Ulnar Claw Hand – Clinical Photograph

Ulnar claw hand is term referred to condition of the hand that results due to ulnar nerve palsy. Ulnar nerve is responsible for supplying the lumbricals which are responsible for extension of interphalangeal joints and flexion of metacarpophalngeal joints.

The ulnar nerve palsy therefore would result in hyperextension of metacarpo-phalangeal joint and flexion at the interphalangeal joints of 4th and 5th digit.

A hand in ulnar claw position will have the 4th and 5th fingers drawn towards the back of the hand at the first knuckle and curled towards the palm at the second and third knuckles.

Following two photographs are of  a man with ulnar nerve palsy of right hand. [Read more...]

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Complications of Fracture – Nerve Injury

Nerve injuries  and vessels injuries can occur with some fractures. Location of nerves and vessels in some areas make them vulnerable to injury. Most vulnerable areas are when nerve or vessel lies in close proximity to the bone in some fascial tunnel  rendering it not that mobile.

Both closed and open fractures can be associated with neurovascular injuries.  Nature of injury to these structures is more serious in case of open fractures. Generally speaking, nerve injuries are more common than vascular injuries.  [Read more...]

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