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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.

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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References

  1. Anseroff NJ (1937) Die Arterien des Skeletts der Hand und des Fusses des Menschen. Z Anat Entwicklungs 106: 193–208

    Google Scholar 

  2. Carranza Bencano A (1997) Cirugía de las deformidades metatarsofalángicas. In: Llanos Alcazar LF, Acebes Cachafeiro JC (eds) El pie. Masson, Barcelona, pp 78–90

  3. Faure C (1981) The skeleton of the anterior foot. Anat Clin 3: 49–65

    Google Scholar 

  4. Forriol F, Gómez L, Gianonatti M, Fernández R (1987) A study of the nutrient foramina in human long bones. Surg Radiol Anat 9: 251–255

    PubMed  Google Scholar 

  5. Gómez Oliveros L, Palacios Carvajal J (1960) Vascularización de los huesos. In: Gómez Oliveros L (ed) Lecciones de anatomía. Marban, Madrid, pp 322–347

  6. Gümüsburun E, Yücel F, Ozkan Y, Akgün Z (1994) A study of the nutrient foramina of lower limb bones. Surg Radiol Anat 16: 409–412

    PubMed  Google Scholar 

  7. Hamada N, Ikuta Y, Ikeda A (1993) Arteries to the great and second toes based on the three-dimensional analysis of 100 cadaveric feet. Surg Radiol Anat 15: 187–192

    CAS  PubMed  Google Scholar 

  8. Hardy R, Clapham J (1951) Observations on hallux valgus based on controlled series. J Bone Joint Surg Br 36: 376–391

    Google Scholar 

  9. Hughes H (1952) The factors determining the direction of the canal for the nutrient artery in the long bones of mammals and birds. Acta Anat 15: 261–280

    Google Scholar 

  10. Jaworek TE (1973) The intrinsic vascular supply to the first metatarsal. J Am Pod Med Assoc 63: 555–562

    Google Scholar 

  11. Johnson KA (1998) Osteotomía en galón. In: Johnson KA (ed) Pie y tobillo. Master en cirugía ortopédica. Marban, Madrid, pp 31–48

  12. Kummer FJ, Jahss MH (1991) Mathematic analysis of the foot and ankle osteotomies. In: Jahss MH (ed) Disorders of the foot and ankle. WB Saunders, Philadelphia, pp 541–563

  13. Knussmann R (1988) Anthropologie. Handbuch der vergleichenden Biologie des Menschen. Begründet von Rudolf Martin. Vol 1. Fischer, Stuttgart, pp 228

  14. Lelièvre J, Lelièvre JF (1982) Patología del pie. Masson, Barcelona, pp 473–490, 802–808

  15. Montagne J, Chevrot A, Galmiche JM (1984) Atlas de radiología del pie. Masson, Barcelona, pp 50–53

  16. Núñez Samper M (1997) Cirugía de las talalgias y metatarsalgias estáticas. In: Llanos Alcazar LF, Acebes Cachafeiro JC (ed) El pie. Masson, Barcelona, pp 68–78

  17. Patake SM, Mysorekar VR (1977) Diaphyseal nutrient foramina in human metacarpals and metatarsals. J Anat 124: 299–304

    Google Scholar 

  18. Resch S, Ryd L, Stenström A, Johnsson K, Reynisson K (1995) Measuring hallux valgus: a comparison of conventional radiography and clinical parameters with regard to measurement accuracy. Foot Ankle Int 16: 267–270

    CAS  PubMed  Google Scholar 

  19. Sarrafian SK (1993) Anatomy of the foot and ankle: descriptive, topographic, functional, 2nd edn. Lippincott, Philadelphia, pp 31–34, 77–86, 339–345, 532–538

    Google Scholar 

  20. Sendemir E, Çimen A (1991) Nutrient foramina in the shafts of the lower limb long bones: situation and number. Surg Radiol Anat 13: 105–108

    CAS  PubMed  Google Scholar 

  21. Shereff M, Yang QM, Kummer FJ (1987) Extraosseous and intraosseous arterial supply to the first metatarsal and metatarsophalangeal joint. Foot Ankle 8: 81–87

    CAS  PubMed  Google Scholar 

  22. Shereff MJ (1991) Radiographic analysis of the foot and ankle. In: Jahss MH (ed) Disorders of the foot and ankle, vol1. WB Saunders, Philadelphia, pp 91–108

  23. Singh I (1960) Variations in the metatarsal bones. J Anat 94: 345–350

    CAS  Google Scholar 

  24. Smith RW, Reynolds JC, Stewart MJ (1984) Hallux valgus assessment. Report of the Research Committee of the American Orthopedic Foot and Ankle Society. Foot Ankle 5: 92–103

    CAS  PubMed  Google Scholar 

  25. Soames RW (1998) Sistema esquelético. In: Williams PL (ed) Anatomía de Gray, vol 1. Harcourt Brace & Churchill Livingstone, Madrid, pp 469–471, 727

  26. Steel MW, Johnson KA, DeWitz MA, Ilstrup DM (1980) Radiographic measurements of the normal adult foot. Foot Ankle 1: 151–158

    PubMed  Google Scholar 

  27. Tanaka Y, Takakura Y, Kumai T, Samoto N, Tamai S (1995) Radiographic analysis of hallux valgus. J Bone Joint Surg Am 77: 205–213

    CAS  PubMed  Google Scholar 

  28. Testut L, Latarjet A (1949) Tratado de anatomía humana. Salvat, Barcelona, pp 454–455

  29. Trueta J (1975) La estructura del cuerpo humano. Estudios sobre su desarrollo y decadencia. Labor, Barcelona, pp 119–128

  30. Viladot A, Viladot A Jr (1991) Osteochondroses: aseptic necrosis of the foot. In: Jahss MH (ed) Disorders of the foot and ankle: medical and surgical management, vol 1. WB Saunders, Philadelphia, pp 617–638

  31. Viladot A (2001) Patología del antepié. Springer, Barcelona, pp 1–8, 22–26, 78–79, 146–157

  32. Wood Jones F (1946) Buchman's manual of anatomy. Baillière, Tindall & Cox, London, pp 310, 367

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Authors and Affiliations

  1. Department of Morphological Sciences and Physiology, European University of Madrid, Madrid, Spain

    D. Monreal-Redondo

  2. Department of Morphological Sciences and Surgery, University of Alcalá, Madrid, Spain

    F. J. Fernández-Camacho

  3. Facultad de Ciencias de la Salud, Departamento de Ciencias Morfológicas y Fisiología, Universidad Europea de Madrid, C/ Tajo s/n. Urbanización El Bosque, 28670, Villaviciosa de Odón, Madrid, Spain

    D. Monreal-Redondo

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  1. D. Monreal-Redondo
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  2. F. J. Fernández-Camacho
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Correspondence to D. Monreal-Redondo.

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Monreal-Redondo, D., Fernández-Camacho, F.J. Diaphyseal nutrient foramina in the first metatarsals in normal and hallux valgus feet: location and surgical implications. Surg Radiol Anat 25, 234–240 (2003). https://doi.org/10.1007/s00276-003-0112-3

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