Journals / Sakarya Tıp Dergisi / 2026 / Volume: 15 Issue: 3

Morphological and Topographical Anatomy of the Nutrient Foramen on 176 Humeri and Current Literature Review

Elif Bayraktar(İSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ)0000-0003-0921-5019
Latif Sağlam(İSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİ)0000-0001-6796-7484
Osman Coşkun(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE)0000-0002-0337-4927
Ahmet Ertaş(İSTANBUL ÜNİVERSİTESİ-CERRAHPAŞA)0000-0002-5518-4834
Özcan Gayretli(İSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ)0000-0001-7958-3170
Pages
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Publication Date
2025-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The overall average FI was 57%.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The nutrient foramen of the humerus (NFH) is an important anatomical structure as it transports the nutrient artery that feeds the humerus.
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Key Findings & Data:In total, 176 (85 right, 91 left) dry adult human humeri were examined.
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Conclusion & Impact:The overall average FI was 57%.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Nutrient foramen of humerus · Nutrient artery · Topographic location

Abstract

The nutrient foramen of the humerus (NFH) is an important anatomical structure as it transports the nutrient artery that feeds the humerus. Our goal was to investigate morphological and morphometric features of the NFH. In total, 176 (85 right, 91 left) dry adult human humeri were examined. We investigated the frequency, topographic position, and direction of NFHs. The distances of NFH to certain landmarks were also measured. Lastly, the foraminal index (FI) was determined. Humerus with one NFH and two NFHs were 151 (85.8%) and 22 (12.5%), respectively. NFHs were absent in 3 (1.7%) of humeri. All NFHs were downward. The mean shortest distances of the NFH to the most prominent point of the head of the humerus were found as 17.84+2.64 cm in the humerus with a single NFH and 17.32+2.76 cm in the humerus with a double NFH, respectively. The mean shortest distances of the NFH to the tip of the medial epicondyle were 11.39+1.89 cm in the humerus with a single NFH and 13.01+2.93 cm in the humerus with two NFHs. The overall average FI was 57%. With this study, the distances of NFHs to certain landmarks were documented separately for single NFHs and double NFHs. Moreover, NFHs are most densely located in the middle third. We believe that this data may be helpful to orthopedic surgeons in terms of pre- and intraoperative planning and reaching NFHs more easily.

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Cite This Article

Bayraktar, E., Sağlam, L., Coşkun, O., Ertaş, A., Gayretli, Ö. (2025). Morphological and Topographical Anatomy of the Nutrient Foramen on 176 Humeri and Current Literature Review. Sakarya Tıp Dergisi, Volume: 15 Issue: 3. https://doi.org/10.31832/smj.1608336

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References (22)

  1. Standring S, editor. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 42nd ed. Elsevier Health Sciences; 2021.
  2. Donders J, Prins J, Kloen P, Streekstra G, Cole P, Kleipool R, et al. Three-dimensional topography of scapular nutrient foramina. Surg Radiol Anat. 2020;42(8):887-892.
  3. Chandrasekaran S, Shanthi KC. A study on the nutrient foramina of adult humerii. J Clin Diagn Res. 2013;7(6):975-977.
  4. Joshi H, Doshi B, Malukar O. A study of the nutrient foramina of the humeral diaphysis. Natl J Integr Res Med. 2011;2(2):14-17.
  5. Mysorekar VR. Diaphysial nutrient foramina in human long bones. J Anat. 1967;101(Pt 4):813-822.
  6. Bharathi A, Janaki V, Gouri TLS, Archana. Morphometric variations of nutrient foramen in adult human humerus in Telangana region. IOSR J Dent Med Sci. 2016;15(4):43-46.
  7. Solanke KS, Bhatnagar R, Pokhrel R. Number and position of nutrient foramina in humerus, radius and ulna of human dry bones of Indian origin with clinical correlation. OA Anatomy. 2014;2(1):1-4.
  8. Hughes H. The factors determining the direction of the canal for the nutrient artery in the long bones of mammals and birds. Acta Anat (Basel). 1952;15(3):261-280.
  9. Asharani SK, Ningaiah A. A study on the nutrient foramen of humerus. Int J Anat Res. 2016;4(3):2706-2709.
  10. Güner M, Ortadeveci A, Hakan AY, Öz S. The morphology and topography of the foramen nutricium in long bones of the upper extremity. ESTÜDAM Klinik Anatomi Dergisi. 2016;1(1):34-40.
  11. Mansur DI, Manandhar P, Haque MK, Mehta DK, Duwal S, Timalsina B. A study on variations of nutrient foramen of humerus with its clinical implications. Kathmandu Univ Med J (KUMJ). 2016;14(53):78-83.
  12. Ruthwik B, Padmalatha K, Shyam Sunder B. A study on nutrient foramen of humeri and its clinical significance. Int J Anat Res. 2019;7(3.1):6700-6711.
  13. Cihan ÖF, Toma S. Morphology and topography of the nutrient foramina in the shoulder girdle and long bones of the upper extremity. Eur J Ther. 2023;29(3):359-369.
  14. Challa P, Nanna RK. A study of nutrient foramina in human upper limb long bones. J Evolution Med Dent Sci. 2019;8(9):610-612.
  15. Khan AS, Shah Z, Inayat Q. Anatomical variations in diaphyseal nutrient foramina of humerus in cadavers from Khyber Pakhtunkhwa, Pakistan. Khyber Med Univ J. 2014;6(1):18-21.
  16. Rathwa AJ, Chavda SR. A study on variations of nutrient foramen of humerus with its clinical implications. Int J Anat Res. 2019;7(1.2):6132-6137.
  17. Ukoha UU, Umeasalugo KE, Nzeako HC, Ezejindu DN, Ejimofor OC, Obazie IF. A study of nutrient foramina in long bones of Nigerians. NJMR. 2013;3(04):304-308.
  18. Öztürk K, Dursun A, Ayazoğlu M, Kastamoni Y. An investigation of the nutrient foramen in the long bones of the upper and lower limbs in Turkish population. Med Records. 2022;4(2):179-186.
  19. Carroll SE. A study of the nutrient foramina of the humeral diaphysis. J Bone Joint Surg Br. 1963;45-B:176-181.
  20. Khandve B, Verma A. A study of nutrient foramina of humerus at Chhattisgarh state. Int J Inn Res. 2018;3(3):1794-1798.
  21. Yaseen S, Nitya W, Ravinder M. Morphological and topographical study of nutrient foramina in adult humerii. Int J Innov Res Dev. 2014;3(4):7-10.
  22. Toklu E, Sağlam L, Coşkun O, Ertaş A, Gayretli Ö. An investigation regarding nutrient foramen of the radius. J Ist Faculty Med. 2024;87(2):121-126.