Morphometric description of greater & lesser tubercles at proximal humerus: An Anatomical study

Main Article Content

Susmita Saha
Sanya Khurana
Prachi Saffar Aneja
Paras Kumar
Nisha Pahal
Vikash Bhoria

Abstract

Background: Humerus, a typical long bone of arm forms shoulder joint at its proximal end and elbow joint at its distal end. Greater and lesser tubercles are two bony protrusions present on its proximal end with intertubercular sulcus (Bicipital groove). These tubercles are very much prone to fractures & also many other pathological conditions of shoulder joint which is termed as the most mobile joint. So, the main aim of our current study was to estimate the morphometry of greater and lesser tubercles of proximal humerus among North Indian Population group.


Materials and Methods: This present study was conducted on 100 adult dry humerii of both  sexes obtained from bone bank, Department of Anatomy, FMHS, SGT University, Gurugram, Haryana, India over a span of  one year. Detailed Morphometry of Greater and lesser tubercles like length and width along with some bony distances were measured using digital vernier calliper on both sided bones.


Results: The mean value with standard deviation for length and width of greater tubercle was 30.88±1.78 mm & 6.53±1.56 mm respectively & length and width of lesser tubercle was 16.29±1.30 mm & 4.35±1.85mm respectively on right side which was comparatively more than the left side. But distance from head to lesser tubercle was comparatively more on both sides than distance from greater tubercle.


Conclusion: The morphometry of Greater and lesser tubercles of humerus among North Indian population will be a great help for the surgeons for the management of proximal humeral fractures & associated abnormalities.


 

Downloads

Download data is not yet available.

Article Details

How to Cite
Susmita Saha, Sanya Khurana, Prachi Saffar Aneja, Paras Kumar, Nisha Pahal, & Vikash Bhoria. (2024). Morphometric description of greater & lesser tubercles at proximal humerus: An Anatomical study. Journal of Advanced Zoology, 45(2), 269–274. https://doi.org/10.53555/jaz.v45i2.3824
Section
Articles
Author Biographies

Susmita Saha

Professor, Department of Anatomy, Faculty of Medicine & Health Sciences, SGT Medical College, Budhera, Gurugram – 122505, India

Sanya Khurana

Postgraduate Student, Department of Anatomy, Faculty of Medicine & Health Sciences, SGT Medical College, Budhera, Gurugram – 122505, India

Prachi Saffar Aneja

Professor & Head, Department of Anatomy, Faculty of Medicine & Health Sciences, SGT Medical College, Budhera, Gurugram – 122505, India.

Paras Kumar

Tutor, Department of Anatomy, PGIMS, Rohtak, Haryana, India

Nisha Pahal

Postgraduate Student, Department of Anatomy, Faculty of Medicine & Health Sciences, SGT Medical College, Budhera, Gurugram – 122505, India

Vikash Bhoria

Postgraduate Student, Department of Anatomy, Faculty of Medicine & Health Sciences, SGT Medical College, Budhera, Gurugram – 122505, India

References

Somesh M.S; Prabhu, L, V; Shilpa, K; Pai M, M; Krishnamurthy, A. & Muralimanju, B. V. Morphometric study of the humerus segments in Indian population. Int J. Morphol. 29(4) 1174-1180

S.D Desai, Shaik H S. A morphometric study of humerus segments. S.D. Desai. J. Pharma. Sci & Res. 2012; 4(10): 1943-1945

Lokanadham S, Khaleel N, Raj P A. Morphometric analysis of humerus in Indian population. Sci J App Med Sci 2013; 1 (4): 288- 90

Gray’s anatomy. In standring S. ed. The anatomical Basis of clinical practice, 39th ed, Spain: Churchill Livingstone 2006; 823- 32

Boileau P, Pennigton SD. Common pitfalls in the management of proximal humeral fractures: how to avoid them. In: Boileau P, Walch G, Mole D, Favard L, Levigne C, Sirveaux F, et al, editors. Shoulder concepts 2008. Proximal humeral fractures and fracture sequelae. Montpellier: Sauramps Medical, 2008. p. 303-23.

Hepp P, Theopold J, Voigt C, et al. The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome. J Shoulder Elbow Surg. 2008;17:21-8.

Neer CS. Displaced proximal humeral fractures. Part 1. Classification and evaluation. J Bone Joint Surg (Am). 1970; 52:1077-11

Fick R. Obere Extremit€at. In: Handbuch der Anatomie und Mechanik der Gelenke unter Ber€ucksichtigung der bewegenden Muskeln. Jena: Gustav Fisher; 1904. p. 141-285.

Kopsch F. Die Lehre von den Muskeln. Myologia. In: Lehrbuch und Atlas der Anatomie des Menschen Abteilung 3: Muskeln, Gef€aße. Leipzig: Georg Thieme; 1933. p. 1-153.

Kumar P, Saha S, Arora G, Aneja P S. Detailed Morphometry and Morphology of Bicipital Groove of Humerus among North Indian Population. Journal of Clinical & diagnostic research 2021; 15 (12): AC01- AC05

Singh A, Nagar M, Kumar A. An anthropometric study of the humerus in adults. RRMHS 2014; 3 (3): 77- 82

Minagawa H, Itoi E, Konno N, Kido T, Sano A, Urayamaya M et al. Humeral attachment of the supraspinatus & infraspinatus tendons: An anatomical study. Arthroscopy 1998; 14: 302- 6

Ghandour T M, , Elghazaly S A, Ahmed. Greater tuberosity sclerosis: a radiographic sign of rotator cuff Tear? Acta Orthop. Belg 2015; 83: 416-420

Gruson K I, Ruchelsman D E, Tejwani N C. Isolated tuberosity fractures of the proximal humeral: Current concepts. Injury. 2008; 39: 284-298

Williams G R, Wong K L: Two-part and three-part fractures: Open reduction and internal fixation versus closed reduction and percutaneous pinning. Orthop Clin North Am 2000; 31(1): 1-21

George MS: Fractures of the greater tuberosity of the humerus. J Am Acad Orthop Surg 2007; 15(10): 607- 613

J M Chun, G I Groh, C A Rockwood Jr. Journal of Shoulder and Elbow Surgery. 1994; 3(5): 273- 287

Gumina S, Carbone S, Postacchini F. Occult fractures of the greater tuberosity of the humerus. Int Orthop. 2009; 33: 171-4

National Ethical guidelines for biomedical & health Research involving Human participants, ICMR, 2017 section 5, Box 5.2

Onder M, Inci F. Morphometric and Morphologic anatomic study and clinical significance of Greater tubercle. Medicine science International Medical journal 2021; 10 (2): 555- 9

Mochizuki T, Sugaya H, Uomizu M, et al. Humeral insertion of the supraspinatus and infraspinatus. Newanatomical findings regarding the footprint of the rotator cuff.J Bone Joint Surg Am. 2008;90:962 9.

Nozaki T, Nimura A, Fujishiro H et al. The anatomic relationship between the morphology of the greater tubercle of the humerus and the insertion of the infraspinatus tendon. J Shoulder Elbow Surg. 2015;24:555-60.

Gruson KI, Ruchelsman DE, Tejwani NC. Isolated tuberosity fractures of the proximal humeral: Current concepts. Injury. 2008; 39: 284- 14.

Gumina S, Carbone S, Postacchini F. Occult fractures of the greater tuberosity of the humerus. Int Orthop. 2009; 33: 171- 4

Nishida N, Hayashi S, Kakizaki F, et al. Humeral head morphometry can predict the presence of subacromial spurs: measurements of dried bones from human shoulder girdles. Tokai J Exp Clin Med. 2019;44:9-14.

Nozaki T, Nimura A, Fujishiro H, Mochizuki T, Yamaguchi K, Kato R. The anatomic relationship between the morphology of the greater tubercle of the humerus and the insertion of the infraspinatus tendon. J Shoulder & Elbow Surgery. 2014

Williams GR, Wong KL. Two-part and three-part fractures: open reduction and internal fixation versus closed reduction and percutaneous pinning. Orthop Clin North Am. 2000; 31: 1-21