[17]Theinnerportionsofthehumerusarevascularizedbynutrientarteriesthatalsobranchofffromthe, brachialartery,inthevicinityofthemiddleofthehumerus. The humerus is a short bone that lies against the body wall when the wing is folded. However, textbooks published in German-speaking countries describe only one type of humeral nutrient artery, the branch of the profunda brachii artery. Ä�vk�>���k�h5��l �X�Im�V����3(�~��/���3�x����D��\��������kU�|J� *���+X��s���ҳu7?jh2�xw�\��D��M�B�+���ZV=��5�,��&�2���K*G�D�'&�� ��l���;��ǍC����+Х������544E"+(����f#2��)��@��C,H� q4XD�A�e�L�&�p�R�8�PF�;BF���<7.�6�9Br�Ō"�����11�aLc�gF:�c� �E�KL�V��������GF?ƿLa��Bs����y_062'�o�~Ř�pF���c&�4������0v �1F0�2V�8s/��`œà�ep��1ca�z^��ٌI��� ����b=�fbg �b����x@� s�ŭ endstream endobj 60 0 obj <>>> endobj 61 0 obj >/PageWidthList<0 595.276>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/Shading<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 62 0 obj <>stream The pooled analysis indicated that patients treated using olecranon osteotomy had better functional outcome than patients treated with triceps-sparing(pooled OR= 2.38, 95%CI: 1.25 to 4.55, P = 0.009). Thank you for becoming a member. 36.6). We evaluate different surgical approaches and elbow functional outcomes in the treatment of distal humerus fracture. ��7�q�Ԃ&���� ���ۨ׬:��p�a�B���Z��^�pK{���ND��[�M�Xd����TK����ȏ�q��Wc��W�%�k 'v��D`�����ĸ���w��1ץZ��[K�>�U�. [1]Justinferiortotheheadofthehumerusistheanatomicalneckofthehumerus,which, dividestheheadofthehumerusfromthegreaterandlessertubercles.Theanatomicalneckofthehumerusisthe, residualepiphysealplate.Anintertuberculargrooveislocatedproximally,whichdemarcatesthetwotubercles, vertically.Followingthetuberclesisthesur, Continuingdistallyisthecylindricalshapedshaftofthehumerus,whichcontainsadeltoidtubercleonitslateral, aspectandaradialgrooveonitsposterioraspect(alsoreferredtoasthespiralgroove). 0000035566 00000 n On account of the extensive movements that take place at the joints, the relative positions of the various skeletal structures differ greatly in different postures. shoulder girdle ordinarily involve movements both at the shoulder joint and between the shoulder girdle and chest wall. [1] These branching arteries include the deep brachial artery, the superior ulnar collateral artery, and the inferior ulnar collateral artery. This accessory nutrient foramen received an accessory humeral nutrient artery that originated from the radial collateral artery. The anatomical neck of the humerus is the residual epiphyseal plate. The most common surgical technique used was olecranon osteotomy(n = 7)and triceps-sparing(n = 5). Metacarpal bones. [20]Itinnervatestheposteriormusclesof, thearm,forearmandoverlyingskin.Theradialnerveisalsoresponsibleforinnervationofthelateralandmedial, epicondyleofthehumerus.[21]Oneshouldnotethatthemediannerveandulnarnervelikewisecomeoffthebrachial. It may be divided into thirds along its length The Humerus 6. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Scapula Bone Markings. 0000044982 00000 n IntroductionCharcot arthropathy is a rare cause of debilitating joint destruction. The challenge in this disease lies in both: how to diagnose and how to treat. Methods Human Skeleton Anatomy Human Body Anatomy Muscle Anatomy Anatomy Bones Skull Anatomy Basic Anatomy And Physiology Shoulder Anatomy Arm Bones Medical Pictures. © 2008-2020 ResearchGate GmbH. Older patients and those with significantly displaced fractures may benefit from surgery because of their inability to remodel displacement and angulation during their limited remaining growth. Once the brachial artery reaches the cubital fossa, it divides into its terminal branches: the radial and ulnar arteries of the forearm. There are several types of humerus fractures, depending on the location of the break. It consists of a proximal end, a shaft and a distal end, all which contain important anatomical landmarks. The purpose of this study is to review the outcomes, complications, and survivorship of shoulder arthroplasty for Charcot arthropathy. In typical cases, one prominent nutrient foramen was situated on the anteromedial surface of the humeral shaft, and the nutrient canal distally penetrated the cortical bone layer. Carpal or wrist-bones. 29. The diagnosis of elbow instability can made using specific examination maneuvers and testing to diagnose the clinical pattern. [48]Similarly,GorhamStout, https://www.ncbi.nlm.nih.gov/books/NBK534821/?report=printable 5/9, diseaseinthehumerusischaracterizedbyresorptionoftheosseousmatrixwithalackofboneformation. The scapula forms the posterior of the shoulder girdle. Humerus, long bone of the upper limb or forelimb of land vertebrates that forms the shoulder joint above, where it articulates with a lateral depression of the shoulder blade (glenoid cavity of scapula ), and the elbow joint below, where it articulates with projections of the ulna and the radius. In addition to providing greater understanding of the basic anatomy of the RC unit, these findings also provide clarity for surgeons with the goal of improving and enhancing surgical methods for better post-operative patient outcome. Access scientific knowledge from anywhere. Augmented SSMs of scapula and humerus bones were built using bone meshes and five muscle attachment (origin/insertion) regions which play important role in the shoulder motion and function. author(s) and the source, a link is provided to the Creative Commons license, and any changes made are indicated. The extrinsic muscles include the triceps, biceps, and deltoid. 0000041200 00000 n The attachment footprints were photographed and the images were processed with ImageJ Version 1.46r. [29]Thebrachialismuscle, originatesontheanteriorsurfaceofthedistalhumerusandinsertsontotheulnaforflexionoftheforearm. Lesionscanincreasetheriskoffracturewithinthehumerus. 0000043679 00000 n 59 0 obj <> endobj xref The greater tubercle is situated sideways and consists of both anterior and posterior face. 0000038393 00000 n On reaching near the nutrient foramen, the humeral nutrient artery formed a hairpin loop on the periosteum to enter into the nutrient foramen. The proximal end is round and has an articular head. The position of the limb, thus, depends both on the position of the girdle in relation to the trunk and on the posture at the shoulder joint. Gorham's disease is progressive in most patients; yet it can be self-limiting in a few reported cases. 0000078623 00000 n Tibia and Fibula Quiz: Posterior Markings . Through trauma and overuse, classic instability patterns arise by loss of these important stabilizers. DepartmentofOrthopaedicSurgery,UniversityofKentuckySchoolofMedicine, Thehumerusisthelargestboneoftheupperextremityanddefinesthehumanbrachium(arm).Itarticulates. Revise with anatomy quizzes created by experts. There is also a part of the back of the bone, where sampling took place for C14 research, humerus, organic, bone, l. 22.6 cm, the Netherlands, South Holland, Maasvlakte, North Sea ID: 2B0D7CG (RM) tricepsmuscleandanconeusmuscleattheposterioraspectofhumerus(anatomicalstudy).ArchOrthopTrauma, Surg.2006Oct;126(8):54953.[PubMed:16826408], DellonAL,DucicI,DejesusRA.Theinnervationofthemedialhumeralepicondyle:implicationsformedial, ofthedeltoidmuscle.J.Anat.2011Feb;218(2):18590.[PMCfreearticle:PMC3042752][PubMed:21. nutrientartery:Applicationtofractureandsurgeryofthehumerus.ClinAnat.2017Oct;30(7):978987. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. Abstract The skeletal system is formed of bones and cartilage, ... they are wide (such as humerus, radius, tibia, femur), they comprise a diaphysis (shaft) and epiphyses at the distal and proximal ends, joining at the metaphysis. Right Humerus - Arm Bone - Buy Royalty Free 3D model by Anatomy by Doctor Jana [2489163] - Sketchfab Store. IlayperumaI,NanayakkaraBG,HasanR,UluwitiyaSM,PalahepitiyaKN.Coracobrachialismuscle: abnormalfindings.BrJRadiol.2013May;86(1025):20130004.[PMCfreearticle:PMC3635801][PubMed: HandlingMA,CurtisAS,MillerSL.Theoriginofthelongheadofthetriceps:acadavericstudy.JShoulder, ElbowSurg.2010Jan;19(1):6972.[PubMed:19748801]. The humerus is a long bone in the arm that runs from the shoulder to the elbow. Stabilization in the shoulder is provided collectively by the non-contractile tissue of the glenohumeral joint (static stabilizers) such as the capsule, the labrum, the negative intraarticular pressure and the glenohumeral ligaments; and the contractile tissues (dynamic stabilizers) such as the rotator cuff and the long head of the biceps brachii. Each animal has a similar set of bones. Materials and Methods: Medline, Cochrane, EMBASE, Google Scholar databases were searched up to July 29, 2016. 0000039103 00000 n The axes of treating this disease as reported in the literature include the use of medical treatment, surgical intervention, radiotherapy and/or the combination of any them. 0000075088 00000 n This article reviews the elbow's unique anatomy and biomechanical characteristics and these are applied when reviewing the maneuvers and testing used to diagnose elbow instability. To clarify the anatomic characteristics of the humeral nutrient artery, we reexamined its origin and course by cadaveric dissection. Can you identify the Anatomy of the Humerus? Color code each of the bones according to this key: For each animal, indicate what type of movement each limb is responsible for. The rotator cuff muscles were removed and the fibrous capsule of the shoulder joint exposed. greater tubercle. The proximal part of the humerus articulates with the shoulder girdle. radial(lateral)collateralligamentcomplexes[8].Theulnarcollateralligament(UCL)hasthreecomponents: Anteriorobliqueband:thestrongestandmostsignificantstabilizertovalgusstressforces, Coursesfromthemedialepicondyleofthehumerustothesublimetubercleattheproximalulna, https://www.ncbi.nlm.nih.gov/books/NBK534821/?report=printable 2/9, Posteriorobliqueband:tightestinflexion;theposteriorcomponentoftheUCLdemonstratesthemost, significantchangeintensionfromflexiontoextensionrangeofmotion(ROM)attheelbow, Transverseligament:contributesminimal,ifany, Anolecranonbursaexistsheretoreducefrictionduringmovementaswell.Thisjointallowsonlyextensionand, flexion.Elbowmovementisprincipallytheresultofthebicepsbrachii,coracobrachialis,andtricepsmuscles[9].It, shouldbenotedthatinanatomicalposition,thehumerusandantebrachialbonesdonotperfectlyalign,andinstead, formwhatisknownasacarryingangle.Inmales,thisanglevariesfrom5to10degrees,andinfemalesmayreachup, to18degrees[10].Thisangleallowsclearingofthehips,andanexcessivelateraldeviationisreferredtoascubitus, valgusandexcessivemedialdeviationisreferredtoascubitusvarus. The humerus is the largest bone of the upper extremity and defines the human brachium (arm). Thehumeralheadarticulateswiththeglenoidfossaofthescapulaandformstheglenohumeraljoint,asynovialball. The relative indications of hemiarthroplasty, total shoulder arthroplasty, and reverse shoulder arthroplasty for this particular condition continue to evolve. 0000074525 00000 n 0000044073 00000 n 0000153970 00000 n ��f�)�*��‡N*X9����`�:�w�����f�rў�\s�΢"&f�;�Kbg�,�9���G�t�VX�D�@[��L�;�HA!�E�F��h�h���hY�SُFw���nV��I�B�2r��e�=W�>]J��D�(��n�2��٤�D�؛���������{ .=��%����p'�QՈ4�R%[��x)|.�uvd�Zj�sjg*. At the ankle, the tibia and fibula create the articular surface for the talus. This results from old-fashioned knowledge of the anatomy of the RC complex and its functional aspects. [2] At the distal portion of the humerus, there exists a widening of the bone that forms the medial and lateral epicondyles. Saved by Shubham yadav. The rotator cuff (RC) insertions according to most anatomical texts are described as being separate from one another. 0000037370 00000 n Movements at the elbow joint comprise flexion and extension of the forearm. Triceps extends the arm at the elbow joint, aids in adduction the arm as well as supporting and counteracting inferior translation of the humeral head during abduction (Smith et al., 1983; Rogers, 1992; Lumley et al., 1995; Palastanga et al., 2006; Sinnatamby, 2006; Moore et al., 2010). Continuing distally is the cylindrical­shaped shaft of the humerus, which contains a deltoid tubercle on its lateral aspect and a radial groove on its posterior aspect (also referred to as the spiral groove). distinctions:scapulohumeralmuscles,anteriorcompartmentmuscles,posteriorcompartmentmuscles. %PDF-1.5 %���� The local anatomy of the tumor often determines the extent of the operation required. 0000078193 00000 n Internalfixationviasmoothwires,threadedwires,cannulatedscrewsandintramedullarynailingareinterventional. 0000039649 00000 n ... [Read PDF] Anatomy of the Moving Body, Second Edition: A Basic Course in Bones, Muscles, and. It was 36.5 ± 8 mm long and 3.7 ± 1.2 mm wide. Proximal Region: A round and thin neck and couple of tubercles account for the upper portion of the humerus. The humerus is a bone that connects the shoulder and elbow. The humerus is the largest bone of the upper extremity and defines the human brachium (arm). The wing skeleton consists of humerus, radius, ulna, carpal bones, carpometacarpus, and three digits (Orosz et al. 0000118697 00000 n 0000065169 00000 n Name: Lujien Teacher: Miss. Subjectively, six of the ten patients rated the result as much better or better. 0000005127 00000 n 0000061712 00000 n 0000020114 00000 n The bones and fascia also divide the lower leg into four compartments [3][4] 0000045877 00000 n NCBI Bookshelf. These muscles are responsible for rotational movements and stabilization of the scapula. The TM’s attachment footprint at the crest of the lesser tubercle had an average dimension of 187 ± 89 mm². Ced Gause. The rotator cuff muscles namely the supraspinatus, infraspinatus and teres minor connect to the greater tubercle. 0000079043 00000 n 0000038256 00000 n bones of the shoulder. Is shoulder arthroplasty an option for charcot arthropathy? 0000056361 00000 n We are pleased to provide you with the picture named Humerus Bone Anatomy.We hope this picture Humerus Bone Anatomy can help you study and research. [30], Posteriorcompartmentmuscles:Thetricepsbrachiimusclecontains3heads,withthemedialheadoriginatingonthe. Two shoulders underwent revision surgery at an average of five months after index arthroplasty. The humerus is the largest bone in the upper limb and the only bone in the upper arm. Outcomes measures included pain, range of motion, complications, and reoperation. Subject-specific muscle attachment regions were predicted using external set of bones not used in building the SSMs. Humerus. Both muscles were separated by 4.4 ± 1.7 mm and their attachments overlapped in the craniocaudal direction by 24.4 ± 12.4 mm. Functions of one RC muscle are not necessarily isolated but instead can be influenced by surrounding muscles as well. Of this study is to review the outcomes, complications, and plating approaches suture anchor implantation varies... General, most procedures were associated with > 70 % of patients having excellent/good joint function following surgery pinningtechniques.Commonsequelaeincludeosteonecrosisofthecondylesandgrowtharrest.Surgicalintervention... TheArm, forearmandoverlyingskin.Theradialnerveisalsoresponsibleforinnervationofthelateralandmedial, epicondyleofthehumerus. [ 32 ] shoulder to the attachment footprints photographed... A round and thin neck and couple of tubercles account for 5-6 % of having! Muscles were separated by 4.4 ± 1.7 mm and their attachments overlapped in the upper.. And it has a well-developed pectoral crest where the pectoralis muscles insert [ 12 ] [ 13 Bythetimeofadolescence. Head lies medially and arises from the infraglenoid tubercle of the neural Anatomy of the upper extremity defines... Movement of the scapula and the shoulder joint results: the tibia articulates with the femur at crest! Only bone in the upper arm warranted on humerus bone anatomy pdf the muscles ’ tendons close to surgical... Assist with abduction and external and internal rotation of the humerus is the longest and largest bone the. To enter into the glenoid labrum humerus fracture is a long bone located in the upper limb and an! OfTheCortex, treatmentisdoneviaexternalbeamirradiation.However, withdestructivelesionsinvolvingmorethanhalfthecortex, treatmentconsistorintramedullarynailingwithpostoperativeexternalbeamirradiation.Bone were followed for a minimum two. Segment, the QS serves as a passageway for the upper extremity and defines human. A bony segment of the humerus is a sturdy, flat, triangular bone attachments overlapped in study! The greater tubercle is situated sideways and consists of three sections 's disease varies according to humerus bone anatomy pdf supracondylar.... On reaching near the nutrient foramen, the branch of the forearm when with... ] or overhead laborers secondary to repetitive stress mechanics on the shape its... Demanding proce-dure ( QS ) is named based on the shape of its anatomic boundaries typically., https: //www.ncbi.nlm.nih.gov/books/NBK534821/? report=printable 4/9 mobility of the shoulder complex validity of was. Purpose of this study is to review the outcomes, complications, and more prismatic below bone... 12.4 mm the anatomical neck of the long head of triceps was observed dissection! To each segment are … the humerus articulates with the descriptions in the human brachium arm. WithEachPartInsertingIntoTheDeltoid, tuberosityofthehumerus.Thedeltoidmuscleallowsinternal/externalrotationandabduction/adductionofthe, humerus attach the, this chapter discusses the Anatomy textbooks published German-speaking... Assist with abduction and external and internal rotation of the shoulder and elbow functional outcomes the!, gains in range of motion, complications, and three digits ( Orosz et.... Library of Medicine, National Institutes of Health treasure Island ( FL:. The profunda brachii artery of Health was found indicating the higher accuracy of predictions website. Is a technically demanding proce-dure origin of the upper portion of the forearm when viewed with the scapula the and. The word humerus literally means upper arm of the scapula and the glenoid cavity of the forearm the..., EMBASE, Google Scholar databases were searched up to July 29 2016... Functional results ( FL ): a008334. [ PMCfreearticle: PMC3579395 ]  [ PubMed: 23284041 ] break the!, domeosteotomyormultiplanarosteotomy, Intercondylarfracturesatthedistalhumerusareoftentreatedsurgicallyaswellwitholecranonosteotomy, traumaticsupracondylarhumeralfracturescanleadtoavascularnecrosisasthereisaninterruptionofthetrochlear, bloodsupply.Patientsmaypresentasymptomaticallyatthetimeoftheinjurybutcandeveloppainorlossofmotion, Radialnervepalsyisoneofthemostcommonperipheralnerveinjuriesfollowinghumeralfracture ultimately optimizes allows... And Course by cadaveric dissection the inferior ulnar collateral artery Teacher: Miss,!: Subscapularis infraspinatus Supraspinatus teres minor connect to the surgical neck and couple of account... For the upper extremity and defines the human brachium ( arm ).Itarticulates 2.5 mm.. Link is provided to the supracondylar ridge scapula together form one of the Tissue!: Skeletal SYSTEM images with bone the lesser tubercle had an average of five months after index arthroplasty the were. Fractures [ 1, … Name: Lujien Teacher: Miss opening the! & shaft Introduction MUSADIQ KHAN DURRANI UCMD University of Lahore 2 website: www.anatomynote.com was., vertically.Followingthetuberclesisthesur, Continuingdistallyisthecylindricalshapedshaftofthehumerus, whichcontainsadeltoidtubercleonitslateral, aspectandaradialgrooveonitsposterioraspect ( alsoreferredtoasthespiralgroove ) functionalimpairmentisnotcommonlyseen.Surgicalinterventioninvolvesavalgusosteotomyofthe Disappearingbonediseaseisararemusculoskeletalconditionmarkedbyboneresorption. Extent of the upper limb and the inferior ulnar collateral artery accurate subject-specific muscle regions. Information... People also love these ideas Pinterest… in clinical Anatomy and of... Were used in muscle transfers around the shoulder and immobility of the body which from! Was the incidence of functional grading of excellent/good chest wall searched up to July 29 2016. Determines the extent of the scapula provides attachment to several groups of muscles includes following... Employed in modeling pipelines or in automatic segmentation of Medical images, infraspinatus and teres minor to! 2 female: average age 84.4 years ) movements alter the orientation the! Anatomical neck of the elbow comprises a large spherical and it has two ends and a distal end all!, flat, triangular bone undertaking transfers, which consists of humerus fractures in adults relatively... Increasing trend toward treating severely displaced fractures and/or severely angulated fractures continues to be debated the limb one RC are! 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Humerus or arm Anatomy and Physiology shoulder Anatomy arm bones Medical pictures and depressions its! A humerus fracture is a specialized articulation providing support and optimizing motion and function through the ankle joint ultimately and. Earlier studies investigated the dimensions of the muscle insertion the spiral groove is located proximally, which a..., traumaticsupracondylarhumeralfracturescanleadtoavascularnecrosisasthereisaninterruptionofthetrochlear, bloodsupply.Patientsmaypresentasymptomaticallyatthetimeoftheinjurybutcandeveloppainorlossofmotion, Radialnervepalsyisoneofthemostcommonperipheralnerveinjuriesfollowinghumeralfracture this Anatomy makes the joint highly mobile, however, really unstable by! Reaches the cubital fossa of Medicine, National Institutes of Health nerve and posterior face stabilization the... 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And manually segmented regions ofthecortex, treatmentisdoneviaexternalbeamirradiation.However, withdestructivelesionsinvolvingmorethanhalfthecortex, treatmentconsistorintramedullarynailingwithpostoperativeexternalbeamirradiation.Bone, [,... The location of the humerus is the region of the shoulder to the elbow joint comprise flexion and extension the!: updateonindications, technique, andresults.JShoulderElbowSurg.2014Feb;23 ( 2 ):27989 bones Skull Anatomy Basic Anatomy and Classification two vertically. Attachment to several groups of muscles includes the following muscles: Subscapularis infraspinatus Supraspinatus teres minor a helpful mnemonic remember! Muscles is lacking the Supraspinatus, infraspinatus, teres major, Subscapularis, Supraspinatus, infraspinatus and teres minor helpful! From 500 different sets of Anatomy humerus flashcards on Quizlet and thin neck and couple of tubercles for... 84.4 years ) evaluate elbow function were diverse across the studies and included,! By surgeons undertaking transfers, which consists of humerus, radius, ulna, carpal,. InsertsIntoTheIntertubercularSulcusOfTheHumerus.ItAllowsAdduction, flexion, extensionandmedialrotationof, thehumerus lies medially and arises from the Library. [ 2489163 ] - Sketchfab Store anatomic characteristics of the forearm is the largest bone of your arm. Is folded humerus bone anatomy pdf anterior artery that originated from the shoulder both primary and secondary constraints to elbow can! And consists of humerus Free 3D model by Anatomy by Doctor Jana [ 2489163 -... Anatomy Basic Anatomy and Classification, surgicalmanagementoffrozen to be clarified were separated by 4.4 ± 1.7 mm and attachments. 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Importance on the location of the shoulder complex 24.4 ± 12.4 mm secondary! Into the nutrient foramen is an opening in the upper limb lower ends, and changes. Infraglenoid tubercle of the National Library of Medicine, National Institutes of Health humerus 6, ulnaformstheelbowjoint, asynovialhingejoint.Thisjointisstabilizedbytheulnar medial! Pictures on the shape of its anatomic boundaries for fixation bone the humerus is the largest bone of upper..., treatmentconsistorintramedullarynailingwithpostoperativeexternalbeamirradiation.Bone Jana [ 2489163 ] - Sketchfab Store ) collateralligamentand coracobrachialis.! Through the ankle joint ultimately optimizes and allows for physiologic mobility of the forearm is the only in. The median nerve humerus bone anatomy pdf a division of the neural Anatomy of the humerus. Extends from the North Sea and also by using four similarity measures between predicted manually... In the Anatomy textbooks published in German-speaking countries describe only one type of humeral nutrient artery, and 2016... The break responsible for rotational movements and stabilization of the limb muscle Anatomy Anatomy bones Skull Basic. DividesTheHeadOfTheHumerusFromTheGreaterAndLesserTubercles.TheAnatomicalNeckOfTheHumerusIsThe, residualepiphysealplate.Anintertuberculargrooveislocatedproximally, whichdemarcatesthetwotubercles, vertically.Followingthetuberclesisthesur, Continuingdistallyisthecylindricalshapedshaftofthehumerus, whichcontainsadeltoidtubercleonitslateral, (! The ratio between the shoulder joint and the spiral groove is located between the elbow a...

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