The humerus (; ) is a
long bone
The long bones are those that are longer than they are wide. They are one of five types of bones: long, Short bone, short, Flat bone, flat, Irregular bone, irregular and Sesamoid bone, sesamoid. Long bones, especially the femur and tibia, are subj ...
in the
arm
In human anatomy, the arm refers to the upper limb in common usage, although academically the term specifically means the upper arm between the glenohumeral joint (shoulder joint) and the elbow joint. The distal part of the upper limb between th ...
that runs from the
shoulder
The human shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons. The articulations between the bones of the shoulder mak ...
to the
elbow
The elbow is the region between the arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the media ...
. It connects the
scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
and the two bones of the lower arm, the
radius
In classical geometry, a radius ( : radii) of a circle or sphere is any of the line segments from its center to its perimeter, and in more modern usage, it is also their length. The name comes from the latin ''radius'', meaning ray but also the ...
and
ulna
The ulna (''pl''. ulnae or ulnas) is a long bone found in the forearm that stretches from the elbow to the smallest finger, and when in anatomical position, is found on the medial side of the forearm. That is, the ulna is on the same side of t ...
, and consists of three sections. The humeral
upper extremity
The upper Limb (anatomy), limbs or upper extremities are the forelimbs of an upright posture, upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digit (anatomy), digits, including all the musc ...
consists of a rounded head, a narrow neck, and two short processes (
tubercle
In anatomy, a tubercle (literally 'small tuber', Latin for 'lump') is any round nodule, small eminence, or warty outgrowth found on external or internal organs of a plant or an animal.
In plants
A tubercle is generally a wart-like projection ...
s, sometimes called tuberosities). The
body
Body may refer to:
In science
* Physical body, an object in physics that represents a large amount, has mass or takes up space
* Body (biology), the physical material of an organism
* Body plan, the physical features shared by a group of anima ...
is cylindrical in its upper portion, and more
prism
Prism usually refers to:
* Prism (optics), a transparent optical component with flat surfaces that refract light
* Prism (geometry), a kind of polyhedron
Prism may also refer to:
Science and mathematics
* Prism (geology), a type of sedimentary ...
atic below. The
lower extremity
The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower lim ...
consists of 2
epicondyle
An epicondyle () is a rounded eminence on a bone that lies upon a condyle ('' epi-'', "upon" + ''condyle'', from a root meaning "knuckle" or "rounded articular area"). There are various epicondyles in the human skeleton, each named by its anatomic ...
s, 2 processes (
trochlea
Trochlea (Latin for pulley) is a term in anatomy. It refers to a grooved structure reminiscent of a pulley's wheel.
Related to joints
Most commonly, trochleae bear the articular surface of saddle joint, saddle and other joints:
* Trochlea of hume ...
&
capitulum
capitulum (plural capitula) may refer to:
*the Latin word for chapter
** an index or list of chapters at the head of a gospel manuscript
** a short reading in the Liturgy of the Hours
*** derived from which, it is the Latin for the assembly known ...
), and 3 fossae (
radial fossa
The radial fossa is a slight depression found on the humerus above the front part of the capitulum. It receives the anterior border of the head of the radius when the forearm is flexed.
Structure
The joint capsule of the elbow attaches to th ...
,
coronoid fossa
Superior to the anterior portion of the Trochlea of humerus, trochlea is a small depression, the coronoid fossa, which receives the coronoid process of the ulna during flexion of the forearm. It is directly adjacent to the radial fossa of the hume ...
, and
olecranon fossa
The olecranon fossa is a deep triangular depression on the posterior side of the humerus, superior to the trochlea. It provides space for the olecranon of the ulna during extension of the forearm.
Structure
The olecranon fossa is located on th ...
). As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its
surgical neck
The surgical neck of the humerus is a bony constriction at the proximal end of shaft of humerus. It is situated distal to the greater tubercle and lesser tubercle, and proximal to the deltoid tuberosity.
Clinical significance
The surgical nec ...
due to its tendency to fracture, thus often becoming the focus of surgeons.
Etymology
The word "humerus" is derived from la, humerus, umerus meaning upper arm, shoulder, and is linguistically related to
Gothic
Gothic or Gothics may refer to:
People and languages
*Goths or Gothic people, the ethnonym of a group of East Germanic tribes
**Gothic language, an extinct East Germanic language spoken by the Goths
**Crimean Gothic, the Gothic language spoken b ...
''ams'' shoulder and
Greek
Greek may refer to:
Greece
Anything of, from, or related to Greece, a country in Southern Europe:
*Greeks, an ethnic group.
*Greek language, a branch of the Indo-European language family.
**Proto-Greek language, the assumed last common ancestor ...
''ōmos''.
Structure
Upper extremity
The upper or proximal extremity of the humerus consists of the bone's large rounded head joined to the body by a constricted portion called the neck, and two eminences, the greater and lesser tubercles.
Head
The head (''caput humeri''), is nearly hemispherical in form. It is directed upward, medialward, and a little backward, and articulates with the
glenoid cavity
The glenoid fossa of the scapula or the glenoid cavity is a bone part of the shoulder. The word ''glenoid'' is pronounced or (both are common) and is from el, gléne, "socket", reflecting the shoulder joint's ball-and-socket form. It is a sha ...
of the scapula to form the
glenohumeral joint (shoulder joint). The circumference of its articular surface is slightly constricted and is termed the anatomical neck, in contradistinction to a constriction below the tubercles called the surgical neck which is frequently the seat of fracture. Fracture of the anatomical neck rarely occurs.
['']Gray's Anatomy
''Gray's Anatomy'' is a reference book of human anatomy written by Henry Gray, illustrated by Henry Vandyke Carter, and first published in London in 1858. It has gone through multiple revised editions and the current edition, the 42nd (Octob ...
'', see infobox
The diameter of the humeral head is generally larger in men than in women.
Anatomical neck
The anatomical neck (''collum anatomicum'') is obliquely directed, forming an obtuse angle with the body. It is best marked in the lower half of its circumference; in the upper half it is represented by a narrow groove separating the head from the tubercles. The line separating the head from the rest of the upper end is called the ''anatomical neck.'' It affords attachment to the articular capsule of the shoulder-joint, and is perforated by numerous vascular
. Fracture of the anatomical neck rarely occurs.
The anatomical neck of the humerus is an indentation distal to the head of the humerus on which the articular capsule attaches.
Surgical neck
The surgical neck is a narrow area distal to the tubercles that is a common site of fracture. It makes contact with the
axillary nerve
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus (upper trunk, posterior division, posterior cord) at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The a ...
and the
posterior humeral circumflex artery
The posterior humeral circumflex artery (posterior circumflex artery, posterior circumflex humeral artery) arises from the third part of axillary artery at the lower border of the subscapularis, and runs posteriorly with the axillary nerve through ...
.
Greater tubercle
The greater tubercle (''tuberculum majus''; greater tuberosity) is a large, posteriorly placed projection that is placed laterally. The greater tubercle is where ''supraspinatus'', ''infraspinatus'' and ''teres minor'' muscles are attached. The crest of the greater tubercle forms the lateral lip of the bicipital groove and is the site for insertion of ''pectoralis major''.
The greater tubercle is just lateral to the anatomical neck. Its upper surface is rounded and marked by three flat impressions: the highest of these gives insertion to the
supraspinatus muscle
The supraspinatus (plural ''supraspinati'') is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula (shoulder blade) to the greater tubercle of the humerus. It is one of the four rotator ...
; the middle to the
infraspinatus muscle
In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.'' Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspi ...
; the lowest one, and the body of the bone for about 2.5 cm. below it, to the
teres minor muscle
The teres minor (Latin ''teres'' meaning 'rounded') is a narrow, elongated muscle of the rotator cuff. The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the ...
. The lateral surface of the greater tubercle is convex, rough, and continuous with the lateral surface of the body.
Lesser tubercle
The lesser tubercle (''tuberculum minus''; lesser tuberosity) is smaller, anterolaterally placed to the head of the humerus. The lesser tubercle provides insertion to ''subscapularis'' muscle. Both these tubercles are found in the proximal part of the shaft. The crest of the lesser tubercle forms the medial lip of the bicipital groove and is the site for insertion of ''teres major'' and ''latissimus dorsi'' muscles.
The lesser tuberosity, is more prominent than the greater: it is situated in front, and is directed medialward and forward. Above and in front it presents an impression for the insertion of the tendon of the
subscapularis muscle
The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder-joint.
Structure
It arises from its medial two-thirds and
Som ...
.
Bicipital groove
The tubercles are separated from each other by a deep groove, the
bicipital groove
The bicipital groove (intertubercular groove, sulcus intertubercularis) is a deep groove on the humerus that separates the greater tubercle from the lesser tubercle. It allows for the long tendon of the biceps brachii muscle to pass.
Structure
...
(intertubercular groove; bicipital sulcus), which lodges the long tendon of the
biceps brachii muscle
The biceps or biceps brachii ( la, musculus biceps brachii, "two-headed muscle of the arm") is a large muscle that lies on the front of the upper arm between the shoulder and the elbow. Both heads of the muscle arise on the scapula and join t ...
and transmits a branch of the
anterior humeral circumflex artery
The anterior humeral circumflex artery (anterior circumflex artery, anterior circumflex humeral artery) is an artery in the arm. It is one of two circumflexing arteries that branch from the axillary artery, the other being the posterior humeral cir ...
to the shoulder-joint. It runs obliquely downward, and ends near the junction of the upper with the middle third of the bone. In the fresh state its upper part is covered with a thin layer of cartilage, lined by a prolongation of the
synovial membrane
The synovial membrane (also known as the synovial stratum, synovium or stratum synoviale) is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheath. It makes direct contact with the fibrous ...
of the shoulder-joint; its lower portion gives insertion to the tendon of the
latissimus dorsi muscle
The latissimus dorsi () is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline. The word latissimus dorsi (plural: ''latissimi dorsorum'') comes from L ...
. It is deep and narrow above, and becomes shallow and a little broader as it descends. Its lips are called, respectively, the crests of the greater and lesser tubercles (''bicipital ridges''), and form the upper parts of the anterior and medial borders of the body of the bone.
Shaft
The body or shaft of the humerus is triangular to cylindrical in cut section and is compressed anteroposteriorly. It has 3 surfaces, namely:
*Anterolateral surface: the area between the lateral border of the humerus to the line drawn as a continuation of the crest of the greater tubercle. The antero-lateral surface is directed lateralward above, where it is smooth, rounded, and covered by the
deltoid muscle
The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up o ...
; forward and lateralward below, where it is slightly concave from above downward, and gives origin to part of the
Brachialis
The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow pi ...
. About the middle of this surface is a rough, rectangular elevation, the
deltoid tuberosity
In human anatomy, the deltoid tuberosity is a rough, triangular area on the anterolateral (front-side) surface of the middle of the humerus. It is a site of attachment of deltoid muscle.
Structure
Variation
The deltoid tuberosity has been re ...
for the insertion of the
deltoid muscle
The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up o ...
; below this is the
radial sulcus
The radial groove (also known as the musculospiral groove, radial sulcus, or spiral groove) is a broad but shallow oblique depression for the radial nerve and deep brachial artery. It is located on the center of the lateral border of the humerus ...
, directed obliquely from behind, forward, and downward, and transmitting the
radial nerve
The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial comp ...
and
profunda artery.
*Anteromedial surface: the area between the medial border of the humerus to the line drawn as a continuation of the crest of the greater tubercle. The antero-medial surface, less extensive than the antero-lateral, is directed medialward above, forward and medialward below; its upper part is narrow, and forms the floor of the
intertubercular groove
The bicipital groove (intertubercular groove, sulcus intertubercularis) is a deep groove on the humerus that separates the greater tubercle from the lesser tubercle. It allows for the long tendon of the biceps brachii muscle to pass.
Structure ...
which gives insertion to the tendon of the
latissimus dorsi muscle
The latissimus dorsi () is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline. The word latissimus dorsi (plural: ''latissimi dorsorum'') comes from L ...
; its middle part is slightly rough for the attachment of some of the fibers of the tendon of insertion of the
coracobrachialis muscle
The coracobrachialis muscle is the smallest of the three muscles that attach to the coracoid process of the scapula. (The other two muscles are pectoralis minor and the short head of the biceps brachii.) It is situated at the upper and medial part ...
; its lower part is smooth, concave from above downward, and gives origin to the
brachialis muscle
The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow p ...
.
*Posterior surface: the area between the medial and lateral borders. The posterior surface appears somewhat twisted, so that its upper part is directed a little medialward, its lower part backward and a little lateralward. Nearly the whole of this surface is covered by the lateral and medial heads of the Triceps brachii, the former arising above, the latter below the radial sulcus.
Its three borders are:
*Anterior: the anterior border runs from the front of the greater tubercle above to the
coronoid fossa
Superior to the anterior portion of the Trochlea of humerus, trochlea is a small depression, the coronoid fossa, which receives the coronoid process of the ulna during flexion of the forearm. It is directly adjacent to the radial fossa of the hume ...
below, separating the antero-medial from the antero-lateral surface. Its upper part is a prominent ridge, the crest of the greater tubercle; it serves for the insertion of the tendon of the
pectoralis major muscle
The pectoralis major () is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. Beneath the pectoralis major is the pectoralis minor, a ...
. About its center it forms the anterior boundary of the
deltoid tuberosity
In human anatomy, the deltoid tuberosity is a rough, triangular area on the anterolateral (front-side) surface of the middle of the humerus. It is a site of attachment of deltoid muscle.
Structure
Variation
The deltoid tuberosity has been re ...
, on which the
deltoid muscle
The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up o ...
attaches; below, it is smooth and rounded, affording attachment to the
brachialis muscle
The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow p ...
.
*Lateral: the lateral border runs from the back part of the greater tubercle to the lateral
epicondyle
An epicondyle () is a rounded eminence on a bone that lies upon a condyle ('' epi-'', "upon" + ''condyle'', from a root meaning "knuckle" or "rounded articular area"). There are various epicondyles in the human skeleton, each named by its anatomic ...
, and separates the anterolateral from the posterior surface. Its upper half is rounded and indistinctly marked, serving for the attachment of the lower part of the insertion of the
teres minor muscle
The teres minor (Latin ''teres'' meaning 'rounded') is a narrow, elongated muscle of the rotator cuff. The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the ...
, and below this giving origin to the lateral head of the
triceps brachii muscle
The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates. It consists of 3 parts: the medial, lateral, and long head. It is the muscle principally responsibl ...
; its center is traversed by a broad but shallow oblique depression, the
spiral groove
The radial groove (also known as the musculospiral groove, radial sulcus, or spiral groove) is a broad but shallow oblique depression for the radial nerve and deep brachial artery. It is located on the center of the lateral border of the humerus ...
(''musculospiral groove''). The
radial nerve
The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial comp ...
runs in the spiral groove. Its lower part forms a prominent, rough margin, a little curved from backward, forward the
lateral supracondylar ridge
The lateral supracondylar ridge is a prominent, rough margin on the lower part of the lateral border of the humerus. It presents an anterior lip for the origin of forearm extensors, including the brachioradialis muscle above, and the extensor carp ...
, which presents an anterior lip for the origin of the
brachioradialis muscle
The brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. It is also capable of both pronation and supination, depending on the position of the forearm. It is attached to the distal styloid process of the radius by way o ...
above, and
extensor carpi radialis longus muscle
The extensor carpi radialis longus is one of the five main muscles that control movements at the wrist. This muscle is quite long, starting on the lateral side of the humerus, and attaching to the base of the second metacarpal bone (metacarpal of ...
above, a posterior lip for the
triceps brachii muscle
The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates. It consists of 3 parts: the medial, lateral, and long head. It is the muscle principally responsibl ...
, and an intermediate ridge for the attachment of the
lateral intermuscular septum.
*Medial: the medial border extends from the lesser tubercle to the
medial epicondyle. Its upper third consists of a prominent ridge, the crest of the lesser tubercle, which gives insertion to the tendon of the
teres major muscle
The teres major muscle is a muscle of the upper limb. It attaches to the scapula and the humerus and is one of the seven scapulohumeral muscles. It is a thick but somewhat flattened muscle.
The teres major muscle (from Latin ''teres'', meani ...
. About its center is a slight impression for the insertion of the
coracobrachialis muscle
The coracobrachialis muscle is the smallest of the three muscles that attach to the coracoid process of the scapula. (The other two muscles are pectoralis minor and the short head of the biceps brachii.) It is situated at the upper and medial part ...
, and just below this is the entrance of the nutrient canal, directed downward; sometimes there is a second nutrient canal at the commencement of the
radial sulcus
The radial groove (also known as the musculospiral groove, radial sulcus, or spiral groove) is a broad but shallow oblique depression for the radial nerve and deep brachial artery. It is located on the center of the lateral border of the humerus ...
. The inferior third of this border is raised into a slight ridge, the
medial supracondylar ridge
The inferior third of the medial border of the humerus is raised into a slight ridge, the medial supracondylar ridge (or medial supracondylar line), which becomes very prominent below; it presents an anterior lip for the origins of the Brachiali ...
, which became very prominent below; it presents an anterior lip for the origins of the
brachialis muscle
The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow p ...
and the
pronator teres muscle
The pronator teres is a muscle (located mainly in the forearm) that, along with the pronator quadratus, serves to pronate the forearm (turning it so that the palm faces posteriorly when from the anatomical position). It has two attachments, to ...
, a posterior lip for the medial head of the
triceps brachii muscle
The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates. It consists of 3 parts: the medial, lateral, and long head. It is the muscle principally responsibl ...
, and an intermediate ridge for the attachment of the
medial intermuscular septum.
The Deltoid tuberosity is a roughened surface on the lateral surface of the shaft of the Humerus and acts as the site of insertion of ''deltoideus'' muscle. The posterorsuperior part of the shaft has a crest, beginning just below the surgical neck of the humerus and extends till the superior tip of the deltoid tuberosity. This is where the lateral head of ''triceps brachii'' is attached.
The radial sulcus, also known as the spiral groove is found on the posterior surface of the shaft and is a shallow oblique groove through which the radial nerve passes along with deep vessels. This is located posteroinferior to the deltoid tuberosity. The inferior boundary of the spiral groove is continuous distally with the lateral border of the shaft.
The nutrient foramen of the humerus is located in the anteromedial surface of the humerus. The nutrient arteries enter the humerus through this foramen.
Distal humerus
The distal or lower extremity of the humerus is flattened from before backward, and curved slightly forward; it ends below in a broad, articular surface, which is divided into two parts by a slight ridge. Projecting on either side are the lateral and medial
epicondyle
An epicondyle () is a rounded eminence on a bone that lies upon a condyle ('' epi-'', "upon" + ''condyle'', from a root meaning "knuckle" or "rounded articular area"). There are various epicondyles in the human skeleton, each named by its anatomic ...
s.
Articular surface
The articular surface extends a little lower than the epicondyles, and is curved slightly forward; its medial extremity occupies a lower level than the lateral. The ''lateral'' portion of this surface consists of a smooth, rounded eminence, named the
capitulum of the humerus
In human anatomy of the arm, the capitulum of the humerus is a smooth, rounded eminence on the lateral portion of the distal articular surface of the humerus. It articulates with the cupshaped depression on the head of the radius, and is limited ...
; it articulates with the cup-shaped depression on the head of the radius, and is limited to the front and lower part of the bone.
Fossae
Above the front part of the trochlea is a small depression, the
coronoid fossa
Superior to the anterior portion of the Trochlea of humerus, trochlea is a small depression, the coronoid fossa, which receives the coronoid process of the ulna during flexion of the forearm. It is directly adjacent to the radial fossa of the hume ...
, which receives the
coronoid process of the ulna during
flexion
Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative ...
of the forearm.
Above the back part of the trochlea is a deep triangular depression, the
olecranon fossa
The olecranon fossa is a deep triangular depression on the posterior side of the humerus, superior to the trochlea. It provides space for the olecranon of the ulna during extension of the forearm.
Structure
The olecranon fossa is located on th ...
, in which the summit of the
olecranon
The olecranon (, ), is a large, thick, curved bony eminence of the ulna, a long bone in the forearm that projects behind the elbow. It forms the most pointed portion of the elbow and is opposite to the cubital fossa or elbow pit. The olecranon ...
is received in
extension
Extension, extend or extended may refer to:
Mathematics
Logic or set theory
* Axiom of extensionality
* Extensible cardinal
* Extension (model theory)
* Extension (predicate logic), the set of tuples of values that satisfy the predicate
* E ...
of the forearm.
The coronoid fossa is the medial hollow part on the anterior surface of the distal humerus. The coronoid fossa is smaller than the olecranon fossa and receives the coronoid process of the ulna during maximum flexion of the elbow.
Above the front part of the
capitulum
capitulum (plural capitula) may refer to:
*the Latin word for chapter
** an index or list of chapters at the head of a gospel manuscript
** a short reading in the Liturgy of the Hours
*** derived from which, it is the Latin for the assembly known ...
is a slight depression, the
radial fossa
The radial fossa is a slight depression found on the humerus above the front part of the capitulum. It receives the anterior border of the head of the radius when the forearm is flexed.
Structure
The joint capsule of the elbow attaches to th ...
, which receives the anterior border of the head of the radius, when the forearm is flexed.
These fossæ are separated from one another by a thin, transparent lamina of bone, which is sometimes perforated by a
supratrochlear foramen; they are lined in the fresh state by the synovial membrane of the
elbow-joint
The elbow is the region between the arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the media ...
, and their margins afford attachment to the anterior and posterior ligaments of this articulation.
The Capitulum is a rounded eminence forming the lateral part of the distal humerus. The head of the radius articulates with the capitulum.
The trochlea is spool-shaped medial portion of the distal humerus and articulates with the ulna.
Epicondyles
The epicondyles are continuous above with the supracondylar ridges.
* The
lateral epicondyle is a small, tuberculated eminence, curved a little forward, and giving attachment to the radial collateral ligament of the elbow-joint, and to a tendon common to the origin of the
Supinator
In human anatomy, the supinator is a broad muscle in the posterior compartment of the forearm, curved around the upper third of the radius. Its function is to supinate the forearm.
Structure
Supinator consists of two planes of fibers, between whi ...
and some of the Extensor muscles.
* The
medial epicondyle, larger and more prominent than the lateral, is directed a little backward; it gives attachment to the ulnar collateral ligament of the elbow-joint, to the
Pronator teres
The pronator teres is a muscle (located mainly in the forearm) that, along with the pronator quadratus, serves to pronate the forearm (turning it so that the palm faces posteriorly when from the anatomical position). It has two attachments, to t ...
, and to a common tendon of origin of some of the Flexor muscles of the forearm; the
ulnar nerve
In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is ...
runs in a groove on the back of this epicondyle.
The Medial supracondylar crest forms the sharp medial border of the distal humerus continuing superiorly from the medial epicondyle. The Lateral Supracondylar crest forms the sharp lateral border of the distal humerus continuing superiorly from the lateral epicondyle.
Borders
The medial portion of the articular surface is named the
trochlea
Trochlea (Latin for pulley) is a term in anatomy. It refers to a grooved structure reminiscent of a pulley's wheel.
Related to joints
Most commonly, trochleae bear the articular surface of saddle joint, saddle and other joints:
* Trochlea of hume ...
, and presents a deep depression between two well-marked borders; it is convex from before backward, concave from side to side, and occupies the anterior, lower, and posterior parts of the extremity.
* The ''lateral border'' separates it from the groove which articulates with the margin of the head of the radius.
* The ''medial border'' is thicker, of greater length, and consequently more prominent, than the lateral.
The grooved portion of the articular surface fits accurately within the
semilunar notch
The trochlear notch (), also known as semilunar notch and greater sigmoid cavity, is a large depression in the upper extremity of the ulna that fits the trochlea of the humerus (the bone directly above the ulna in the arm) as part of the elbow jo ...
of the ulna; it is broader and deeper on the posterior than on the anterior aspect of the bone, and is inclined obliquely downward and forward toward the medial side.
Articulations
At the shoulder, the head of the humerus articulates with the glenoid fossa of the
scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
. More distally, at the elbow, the capitulum of the humerus articulates with the head of the
radius
In classical geometry, a radius ( : radii) of a circle or sphere is any of the line segments from its center to its perimeter, and in more modern usage, it is also their length. The name comes from the latin ''radius'', meaning ray but also the ...
, and the
trochlea of the humerus
In the human arm, the humeral trochlea is the medial portion of the articular surface of the elbow joint which articulates with the trochlear notch on the ulna in the forearm.
Structure
In humans and apes it is trochleariform (or trochleiform), a ...
articulates with the trochlear notch of the
ulna
The ulna (''pl''. ulnae or ulnas) is a long bone found in the forearm that stretches from the elbow to the smallest finger, and when in anatomical position, is found on the medial side of the forearm. That is, the ulna is on the same side of t ...
.
Nerves
The
axillary nerve
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus (upper trunk, posterior division, posterior cord) at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The a ...
is located at the proximal end, against the shoulder girdle. Dislocation of the humerus's
glenohumeral joint
The shoulder joint (or glenohumeral joint from Greek ''glene'', eyeball, + -''oid'', 'form of', + Latin ''humerus'', shoulder) is structurally classified as a synovial ball-and-socket joint and functionally as a diarthrosis and multiaxial joint. ...
has the potential to injure the axillary nerve or the
axillary artery
In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. Its origin is at the lateral margin of the first rib, before which it is ...
. Signs and symptoms of this dislocation include a loss of the normal shoulder contour and a palpable depression under the acromion.
The
radial nerve
The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial comp ...
follows the humerus closely. At the midshaft of the humerus, the radial nerve travels from the posterior to the anterior aspect of the bone in the ''spiral groove''. A fracture of the humerus in this region can result in radial nerve injury.
The
ulnar nerve
In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is ...
lies at the distal end of the humerus near the elbow. When struck, it can cause a distinct tingling sensation, and sometimes a significant amount of pain. It is sometimes popularly referred to as 'the funny bone', possibly due to this sensation (a "funny" feeling), as well as the fact that the bone's name is a homophone of 'humorous'. It lies posterior to the medial epicondyle, and is easily damaged in elbow injuries.
Function
Muscular attachment
The
deltoid originates on the lateral third of the
clavicle
The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the rig ...
,
acromion
In human anatomy, the acromion (from Greek: ''akros'', "highest", ''ōmos'', "shoulder", plural: acromia) is a bony process on the scapula (shoulder blade). Together with the coracoid process it extends laterally over the shoulder joint. The acro ...
and the crest of the
spine of the scapula. It is inserted on the
deltoid tuberosity
In human anatomy, the deltoid tuberosity is a rough, triangular area on the anterolateral (front-side) surface of the middle of the humerus. It is a site of attachment of deltoid muscle.
Structure
Variation
The deltoid tuberosity has been re ...
of the humerus and has several actions including abduction, extension, and circumduction of the shoulder. The
supraspinatus
The supraspinatus (plural ''supraspinati'') is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula (shoulder blade) to the greater tubercle of the humerus. It is one of the four rotator ...
also originates on the spine of the scapula. It inserts on the greater tubercle of the humerus, and assists in abduction of the shoulder.
The
pectoralis major
The pectoralis major () is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. Beneath the pectoralis major is the pectoralis minor, a ...
,
teres major
The teres major muscle is a muscle of the upper limb. It attaches to the scapula and the humerus and is one of the seven scapulohumeral muscles. It is a thick but somewhat flattened muscle.
The teres major muscle (from Latin ''teres'', meaning ...
, and
latissimus dorsi
The latissimus dorsi () is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline. The word latissimus dorsi (plural: ''latissimi dorsorum'') comes from L ...
insert at the ''intertubercular groove'' of the humerus. They work to adduct and medially, or internally, rotate the humerus.
The
infraspinatus
In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.''Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspina ...
and
teres minor
The teres minor (Latin ''teres'' meaning 'rounded') is a narrow, elongated muscle of the rotator cuff. The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the ...
insert on the greater tubercle, and work to laterally, or externally, rotate the humerus. In contrast, the
subscapularis
The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder-joint.
Structure
It arises from its medial two-thirds and
Som ...
muscle inserts onto the lesser tubercle and works to medially, or internally, rotate the humerus.
The
biceps brachii
The biceps or biceps brachii ( la, musculus biceps brachii, "two-headed muscle of the arm") is a large muscle that lies on the front of the upper arm between the shoulder and the elbow. Both heads of the muscle arise on the scapula and join t ...
,
brachialis
The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow pi ...
, and
brachioradialis
The brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. It is also capable of both pronation and supination, depending on the position of the forearm. It is attached to the distal styloid process of the radius by way o ...
(which attaches distally) act to flex the elbow. (The biceps do not attach to the humerus.) The
triceps brachii
The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates
Vertebrates () comprise all animal taxa within the subphylum Vertebrata () ( chordates with ba ...
and
anconeus
The anconeus muscle (or anconaeus/anconæus) is a small muscle on the posterior aspect of the elbow joint.
Some consider anconeus to be a continuation of the triceps brachii muscle. Some sources consider it to be part of the posterior compartmen ...
extend the elbow, and attach to the posterior side of the humerus.
The four muscles of supraspinatus, infraspinatus, teres minor and subscapularis form a musculo-ligamentous girdle called the
rotator cuff
The rotator cuff is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are the supraspi ...
. This cuff stabilizes the very mobile but inherently unstable
glenohumeral joint
The shoulder joint (or glenohumeral joint from Greek ''glene'', eyeball, + -''oid'', 'form of', + Latin ''humerus'', shoulder) is structurally classified as a synovial ball-and-socket joint and functionally as a diarthrosis and multiaxial joint. ...
. The other muscles are used as counterbalances for the actions of lifting/pulling and pressing/pushing.
Other animals
Primitive fossils of
amphibian
Amphibians are tetrapod, four-limbed and ectothermic vertebrates of the Class (biology), class Amphibia. All living amphibians belong to the group Lissamphibia. They inhabit a wide variety of habitats, with most species living within terres ...
s had little, if any, shaft connecting the upper and lower extremities, making their limbs very short. In most living
tetrapod
Tetrapods (; ) are four-limbed vertebrate animals constituting the superclass Tetrapoda (). It includes extant and extinct amphibians, sauropsids ( reptiles, including dinosaurs and therefore birds) and synapsids (pelycosaurs, extinct theraps ...
s, however, the humerus has a similar form to that of humans. In many
reptile
Reptiles, as most commonly defined are the animals in the class Reptilia ( ), a paraphyletic grouping comprising all sauropsids except birds. Living reptiles comprise turtles, crocodilians, squamates (lizards and snakes) and rhynchocephalians ( ...
s and some
mammal
Mammals () are a group of vertebrate animals constituting the class Mammalia (), characterized by the presence of mammary glands which in females produce milk for feeding (nursing) their young, a neocortex (a region of the brain), fur or ...
s (where it is the primitive state), the lower extremity includes a large opening called the
entepicondylar foramen The entepicondylar foramen is an opening in the distal (far) end of the humerus (upper arm bone) present in some mammals. It is often present in primitive placentals, such as the enigmatic Madagascan ''Plesiorycteropus''. In most Neotominae and al ...
to allow the passage of nerves and blood vessels.
Additional images
File:Humerus animation.gif, Position of humerus (shown in red). Animation.
File:Left humerus - close-up - animation.gif, Left humerus. Animation.
File:Human humerus 2.stl, 3D image
File:Human arm bones diagram.svg, Human arm bones diagram.
File:Inferior epiphysis of humerus.jpg, Humerus - inferior epiphysis. Anterior view.
File:Slide10DEN.JPG, Trochlea. Posterior view.
File:LeftHumanPosteriorDistalHumerusFlexed.jpg, Humerus - inferior epiphysis. Posterior view.
File:AnteroMedialHeadofLeftHumerus.jpg, Humerus - superior epiphysis. Anterior view.
File:Superior epiphysis.jpg, Humerus - superior epiphysis. Posterior view.
File:Elbow joint - deep dissection (anterior view, human cadaver).jpg, Elbow joint. Deep dissection. Anterior view.
File:Slide1bgbg.JPG, Elbow joint. Deep dissection. Posterior view.
File:Slide3bgbg.JPG, Elbow joint. Deep dissection. Posterior view.
File:Gray326.png, The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula
File:Gray207.png, Left humerus. Anterior view.
File:Gray208.png, Left humerus. Posterior view.
File:AnteriorHeadOfLeftHumerus.jpg, Left humerus. Anteriolateral view.
File:MedialHeadOfLeftHumerus.jpg, Left humerus. Medial view.
File:ProxHumeralFracture.png, Fracture of the proximal humerus
File:Gray329.png, Left elbow-joint, showing anterior and ulnar collateral ligaments.
File:Gray332.png, Capsule of elbow-joint (distended). Posterior aspect.
File:Humerus Anatomy by Jason Christian.webm, Humerus Anatomy
Ossification
During embryonic development, the humerus is one of the first structures to ossify, beginning with the first
ossification center
An ossification center is a point where ossification of the cartilage begins. The first step in ossification is that the cartilage cells at this point enlarge and arrange themselves in rows.Gray and Spitzka (1910), page 44.
The matrix in which t ...
in the shaft of the bone. Ossification of the humerus occurs predictably in the embryo and fetus, and is therefore used as a fetal biometric measurement when determining gestational age of a fetus. At birth, the neonatal humerus is only ossified in the shaft. The epiphyses are cartilaginous at birth. The medial humeral head develops an ossification center around 4 months of age and the greater tuberosity around 10 months of age. These ossification centers begin to fuse at 3 years of age. The process of ossification is complete by 13 years of age, though the
epiphyseal plate
The epiphyseal plate (or epiphysial plate, physis, or growth plate) is a hyaline cartilage plate in the metaphysis at each end of a long bone. It is the part of a long bone where new bone growth takes place; that is, the whole bone is alive, wi ...
(growth plate) persists until skeletal maturity, usually around 17 years of age.
See also
*
Humerus fracture
References
*
External links
*
Humerus- BlueLink Anatomy, University of Michigan Medical School
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Bones of the upper limb
Long bones