Sign In

Physical Examination

Complete intrinsic muscle atrophy and clawing of the ring and small fingers were present in the right hand. Sensory exam revealed no light touch sensation and no functional two-point discrimination in the right ulnar nerve distribution. Two-point discrimination in the median nerve distribution was 4-5 mm. Motor exam showed a positive Froment’s sign, inability to cross the fingers, pinch strength of 6 lb, and grip strength of 40 lb. Pinch and grip on the left were 15 lb and 65 lb, respectively. Tinel’s sign was present in the mid portion of the patient’s scar (non-advancing).