Intraosseous Blood Supply to the Distal Humerus
| Autor: | Thomas W. Wright, Frank Glowczewskie, Jon P. Kimball |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Nutrient artery Nonunion Elbow Collateral Circulation Anatomy Humerus Osteotomy medicine.disease Collateral circulation Surgery medicine.anatomical_structure Cadaver medicine Humans Orthopedics and Sports Medicine Diaphyses Olecranon fossa business |
| Zdroj: | The Journal of Hand Surgery. 32:642-646 |
| ISSN: | 0363-5023 |
| DOI: | 10.1016/j.jhsa.2007.02.019 |
| Popis: | Purpose Nonunion of the distal humerus after fracture or osteotomy is uncommon but can present an important clinical problem. Vascular insufficiency of bone may be an important contributing factor. The purpose of this study was to describe the intraosseous vascular anatomy of the distal humerus. Methods Nine fresh-frozen upper extremity cadaver specimens were injected with India ink and Ward's blue latex solution. A modified Spalteholz technique was used to show the intraosseous vascular anatomy. Results The distal humeral diaphysis was supplied by a single nutrient artery. The lateral column was supplied predominately by posterior segmental vessels, whereas the medial column was supplied by anterior and posterior segmental vessels. The trochlea, olecranon fossa, and coronoid fossa were watershed areas. Conclusions Our study shows the intraosseous vascular anatomy of the distal humerus is relatively consistent. There also appears to be a consistent trochlear vessel medially and small anterior perforating vessels in the lateral column that have not previously been described. |
| Databáze: | OpenAIRE |
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