High Median Nerve Palsy Patho-mechanics
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Questions and Answers

In high median nerve palsy, which muscle remains functional, contributing to thumb adduction?

  • Opponens pollicis
  • Flexor pollicis longus
  • Adductor pollicis (correct)
  • Abductor pollicis brevis
  • Which finger typically exhibits complete flexion in high median nerve palsy?

  • Middle finger (correct)
  • Ring finger
  • Thumb
  • Index finger
  • What is the observed posture of the index finger in high median nerve palsy?

  • Hyperextension at the MCP joint
  • Extension at the MCP joint, flexion at the IP joint
  • Flexion at the MCP joint, extension at the IP joint (correct)
  • Complete flexion at both MCP and IP joints
  • Which nerve is responsible for the observed thumb adduction in high median nerve palsy?

    <p>Ulnar nerve (A)</p> Signup and view all the answers

    Why is the index finger only partially flexed at the MCP joint in high median nerve palsy?

    <p>Intact innervation and function of the interosseous muscles (C)</p> Signup and view all the answers

    Study Notes

    High Median Nerve Palsy Patho-mechanics

    • Thumb is adducted due to ulnar innervated adductor pollicis and deep head of flexor pollicis brevis
    • Index finger is flexed at metacarpophalangeal (MCP) joint due to intact interosseous muscles
    • Minimal flexion is seen in the interphalangeal (IP) joint
    • Middle finger is in complete flexion

    Hand Posture in High Median Nerve Palsy

    • Medial view of the hand shows the characteristic posture

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    Description

    This quiz explores the patho-mechanical aspects of high median nerve palsy, focusing on hand posture and finger movements. It discusses how the ulnar innervated muscles affect thumb position and other finger flexion patterns. Assess your understanding of this condition and its implications on hand functionality.

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