Ulnar Nerve Palsy Quiz
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Questions and Answers

What is a primary clinical characteristic of ulnar nerve palsy?

  • Metacarpophalangeal (MCP) flexion, interphalangeal (IP) extension, and thenar muscle wasting
  • Metacarpophalangeal (MCP) hyperextension, interphalangeal (IP) flexion, and hypothenar muscle wasting (correct)
  • Metacarpophalangeal (MCP) flexion, interphalangeal (IP) flexion, and hypothenar muscle hypertrophy
  • Metacarpophalangeal (MCP) hyperextension, interphalangeal (IP) extension, and thenar muscle hypertrophy
  • In ulnar nerve palsy, the imbalance between which muscle groups contributes to the 'claw hand' deformity?

  • Spastic extrinsic muscles and atrophied intrinsic muscles
  • Atrophied extrinsic muscles and spastic intrinsic muscles
  • Weakened extrinsic muscles overpowering strong intrinsic muscles
  • Strong extrinsic muscles overpowering weakened intrinsic muscles (correct)
  • After carpal tunnel syndrome, what condition is identified as the second most common neuropathy of the upper extremity?

  • Ulnar nerve entrapment (correct)
  • Radial nerve palsy
  • Median nerve compression at the elbow
  • Brachial plexus injury
  • Which of the following motor function deficits is specifically associated with ulnar nerve palsy?

    <p>Inability to adduct the thumb (A)</p> Signup and view all the answers

    An ulnar nerve lesion located closer to the elbow is specifically referred to as:

    <p>Cubital tunnel syndrome (D)</p> Signup and view all the answers

    Study Notes

    Ulnar Nerve Palsy ("Claw Hand")

    • Ulnar nerve palsy can cause loss of sensory and motor function.
    • Nerve injury weakens muscles, creating an imbalance between strong extrinsic muscles (e.g., extensor digitorum) and weakened intrinsic muscles (e.g., interossei and lumbricals).
    • This imbalance is clinically characterized by metacarpophalangeal (MCP) hyperextension, interphalangeal (IP) flexion, and wasting of the hypothenar muscles.
    • The thumb cannot be adducted.
    • Ulnar nerve entrapment is the second most common upper extremity neuropathy after carpal tunnel syndrome.
    • Ulnar nerve lesions can occur high (closer to the elbow), causing cubital tunnel syndrome, or low (closer to the wrist), causing Guyon's canal syndrome.

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    Description

    Test your knowledge on ulnar nerve palsy, its causes, symptoms, and clinical features. This quiz will cover the implications of nerve injury and the resulting muscle imbalances. Understand the different types of ulnar nerve lesions and their effects on hand function.

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