Right humerus bone

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right humerus bone anatomy

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Here is a comprehensive overview of the right humerus — the long bone of the upper arm extending from the shoulder to the elbow.

Right Humerus — Anatomy

Proximal End of Right Humerus — anterior and posterior views
Fig. 7.22 — Proximal End of Right Humerus (anterior, lateral, and posterior views). Gray's Anatomy for Students

Proximal End

StructureDetails
HeadHalf-spherical; projects medially and superiorly; articulates with the glenoid cavity of the scapula
Anatomical neckShort constriction immediately distal to the head; separates head from tubercles
Surgical neckHorizontal region between the expanded proximal end and the narrower shaft; common fracture site; the axillary nerve and posterior circumflex humeral artery pass immediately posterior to it
Greater tubercleLateral; three facets — superior (supraspinatus), middle (infraspinatus), inferior (teres minor)
Lesser tubercleAnterior; single large impression for subscapularis
Intertubercular sulcus (bicipital groove)Separates the two tubercles; the tendon of the long head of biceps brachii runs through it; walls/floor attach pectoralis major (lateral lip), latissimus dorsi (floor), and teres major (medial lip)

Shaft (Diaphysis)

  • Deltoid tuberosity: V-shaped roughening on the lateral surface at mid-shaft; insertion of the deltoid muscle
  • Coracobrachialis attachment: thin roughening on the medial surface at the same level
  • Spiral (radial) groove: runs posterolaterally across the shaft; the radial nerve and profunda brachii artery travel here; nerve exits ~10–15 cm proximal to the lateral epicondyle
  • The humerus is surrounded by two compartments: anterior (biceps, brachialis, coracobrachialis) and posterior (triceps), separated by intermuscular septa

Distal End (Condyle)

StructureDetails
CapitulumHemispherical, lateral; articulates with the radial head
TrochleaPulley-shaped, medial; articulates with the trochlear notch of the ulna; extends to the posterior surface
Medial epicondyleLarge palpable prominence; attachment for forearm flexors; ulnar nerve passes in the groove on its posterior surface
Lateral epicondyleLess prominent; attachment for forearm extensors
Radial fossaAnterior, above capitulum; receives radial head during flexion
Coronoid fossaAnterior, above trochlea; receives coronoid process of ulna during flexion
Olecranon fossaPosterior, above trochlea (largest fossa); receives olecranon of ulna during extension

Key Neurovascular Relations

Neurovascular anatomy of the upper arm
Neurovascular anatomy of the upper arm — Rockwood and Green's Fractures in Adults
NerveRelation to HumerusAt Risk With
Axillary nervePasses posterior to surgical neck, 4–7 cm below acromion tipSurgical neck fracture, shoulder dislocation
Radial nerveSpirals in posterior radial grooveMid-shaft fracture (Holstein-Lewis)
Ulnar nervePasses behind medial epicondyleMedial epicondyle fracture
Median nerveMedial aspect of anterior compartmentSupracondylar fracture
Musculocutaneous nerveLateral to median nerve, anterior compartmentDistal interlocking during nailing

Clinical Notes

  • Surgical neck fractures are the most common proximal humeral fractures; anatomical neck fractures are rare
  • The radial nerve is the most commonly injured nerve in humeral shaft fractures due to its course in the spiral groove
  • The deltoid tuberosity serves as a key reference point: the radial nerve exits the spiral groove approximately 10–15 cm proximal to the lateral epicondyle and never less than 7.5 cm from the distal articular surface
  • Proximal fragment abduction in mid-shaft fractures proximal to the pectoralis major insertion is caused by unopposed deltoid pull

Sources: Gray's Anatomy for Students; Rockwood and Green's Fractures in Adults, 10th ed.; Imaging Anatomy, Vol. 3

Right humerus bone

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Right Humerus — Anatomy

Proximal End of Right Humerus — anterior and posterior views
Fig. 7.22 — Proximal End of Right Humerus (anterior, lateral, and posterior views). Gray's Anatomy for Students

Proximal End

StructureDetails
HeadHalf-spherical; projects medially and superiorly; articulates with the glenoid cavity of the scapula
Anatomical neckShort constriction immediately distal to the head; separates head from tubercles
Surgical neckHorizontal region between the expanded proximal end and the narrower shaft; common fracture site; the axillary nerve and posterior circumflex humeral artery pass immediately posterior to it
Greater tubercleLateral; three facets — superior (supraspinatus), middle (infraspinatus), inferior (teres minor)
Lesser tubercleAnterior; single large impression for subscapularis
Intertubercular sulcus (bicipital groove)Separates the two tubercles; tendon of long head of biceps brachii runs through it; walls/floor attach pectoralis major (lateral lip), latissimus dorsi (floor), teres major (medial lip)

Shaft (Diaphysis)

  • Deltoid tuberosity: V-shaped roughening on the lateral surface at mid-shaft; insertion of the deltoid muscle
  • Coracobrachialis attachment: thin roughening on the medial surface at the same level
  • Spiral (radial) groove: runs posterolaterally; the radial nerve and profunda brachii artery travel here; nerve exits ~10–15 cm proximal to the lateral epicondyle
  • Surrounded by two compartments: anterior (biceps, brachialis, coracobrachialis) and posterior (triceps), separated by intermuscular septa

Distal End (Condyle)

StructureDetails
CapitulumHemispherical, lateral; articulates with the radial head
TrochleaPulley-shaped, medial; articulates with the trochlear notch of the ulna; extends to the posterior surface
Medial epicondyleLarge palpable prominence; attachment for forearm flexors; ulnar nerve passes posterior to it
Lateral epicondyleLess prominent; attachment for forearm extensors
Radial fossaAnterior, above capitulum; receives radial head during flexion
Coronoid fossaAnterior, above trochlea; receives coronoid process of ulna during flexion
Olecranon fossaPosterior, above trochlea (largest fossa); receives olecranon during extension

Key Neurovascular Relations

Neurovascular anatomy of the upper arm
Neurovascular anatomy of the upper arm — Rockwood and Green's Fractures in Adults
NerveRelation to HumerusAt Risk With
Axillary nervePasses posterior to surgical neck, 4–7 cm below acromionSurgical neck fracture, shoulder dislocation
Radial nerveSpirals in posterior radial (spiral) grooveMid-shaft fracture
Ulnar nervePasses behind medial epicondyleMedial epicondyle fracture
Median nerveMedial aspect of anterior compartmentSupracondylar fracture
Musculocutaneous nerveLateral to median nerve, anterior compartmentDistal interlocking during nailing

Clinical Notes

  • Surgical neck fractures are the most common proximal humeral fractures; anatomical neck fractures are rare
  • The radial nerve is the most commonly injured nerve in humeral shaft fractures due to its course in the spiral groove
  • The radial nerve exits the spiral groove ~10–15 cm proximal to the lateral epicondyle and never less than 7.5 cm from the distal articular surface
  • Proximal fragment abduction in mid-shaft fractures proximal to the pectoralis major insertion is caused by unopposed deltoid pull

Sources: Gray's Anatomy for Students; Rockwood and Green's Fractures in Adults, 10th ed.; Imaging Anatomy, Vol. 3
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