Claw Hand Conditions and Mechanisms

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Questions and Answers

What is one major consequence of the intrinsic muscle action loss in claw hand?

  • Hyperextension of the metacarpophalangeal (MCP) joint (correct)
  • Hyperextension of the distal interphalangeal (DIP) joints
  • Flexion of the metacarpophalangeal (MCP) joints
  • Hyperflexion of the interphalangeal joints

Which muscle's unopposed action leads to hyperextension of the MCP joint in claw hand?

  • Flexor digitorum profundus (FDP)
  • Hypothenar muscles
  • Flexor digitorum superficialis (FDS)
  • Extensor digitorum communis (EDC) (correct)

What is the primary cause of claw hand?

  • Median nerve injury
  • Proximal radial nerve injury
  • Distal ulnar nerve injury or chronic compression (correct)
  • Distal radial nerve injury

How does the action of the flexor digitorum profundus (FDP) and flexor digitorum superficialis (FDS) muscles contribute to claw hand?

<p>They cause unopposed flexion of the interphalangeal joints (A)</p> Signup and view all the answers

Which joint movements are predominantly affected by claw hand due to the loss of intrinsic muscle action?

<p>Flexion and extension of the interphalangeal joints (C)</p> Signup and view all the answers

Flashcards

Claw Hand

A condition caused by distal ulnar nerve injury leading to joint deformities.

Distal Ulnar Nerve Injury

Injury affecting the ulnar nerve's function, leading to muscle action loss.

Hyperextension of MCP Joint

MCP joints become hyperextended due to loss of flexor muscle action.

Extensor Digitorum Communis (EDC)

Muscle responsible for extending the fingers, unopposed in claw hand.

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Flexor Digitorum Profundus (FDP) and Flexor Digitorum Superficialis (FDS)

Muscles involved in finger flexion, causing unopposed flexion of joints.

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Study Notes

Claw Hand

  • Claw hand is caused by distal ulnar nerve injury or chronic compression.
  • This results in the loss of intrinsic muscle action.
  • Loss of intrinsic muscle action leads to loss of isolated MCP flexion.
  • Consequently, there's hyperextension due to unopposed action of the EDC (extensor digitorum communis).
  • Moreover, unopposed flexion of PIP (proximal interphalangeal) and DIP (distal interphalangeal) joints occurs due to strong FDP (flexor digitorum profundus) and FDS (flexor digitorum superficialis) action.

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