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flexed or bent, while the index (2nd digit) and middle finger (3rd digit) are
extended. This resembles the hand gesture of the pope giving their blessing
(a papal benediction), lending to the name hand of benediction.
BACKGROUND
*CLINICALSIGNINDICATING
PERIPHERALNEUROPATHYAFFECTING CAUSES
theHANDMUSCLES
*WHENMAKINGFISTorOPENINGHAND: *ULNARNERVEDAMAGE
~FLEXED/BENT-LITTLEFINGER ~FRACTURE/INJURYtothe
(STHDIGIT)&RINGFINGER(TH HAMATEBONEorMEDIAL
DIGIT) EPICONDYLEofHUMERUS
~EXTENDED/STRAIGHT-INDEX ~ЧТН&5™HDIGITSAFFECTED
(2NDDIGIT)&MIDDLEFINGER(3RD -UNABLEtoABDUCTfrom3RD
DIGIT) DIGIT
*SIMILARtoHANDGESTUREof -UNABLEtoBENDatMCP
JOINT
thePOPE'SBLESSING
•*MEDIANNERVEDAMAGE
~TRAUMAtoWRISTorELBOW,
UPPERHUMERUSBONE
FRACTURE,orCARPAL
TUNNELSYNDROME
~2ND&3RDDIGITSAFFECTED
TREATMENT -UNABLEtoBEND
*MANAGINGPERIPHERALNEUROPATHY
*NSAIDs
*ARMorWRISTBRACE
*HANDTHERAPY
SYMPTOMS
*NERVEDECOMPRESSIONSURGERY *NUMBNESSinDIGITS
*WEAKNESSofHANDMUSCLES
rOSMOSIS.o
rg
The ulnar nerve travels from the brachial plexus (bundle of nerves near the
neck and shoulder), behind the elbow, and towards the front of the forearm
and hand in order to innervate the muscles of the 4th and 5th digits. The
location of the ulnar nerve makes it susceptible to compression if there is 1