IJCRR - Vol 07 Issue 09, May, 2015
MORPHOLOGIC AND MORPHOMETRIC STUDY OF SUPRA TROCHLEAR FORAMEN OF DRIED HUMAN HUMERI OF TELANGANA REGION
Author: Udaya Kumar P., Sukumar C. D., Sirisha V., Rajesh V., Murali Krishna S., Kalpana T.
Introduction: Olecranon fossa and coronoid fossa of lower end of humerus are separated by a thin plate of bone called supratrochlear septum. In some cases this septum is perforated, named as supratrochlear foramen.
Materials and Methods: The present study is carried out with 270 (119 left sided + 151 right sided) dried humeri of unknown sex and age. Bones were examined for the presence of supratrochlear foramen, their shape and measured vertical and horizontal diameters. Translucency of septum was identified by keeping the bone against a light source.
Results: Observation of 270 humeri showed the presence of Supra trochlear foramen in 57(26%) bones. 26% left sided bones and 17.21% of right sided bones were found to have STF. Oval shaped foramen dominated the other shapes. The mean transverse diameter of foramen was observed to be 6.36 ± 2.88 mm on left side and 5.76 ± 2.22 mm on right side, where as the vertical diameter was found to be 4.76 ± 2.64 mm mm on left side and 4.64 ± 2.45 mm on right side. Out of 213 bones, transluscency
of septum was observed in 130 (61.03%) humeri.
Conclusion: The present study suggests left preponderance with majority of oval shape of supra trochlear foramen in similaritywith most other studies done in India. The knowledge of STF is important to Orthopedicians, radiologists and Anthropologists
Keywords: Supra trochlear septum, Supra trochlear foramen, Humerus, Translucency of septum
Udaya Kumar P., Sukumar C. D., Sirisha V., Rajesh V., Murali Krishna S., Kalpana T.. MORPHOLOGIC AND MORPHOMETRIC STUDY OF SUPRA TROCHLEAR FORAMEN OF DRIED HUMAN HUMERI OF TELANGANA REGION International Journal of Current Research and Review. Vol 07 Issue 09, May, 95-98
1. Kate BR, Dubey PN. A note on the septal apertures in the humerus of Central Indians. Eastern Anthropologists. 1970; 33:105-10, as cited in Manjappa T, Premchand SA; Incidence and morphometric study of septal aperture in south Indian population of Karnataka region, Int J Pharm Bio Sci 2014 Oct; 5(4): (B) 788–792.
2. Meckel JH, Kate, BR, Dubey, PN. A note on the septal apertures in the humerus of Central Indians. Eastern Anthropologist. 1970; 33:270–284.
3. Haziroglu RM, Ozer M. A supratrochlear foramen in the humerus of cattle. Anat Histol Embryol. 1990; 19:106–108.
4. Riesenfild A, Somon M. Septal apertures in humerus of normal and experimental rats. Am J Phys Anthropal 1975 Jan; 42(1):57-61.
5. Paraskevas GK, Papaziogas B, Tzaveas A, Giaglis G, Kitsoulis P, Natsis K. The supratrochlear foramen of the humerus and its relation to the medullary canal: a potential surgical application. Med. Sci.Monit. 2010; 16(4):119-23
6. Tyllianakis M, Tsoumpos P, Anagnostou K et al: Intramedullary nailing of humeral diaphyseal fractures. Is distal locking really necessary? Int. J. Shoulder Surg, 2013; 7(2): 65–68.
7. Brauer CA, Lee BM, Bae DS et al: A systematic review of medial and lateral entry pinning versus lateral entry pinning for supracondylar fractures of the humerus. J Pediatr Orthop, 2007; 27: 181–86.
8. Hirsh IS: The supratrochlear foramen: clinical and anthropological considerations. Am J Surg, 127; 2: 500–5, as Cited in Morton SH and Crysler WE. Osteochondritis dissecans of the supratrochlear septum. J Bone Joint Surg. 1945; 27-A: 12–24.
9. Benfer RA, McKern TW: The correlation of bone robusticity with the perforation of the coronoid-olecranon septum in the humerus of man. Am J Phys Anthropol, 1966; 24(2): 247–52.
10. Sahajpal DT, Pichora D: Septal aperture: an anatomic variant predisposing to bilateral low-energy fractures of the distal humerus. Can J Surg, 2006; 49(5): 363–64.
11. Blakely RL, Marmouze RJ, Wynne DD: The Incidence of the Perforation of the Coronoid-olecran Septum in the Middle Mississippian Population of Dickson Mounds, Fulton County, Illinois. In Proceedings of the Indiana Academy of Science, 2013; 78: 73–82.
12. Veerappan V, Ananthi S, Kannan NG et al: Anatomical and radiological study of supratrochlear foramen of humerus. World J Pharm Pharm Sci, 2013; 2(1): 313–20.
13. Jadhav M, Tawte A, Pawar P, Mane S. Anatomical study of Supratrochlear foramen of Humerus. J Res Med Den Sci 2013;1(2):33-35.
14. Nayak SR, Das S, Krishnamurthy A et al: Supratrochlear foramen of the humerus: An anatomico-radiological study with clinical implications. Ups J Med Sci, 2009; 114(2): 90–94.
15. Suba Ananthi Kumarasamy, Manickam Subramanian, Vaithiananthan Gnanasundaram, Aruna Subramanian, Ramalingam. Study of intercondylar foramen of humerus. Rev Arg de AnatClin, 3 (1): 32-36, (2011).
16. Singhal S, Rao V. Supratrochlear foramen of the humerus. Anat Sci Int, 82: 105-107, (2007).
17. Bhanu PS, Sankar KD: Anatomical note of supratrochlear foramen of humerus in south costal population of Andhra Pradesh. Narayana Medical Journal, 2012; 1(2): 28–34
18. Krishnamurthy A, Yelicharla AR, Takkalapalli A: Supratrochlear foramen of humerus – a morphometric study. Int J Biol Med Res, 2011; 2(3); 829–31.
19. Anupama mahajan A, Batra APS, Seema, Khurana BS. Supratrochlear foramen; study of humerus in North Indians. Professional Med J. 2011;18(1):128-132.
20. Manjappa T, Premchand SA; Incidence and morphometric study of septal aperture in south Indian population of Karnataka region, Int J Pharm Bio Sci 2014 Oct; 5(4): (B) 788 – 792. 21. Vasantbhai PS: Morphometric Study of Supratrochlear Foramen of Humerus. International Journal of Biomedical and Advance Research, 2013; 4(2): 89–92.
22. De Wilde, V., De Maeseneer, M., Lenchik, L., Van Roy, P., Beeckman, P., and Osteaux, M. (2004). Normal osseous variants presenting as cystic or lucent areas on radiography and CT imaging: a pictorial overview.European Journal of Radiology 51, 77–84.
23. Akpinar F, Aydinlioglu A, Tosun N, Dogan A, Tuncay I, Unal O. A morphometric study on the humerus for intramedullary fixation. Tohoku J Exp Med 2003;199:35-42
24. Himabindu A, Narasinga Rao B, supratroclear foramen – a phylogenic remanent, International Journal of Basic and applied medical sciences.2013; 3 (2): 130-132.
25. Sejal V Patel, Lajja K Sutaria, Tushar V Nayak, Daxa. P. Kanjia, B M Patel, S H Aterkar, Morphometric study of supra trochlear foramen of humerus, Int J Bio Med Adv Res 04 (02): 89-92, 2013.
26. Rakesh KD, Archana R, Anita R, Jyoti C, Srivastava AK et al. Incidence of supratrochlear foramen of humerus in North Indian population. Biomedical Research, 24 (1): 142-145, (2013).
27. Varalakshmi K.L, Sweekritha Shetty, Qudsia Sulthana, Study of Supratrochlear Foramen of Humerus and Its Clinical Importance. J Dent and Med Sci; 2014; 13 (7): 68-70
28. Jaswinder kaur ,Zorasingh, Supratrochlear Foramen of Humerus – A Morphometric Study; Indian Journal of Basic and Applied Medical Research; June 2013: 7(2), 651-654.
29. Naqshi BF, Shah AB, Gupta S et. al. Supratrochlear foramen: an anatomic and clinico-radiological assessment. Int J Health Sci Res. 2015;5(1):146-150.
30. Raghavendra K, Anil Kumar Reddy Y, Shirol VS, Daksha Dixith, Desai SP. Morphometric analysis of septal aperture of humerus. Int J Med Res Health Sci, 3 (2): 269-272, (2014).
31. Singh S, Singh SP. A study of the supratrochlear foramen in the humerus of North Indians. J Anat Soc India, 21: 52- 56,(1972). As cited in Manjappa T, Premchand SA; Incidence and morphometric study of septal aperture in south Indian population of Karnataka region, Int J Pharm Bio Sci 2014 Oct; 5(4): (B) 788 – 792.