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Q____________Upper limb==q53 - miracoli
#1
Q1) A 17 yrs old male received a shotgun wound to the ventral surface of the upper limb. Upon examination
it is quickly observed that the patient exhibits a complete claw hand but can extend his wrist. What is
the nature of this patient’s injury?
A. The ulnar nerve has been severed at the wrist.
B. The median nerve has been injured in the carpal tunnel.
C. The median and ulnar nerves are damaged at the wrist.
D. The median and ulnar nerves have been injured at the elbow region.
E. The median, ulnar, and radial nerves have been injured at midhumerus.

Q2) Which upper limb lesion can also result in this hand deformity?

Please explain your answer.

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#2
Option c for question 1 ...klumpkeys paralysis ...lower trunk lesion ......
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#3
ans c
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#4
Why not D?
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#5
"C"
as at the elbow region ulnar nerve passes behind the medial epicondyle and median nerve passes supracondylar region.
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#6
CCCC

Klumpke's paralysis
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#7
C. since it says ventral surface, the wrist injury make sense.
ty
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#8
Can a lesion of the median and ulnar nerves at the elbow give total claw hand? and why?
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#9
I think yes, that's why in Klumpke's paralysis we have a claw hand. I think I am missing something. Please Miracoli, explain.
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#10
Hi Miracoli, please see above and explain this concept when you have some free time. Thanks so much
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