Median Nerve Palsy Overview
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Questions and Answers

The term 'Hand of Benediction' is most accurately used to describe which condition?

  • Distal radial neuropathy
  • Distal ulnar neuropathy
  • Combined median and ulnar neuropathy
  • Proximal median neuropathy (correct)
  • In the traditional description of 'Hand of Benediction', what posture do the metacarpophalangeal (MCP) joints of the 2nd and 3rd digits assume?

  • Neutral due to balanced muscle action
  • Partially flexed due to flexor digitorum superficialis
  • Hyperextended due to unopposed extensor digitorum (correct)
  • Flexed due to lumbrical action
  • According to the traditional understanding of 'Hand of Benediction', which movement is compromised at the interphalangeal (IP) joints of the 2nd and 3rd digits?

  • Flexion, due to loss of flexor digitorum profundus function (correct)
  • Extension, due to extensor digitorum palsy
  • Abduction, due to interossei weakness
  • Adduction, due to lumbrical paralysis
  • The hyperextension at the MCP joints in the traditional 'Hand of Benediction' is primarily attributed to the unopposed action of which muscle?

    <p>Extensor digitorum (B)</p> Signup and view all the answers

    Loss of function of which muscle group primarily contributes to the inability to flex the IP joints of the 2nd and 3rd digits in the traditional description of 'Hand of Benediction'?

    <p>Flexor digitorum profundus (lateral half) (C)</p> Signup and view all the answers

    Study Notes

    Median Nerve Palsy - "Hand of Benediction"

    • "Hand of Benediction" is often misused. It precisely describes a proximal median neuropathy, but can also be used to describe ulnar clawing.

    Traditional Description

    • Typically, the "hand of benediction" presentation features hyperextension of the metacarpophalangeal (MCP) joints of the second and third digits.
    • This hyperextension results from the unopposed action of the extensor digitorum muscles.
    • Loss of function in the two lateral lumbricals, which normally flex the MCP joints, contributes to the hyperextension.
    • The interphalangeal (IP) joints of the second and third digits are inflexible due to the loss of function of the lateral half of the flexor digitorum profundus.

    Recent Studies

    • Recent studies have challenged aspects of this traditional description.

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    Description

    This quiz explores the intricacies of Median Nerve Palsy, commonly known as the 'Hand of Benediction.' Learn about the traditional descriptions, how the condition affects hand movements, and recent studies that challenge these long-held beliefs. Gain a deeper understanding of both the anatomy involved and the implications of this condition.

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