I am confused about the meaning of "middle upper arm". Is it:
- the "middle part of the upper arm", or
- the "upper part of the middle arm"?
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The former. Firstly, because that's the usual way adjectives of the same class (in this case, locational adjectives) combine in English, with the first modifying the second, and secondly because the "upper arm" is a well-understood phrase, whereas the "middle arm" isn't one of the stock phrases for parts of the body. To what would it refer? The elbow?