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Orthopaedics General 68262cce

A boy presents with an injury to the medial epicondyle of the humerus. Which of the following would not be seen -

A
Weakness of the ulnar deviation and flexion
B
Complete paralysis of the IIIrd and IV th digits
C
Atrophy of the hypothenar eminence.
D
Decreased sensation of the hypothenar eminence
High-Yield Explanation
Medial epicondyle fracture causes injury to the ulnar nerve. In ulnar nerve palsy only following muscles of 3rd & 4th fingers are paralysed:- i) Palmar & Dorsal interossei ii) 3rd & 4th lumbricals iii) Hypothenar muscles However, extensors of these two fingers are not paralysed which are supplied by the radial nerve. About other options The weakness of ulnar deviation & flexion is due to paralysis of FCU and medial half of FDP. There atrophy of hypothenar eminence and sensory loss over the hypothenar area.

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