Humerus fracture also cause deformity, and they typically limit the ability to flex the elbow. Humerus fractures usually occur after physical trauma, falls, excess physical stress, or pathological conditions. Falls that produce humerus fractures among the elderly are usually accompanied by a preexisting risk factor for bone fracture, such as osteoporosis, a low bone density, or vitamin B deficiency. Proximal humerus fractures most often occur among elderly people with osteoporosis who fall on an outstretched arm. Less frequently, proximal fractures occur from motor vehicle accidents, gunshots, and violent muscle contractions from an electric shock or seizure. Other risk factors for proximal fractures
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