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  • Claw Hand (Damage To Ulnar Nerve)

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    Eri Zia
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    The document discusses the lumbrical muscles and ulnar nerve damage. It notes that the 1st and 2nd lumbricals are supplied by the median nerve, while the 3rd and 4th are supplied by the ulnar nerve. Damage to the ulnar nerve can cause a claw hand deformity, with hyperextension at the knuckles and flexion at the finger joints. Ulnar nerve damage is more likely to cause a prominent claw hand if the injury is at the wrist, as the flexor digitorum profundus muscle is still active, adding flexion to the already flexed finger joints.

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    claw hand (damage to ulnar nerve)

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    The document discusses the lumbrical muscles and ulnar nerve damage. It notes that the 1st and 2nd lumbricals are supplied by the median nerve, while the 3rd and 4th are supplied by the ulnar nerve. Damage to the ulnar nerve can cause a claw hand deformity, with hyperextension at the knuckles and flexion at the finger joints. Ulnar nerve damage is more likely to cause a prominent claw hand if the injury is at the wrist, as the flexor digitorum profundus muscle is still active, adding flexion to the already flexed finger joints.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    40 views5 pages

    Claw Hand (Damage To Ulnar Nerve)

    Uploaded by

    Eri Zia
    The document discusses the lumbrical muscles and ulnar nerve damage. It notes that the 1st and 2nd lumbricals are supplied by the median nerve, while the 3rd and 4th are supplied by the ulnar nerve. Damage to the ulnar nerve can cause a claw hand deformity, with hyperextension at the knuckles and flexion at the finger joints. Ulnar nerve damage is more likely to cause a prominent claw hand if the injury is at the wrist, as the flexor digitorum profundus muscle is still active, adding flexion to the already flexed finger joints.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    Lumbrical Muscles

    1st and 2nd lumbrical is supplied by


    median nerve

    3rd and 4th lumbrical is


    supplied by ulnar nerve
    Action of lumbricals

    ●Flex metacarpophalangeal joint


    ● Extend interphalangeal joints.
    Claw hand
    But when damaged is caused to
    ulnar nerve, the 4th and 5th
    lumbricals are paralysed due to
    which
    ● Hyperextension occurs at
    metacarpophalangeal joints instead
    of flexion
    ● Flexion occurs at interphalangeal
    joints instead of extension.
    Causes of ulnar nerve damage
    1- injury at wrist
    • Flexor digitorum profundus muscle (present below
    elbow on medial side) causes the flexion of fingers
    • When ulnar nerve is damaged around wrist , the
    profundus muscle is still being supplied by the ulnar
    nerve so it does not lose its function and still takes part
    in the flexion of the fingers.
    • Due to claw hand the fingers(interphalangeal joints) are
    already flexed so this additional flexion causes it to be
    more prominent in case of wrist.
    Causes Of ulnar nerve damage.

    2) Injury to elbow
    • When ulnar nerve is destroyed
    at elbow the profundus muscle
    loses its function and does not
    cause additional flexion of
    fingers so it is not that
    prominent.

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