The proximal third of the humerus is fed by the anterior and posterior
circumflex arteries of the axillary artery. They construct a fine ana
stomoses network at the humeral head as well as longitudinal anastomos
es to the diaphysis. The middle third of the humerus is maintained by
the rami musculoperiostales originating in both the brachial artery an
d the deep brachial artery. These periosteal vessels are formed both h
orizontally and vertically. The distal third of the humerus is mainly
supplied by the horizontal anastomoses of the collateral arteries. The
inner part of the bone is normally penetrated by just one nutrient ar
tery entering the nutrient canal below the middle of the humerus.