Hey folks,

I recently assessed a patient with a sprained wrist (2 weeks post injury). He also has pre-existing clawing of his ring and pinky fingers as well as MARKED wasting of the muscles in his dorsal webspace (between thumb and index). Cervical scan was negative (C8 and T1 myotomes were not accurately tested due to the hand muscle wasting). What could cause this hand deformity? Wouldn't it be both radial and ulnar nerve compression? Wouldn't there also be sensation changes if it was nerve compression?

Thanks in advance.

Willeseden

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