0
Articles   |    
Cortical circulation of long bones

The Journal of Bone & Joint Surgery.  1979; 61:1052-1059 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

Intravascular injections of India ink in the femora of adult dogs revealed the existence of two distinct vascular systems in the cortex. One courses through the entire thickness of the cortex and is a regular, longitudinal network of uniform capillaries which is in continuity with the periosteal and endosteal networks. Once the haversian systems form a second network appears, radiating from the bone marrow. That system, primarily transverse, anastomoses in the haversian canals with the capillaries of the first system. Therefore, the merging of the two networks occurs primarily in the middle layer of the cortex. The direction of the arterial blood flow in the mature animal is predominantly centrifugal, while the venous drainage is centripetal. In the immature animal, the contribution of the periosteal network is much greater. Because the two cortical systems are profusely anastomosed with each other and with the periosteal and endosteal circulatory networks, the blood can flow in either direction, depending on physiological conditions.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    Maine - Central Maine Medical Center