| The supratrochlear foramen of the humerus and its relation to the medullary canal: a potential surgical application. | |
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MedLine Citation:
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PMID: 20357712 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The supratrochlear foramen of the humerus is located at the septum separating the coronoid from the olecranon fossa. Beyond its anthropologic interest, that trait seems to have clinical significance as well. MATERIAL/METHODS: The supratrochlear foramen was studied in 240 macerated adult humeri. The foramen was recorded in each sex and each side. We attempted to enlighten the likely relation of the foramen with the inferior edge of the medullary canal, as well as that of the dimensions of that canal of humerus and compare it to contralateral humeri without foramen. RESULTS: The medullary canal width at the entry point of a retrograde intramedullary nail was statistically smaller in humeri with foramen than in humeri without it. Furthermore, the medullary canal of the humeri with foramen ends more proximally than the canal of nonforamen humeri. CONCLUSIONS: In cases of humeral fractures of the supratrochlear foramen, the surgeon must keep in mind that it is better to perform an antegrade medullary nailing than a retrograde one; as there is higher chance of a secondary fracture, due to the extreme narrowness of the canal at the distal portion of humeri with the supratrochlear foramen. |
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Authors:
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George K Paraskevas; Basileios Papaziogas; Alexandros Tzaveas; George Giaglis; Panagiotis Kitsoulis; Konstantinos Natsis |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medical science monitor : international medical journal of experimental and clinical research Volume: 16 ISSN: 1643-3750 ISO Abbreviation: Med. Sci. Monit. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-01 Completed Date: 2010-08-05 Revised Date: 2011-06-14 |
Medline Journal Info:
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Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
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Languages: eng Pagination: BR119-123 Citation Subset: IM |
Affiliation:
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Department of Anatomy, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. g_paraskevas@yahoo.gr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anatomy
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methods* Bone Nails Bone and Bones / anatomy & histology*, surgery* Female Fracture Fixation, Intramedullary / methods Humans Humeral Fractures / radiography, surgery Humerus / anatomy & histology*, surgery* Male Models, Anatomic Sex Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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