Surgical and Radiologic Anatomy

, Volume 25, Issue 3–4, pp 234–240 | Cite as

Diaphyseal nutrient foramina in the first metatarsals in normal and hallux valgus feet: location and surgical implications

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Abstract

We examined 47 first metatarsals from amputated lower limbs to determine the situation of the main diaphyseal nutrient foramina (NFs) in normal and hallux valgus feet. All the NFs, excepting one, were in a plantar-fibular location. The NF situation was analyzed by means of the foraminal index and three minimum distances: from NF to proximal extremity, from NF to the shaft dorsal face (NFDS) and from NF to the border of the cartilaginous coating of the metatarsal head. We found a constant location of the NF in the middle of the total metatarsal length and sexual dimorphism in NFDS (lower in females); there were no differences by side, neither by digital or metatarsal types, nor between normal and hallux valgus types. Vascular complications in some osteotomies are discussed. In the surgical design, the NF situation can be estimated from either the total or physiological metatarsal length by means of the corresponding equations as reported here.

Keywords

First metatarsal Nutrient foramina Hallux valgus Surgery 

Résumé

Nous avons examiné 47 premiers métatarsiens provenant de membres inférieurs amputés pour déterminer la situation des foramens nourriciers diaphysaires principaux (FN) sur des pieds normaux et porteurs d'hallux valgus. Tous les FN, sauf 1 étaient en position plantaire fibulaire. La situation des FN a été analysée au moyen d'un index foraminal et de trois distances minimums: du FN à l'extrémité proximale, du FN à la face dorsale de la diaphyse (NFDS) et du FN au bord du revêtement cartilagineux de la tête métatarsienne. Nous avons trouvé une situation du FN constante au milieu de la longueur métatarsienne totale et un dimorphisme sexuel concernant la FNDS (inférieure chez la femme). Il n'y avait pas de différence selon le côté, ni en ce qui concerne les types métatarsiens ou digitaux, ni entre les pieds normaux et ceux porteurs d'hallux valgus. Les complications vasculaires de quelques ostéotomies sont discutées. Dans le dessin des ostéotomies chirurgicales, la situation du FN peut être estimée à partir de la longueur totale ou de la longueur physiologique du métatarsien par le biais des équations de correspondance rapportées par les auteurs.

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • D. Monreal-Redondo
    • 1
    • 3
  • F. J. Fernández-Camacho
    • 2
  1. 1.Department of Morphological Sciences and PhysiologyEuropean University of MadridMadridSpain
  2. 2.Department of Morphological Sciences and SurgeryUniversity of AlcaláMadridSpain
  3. 3.Facultad de Ciencias de la Salud, Departamento de Ciencias Morfológicas y FisiologíaUniversidad Europea de MadridVillaviciosa de Odón, MadridSpain

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