Türk Populasyonunda Üst Ve Alt Ekstremite Uzun Kemiklerinde Foramen Nutricium’larin İncelenmesi

Yıl 2022, Cilt: 4 Sayı: 2, 179 - 86, 01.05.2022

Kenan Öztürk Ahmet Dursun Mehtap Ayazoğlu Yadigar Kastamoni

https://doi.org/10.37990/medr.1049282

Cited By: 1

Öz

Amaç: Üst ve alt ekstremite uzun kemiklerinde foramen nutricium’ların varlığını, sayısını, anatomik konumunu incelemeyi ve foramen indeksini hesaplamayı amaçladık.
Materyal ve Metot: Çalışmamız 25 clavicula, 59 humerus, 49 radius, 32 ulna, 59 femur, 49 tibia ve 22 fibula olmak üzere toplam 295 kemik üzerinde gerçekleştirildi. Bütün kemiklerdeki foramen nutricium’ların sayısı, foramen nutricium’ların kemik üzerindeki anatomik konumu ve açıklığının yönü belirlenerek kaydedildi. Tüm kemikler bir milimetrik cetvel ile fotoğraflandı. Kemik uzunluğu ve foramen nutricium’ların kemiğin proksimaline olan mesafesi ImageJ programı kullanılarak ölçüldü. Bütün foramenler için foramen indeksi hesaplandı.
Bulgular: Bir humerus ve üç fibula dışında tüm kemiklerde en az bir foramen nutricium gözlendi. En yüksek foramen indeksi ortalaması humerus ve clavicula’ya aitken, en düşük foramen indeksi ortalaması tibiaya aitti. Foramen nutricium’ların açıklığının yönü clavicula’da çoğunlukla extremitas acromialis’e (%87,5), humerus’ta (%97,6), tibia (%96,15) ve fibula’da (%75) distale ve radius (%96,36), ulna (%100) ve femur’da (%98,97) proksimale doğruydu.
Sonuç: Üst ve alt ekstremite kemiklerinin birlikte incelendiği ve popülasyonlar arası karşılaştırmaların yapıldığı foramen nutricium’larla ilgili az sayıda çalışma bulunmaktadır. Bu nedenle çalışmamızın bu konudaki sınırlı literatürü zenginleştireceğini ve klinisyenlere katkı sağlayacağını düşünüyoruz.

Anahtar Kelimeler

Foramen indeksi; kırık; lokalizasyon; arteria nutricia

An Investigation of the Nutrient Foramen in the Long Bones of the Upper and Lower Limbs in Turkish Population

Öz

Aim: We aimed to examine the presence, number, anatomic location of the nutrient foramen in the long bones of the upper and lower limbs and calculate the foramen index.
Materials and Methods: Our study was conducted on a total of 295 bones, including 25 clavicle, 59 humerus, 49 radius, 32 ulna, 59 femur, 49 tibia, and 22 fibula. The number of the nutrient foramen in each bone, the anatomic location of the nutrient foramen on the bone, and the direction of its opening were determined and recorded. All bones were photographed with a millimeter ruler. The bone length and the distance of the nutrient foramen to the proximal of the bone were measured using the ImageJ program. The foramen index was calculated for each foramen.
Results: At least one nutrient foramen was observed in all bones, except for one humerus and three fibula. The highest mean foramen index belonged to the humerus and clavicle, while the lowest mean foramen index belonged to the tibia. The direction of the nutrient foramen is mostly toward the acromial end (87.5%) in the clavicle, toward the distal in the humerus (97.6%), tibia (96.15%) and fibula (75%), and toward the proximal in the radius (96.36%), ulna (100%), and femur (98.97%).
Conclusion: There are few studies on the nutrient foramen in which bones of the upper and lower limbs are examined together and comparisons between populations are made. Therefore, we think that our study will enrich the limited literature on this subject and contribute to clinicians. 

Anahtar Kelimeler

Foramen index, fracture, localization, nutrient artery

Kaynakça

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