Combined Low Median and Ulnar Nerve

Complete anaesthesia over palm

loss of all intrinsics

loss of thumb functions

clawing - fixed if untreated



Tr

1. PT - to supple joints and skin

2. Finger intrinsics

                Brand transfer , ECRB (extended )



                Clawing  - Brown

                                   ECRL (extended ) to restore MCP as Brand .


  3.Thumb adduction

          EIP / FDS


          Omer

                    FDS LF- 4 tails / ECRL for adductor

   4. Opposition

          ECU extended by EPB or PL



    5. Fusion of Thumb for stability

 
 



      Options - ECRL for clawing , EIP for thumb adduction, ECU for thumb opposition to


          memorize for exam .






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