.07.004 CrossRefGoogle Scholar
  7. 7.
    Knudsen FW, Andersen M, Krag C (1989) The arterial supply of the clavicle. Surg Radiol Anat 11:211–214CrossRefGoogle Scholar
  8. 8.
    Kumar R, Madewell JE, Swischuk LE et al (1989) The clavicle: normal and abnormal. Radiographics 9:677–706.  https://doi.org/10.1148/radiographics.9.4.2756192 CrossRefGoogle Scholar
  9. 9.
    Murlimanju BV, Prabhu LV, Pai MM et al (2011) Neurovascular foramina of the human clavicle and their clinical significance. Surg Radiol Anat 33:679–682.  https://doi.org/10.1007/s00276-011-0805-y CrossRefGoogle Scholar
  10. 10.
    Murlimanju BV, Prashanth KU, Prabhu LV et al (2011) Morphological and topographical anatomy of nutrient foramina in human upper limb long bones and their surgical importance. Rom J Morphol Embryol 52:859–862Google Scholar
  11. 11.
    Mysorekar VR, Nandedkar AN (1979) Diaphysial nutrient foramina in human phalanges. J Anat 128:315–322Google Scholar
  12. 12.
    Nagel A (1993) The clinical significance of the nutrient artery. Orthop Rev 22:557–561Google Scholar
  13. 13.
    Patake SM, Mysorekar VR (1977) Diaphysial nutrient foramina in human metacarpals and metatarsals. J Anat 124:299–304Google Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Center for Orthopedic and Trauma SurgeryUniversity Medical CenterCologneGermany
  2. 2.Institute of Anatomy IIUniversity of CologneCologneGermany
  3. 3.Department of Orthopedics and TraumatologyUniversity Hospital GhentGhentBelgium

Personalised recommendations