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188Neurology15 min read

Clinical signs and treatment of palsy of median, ulnar and radial nerves

1. Big picture

The median, ulnar, and radial nerves are the three major peripheral nerves of the upper limb. Their lesions are very exam-relevant because each gives a characteristic hand posture, movement deficit, sensory loss, and named sign.

The fastest way to recognize them:

NerveClassic deficitClassic hand sign
Median nerveLoss of thumb opposition, thenar weaknessApe hand / benediction sign
Ulnar nerveInterossei weakness, finger abduction/adduction weakness

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