This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Nelson, G. E.
Right arrow Articles by Janes, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nelson, G. E., Jr.
Right arrow Articles by Janes, J. M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1960;42:625-636.
© 1960 by The Journal of Bone and Joint Surgery, Inc

Blood Supply of the Human Tibia

George E. Nelson Jr. M.D.1, Patrick J. Kelly M.D.1, Lowell F. A. Peterson M.D.1, and Joseph M. Janes M.D.1

1 Section of Orthopaedic Surgery, Mayo Clinic and Mayo Foundation, Rochester

The study of fourteen limbs of adult human beings by various techniques yielded the following description of the tibial blood supply. The epiphyseal-metaphyseal regions are generously supplied by vessels entering from the periphery. These vessels anastomose with vessels from the diaphyseal area. The nutrient artery is the main source of blood to the diaphyses. It gives off ascending branches immediately after it enters the medullary cavity, and these branches disperse widely. The descending branch, on the other hand, remains as a single major vessel for some distance before finally dividing. The ascending and descending branches of the nutrient artery give off radial twigs that enter the cortex. These small arteries supply the vessels of the Haversian systems. The periosteum has a copious vascular bed that contributes only infrequent capillaries to the vascular system of the cortex. Some of these capillaries traverse the cortex from periosteum to endosteum and probably represent anastomotic links with the branches of the nutrient artery. An additional anastomosis consists of the vessels in the secondary Haversian canals, as described by Ham. The venous drainage of the diaphysis is largely toward the endosteal surface through veins that accompany the arteries. At irregular intervals, however, venous channels also drain to the periosteal surface. The venous drainage of the epiphyseal region is by way of vessels adjoining the radially arranged arteries.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
L. S. Phieffer and J. A. Goulet
Delayed Unions of the Tibia
J. Bone Joint Surg. Am., January 1, 2006; 88(1): 205 - 216.
[Full Text] [PDF]

Home page
 ScienceHome page
R. R. Cooper
Nerves in Cortical Bone
Science, April 19, 1968; 160(3825): 327 - 328.
[Abstract] [PDF]

Home page
 ANGIOLOGYHome page
H. Azuma
Intraosseous Pressure as a Measure of Hemodynamic Changes in Bone Marrow
Angiology, September 1, 1964; 15(9): 396 - 406.
[PDF]