12.1
Knochen des oberen Arms: Humerus
Die obere Extremität besteht aus den Knochen des Arms, des Unterarms, des Handgelenks und der Hand. Der Humerus ist der einzelne Knochen der oberen Ar…
Die obere Extremität umfasst den Arm, den Unterarm, das Handgelenk und die Handknochen.
Der Humerus ist der einzige lange Knochen des Armes, er besteht aus Kopf, Schaft und Kondylen.
Am proximalen Ende artikuliert der Kopf mit der Schulterpfanne des Schulterblatts und lässt die Arme an den Seiten frei hängen.
Seitlich des Kopfes verankern markante Vorsprünge, der große und der kleine Tuberkel die Muskeln der Rotatorenmanschette und verbinden den Oberarmknochen stabil mit dem Schulterblatt.
Zwischen den Tuberkeln lässt eine zentrale Bicipitalrille die Bizepssehne passieren, wodurch der Arm gebeugt werden kann.
Etwa in der Mitte des Schaftes befestigt eine raue Erhöhung, der Tuberositas deltoideus, den Deltamuskel der Schulter.
Nach hinten ermöglicht die radiale Furche den Durchgang zum Nervus radialis, um die motorischen und sensorischen Reaktionen der Muskeln während der Streckung des Ellbogens zu steuern.
Kondylen-Trochlea und Capitulum verbinden den Humerus mit den Unterarmknochen – Elle und Radius – und bilden das Ellenbogengelenk.
Der Nervus ulnaris, der das Ellenbogengelenk kreuzt, erzeugt oft ein Kribbeln, wenn er getroffen wird, wenn er gegen den Oberarmknochen gerieben wird.
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Q1: What are the main anatomical regions of the humerus?
The humerus consists of three main regions: the proximal head, the shaft, and the distal condyles. The head articulates with the scapula's glenoid cavity to form the shoulder joint. The shaft contains the deltoid tuberosity for muscle attachment. The distal end features the trochlea and capitulum, which articulate with forearm bones to form the elbow joint.
Q2: How do the greater and lesser tubercles function in shoulder stability?
The greater and lesser tubercles are prominent projections lateral to the humeral head that anchor the rotator cuff muscles. These muscles stably attach the humerus to the scapula, providing shoulder stability. Between the tubercles lies the bicipital groove, which allows the bicep tendon to pass through and assist in arm flexion.
Q3: What is the clinical significance of the surgical neck?
The surgical neck is a clinically significant narrowed region where the humeral shaft joins the proximal end, located just below the tubercles. It is a common fracture site due to its structural weakness. Understanding its location is important for diagnosing and treating upper limb injuries.
Q4: What role do the fossae play in elbow joint movement?
The humerus has three fossae that position forearm bones during elbow movement. The coronoid fossa receives the ulna's coronoid process when flexed. The radial fossa accommodates the radius head during flexion. The olecranon fossa receives the ulna's olecranon process when the forearm is fully extended.
Q5: How does the radial groove relate to nerve function in the arm?
The radial groove is a posterior depression on the humeral shaft that provides passage for the radial nerve. This nerve controls motor and sensory responses of arm muscles during elbow extension. Damage to this groove or nerve can impair arm movement and sensation.
Q6: Why does hitting the elbow produce a tingling sensation?
The ulnar nerve crosses the elbow joint near the humerus. When struck, the nerve gets rubbed against the bone, producing the characteristic tingling sensation commonly called hitting the funny bone. This demonstrates the anatomical relationship between nerves and bone structures.
Q7: What structural changes occur in the humerus with aging?
The humerus undergoes structural changes throughout life as part of changes in the appendicular skeleton with age. These modifications affect bone density, strength, and susceptibility to fractures. Understanding age-related changes helps explain why older individuals are more prone to humeral fractures.