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A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or ‘Spinster’s Claw’, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
The earliest sign of a contracture is a triangular "puckering" of the skin of the palm as it passes over the flexor tendon just before the flexor crease of the finger, at the metacarpophalangeal (MCP) joint. [citation needed] Late stage Dupuytren's contracture upon the left hand affecting the little finger and the ring finger but not the index ...
The medial aspect of the muscle (which flexes the 4th and 5th digit) is supplied by the ulnar nerve (C8, T1). [ 5 ] [ 6 ] [ 7 ] The lateral aspect (which flexes the 2nd and 3rd digit) is innervated by the median nerve , [ 5 ] [ 7 ] [ 8 ] specifically the anterior interosseous branch (C8, T1).
Extensor digitorum brevis extends the first four digits at the metatarsophalangeal joint and assists in extending the second, third and fourth digits at the interphalangeal joint. The fifth digit, lacking any insertion from extensor digitorum brevis, can only be raised by the long extensor.
Loss of flexion of ulnar half of digits, or the 4th and 5th digits, loss of ability to cross the digits of the hand. Presence of a claw hand deformity when the hand is at rest, due to hyperextension of the 4th and 5th digits at the metacarpophalangeal joints, and flexion at the interphalangeal joints.
On the back of the hand, the tendons to the middle, ring, and little fingers are connected by two obliquely placed bands, one from the third tendon passing inferior and laterally to the second tendon, and the other passing from the same tendon inferior and medially to the fourth.
This muscle varies considerably in the modes of origin and the arrangement of its various tendons. The tendons to the second and fifth toes may be found doubled, or extra slips are given off from one or more tendons to their corresponding metatarsal bones, or to the short extensor, or to one of the interosseous muscles.
The posterior division of the L4 root is the femoral nerve. The femoral nerve innervates the quadriceps femoris, a fourth of which is the rectus femoris. When the rectus femoris receives the signal that has traveled all the way from the medial side of the precentral gyrus, it contracts, extending the knee and flexing the thigh at the hip. [2]