Supracondylar process of the humerus Supracondylar process of the humerus The supracondylar process of the humerus (also known as an "avian spur") is a bony projection on the anteromedial aspect of the upper arm bone (humerus), about 5 cm above the medial epicondyle. It is directed downward, forward and medially pointing to the medial epicondyle. It is an anatomical variation which occurs in about one percent of all people. A fibrous band, Struthers ligament, may connect this process to the medial epicondyle. Supracondylar processes are usually asymptomatic, but may be palpable as a mass on the upper arm. They are most commonly found as an
Down Where the Spirit Meets the Bone are fully aware of wounds and pitfalls, but they’re more likely to be looking back or looking outward." Tom Moon writes at NPR, "She's always been able to conjure brokenhearted misery from a single note; now, she can ramp up to fury that quickly, too. And resignation. And let's face it: In terms of pure expression, no singer in popular music can touch Williams when she's calling from the lonely outskirts of Despairville. She sounds like it's her permanent residence, that place down deep where the spirit meets the bone." The album debuted on the Billboard 200 at number 13