short presentation about clinical assessment of ulnar nerve

1. ULNAR NERVE
EXAMINATION

2. WHAT TO TEST
TEST FUNCTION OF THESE MUSCLES
• FLEXOR CARPI ULNARIS
• ADDUCTOR DIGITI MINIMI
• INTEROSSEI MUSCLE- EGAWA’S TEST &
CARD TEST
• ADDUCTOR POLLICIS FORMENT’S SIGN
SENSATIONS OVER HAND

3. FLEXOR CARPI ULNARIS
FLEXOR CARPI ULNARIS :-
• IN CASE OF ULNAR NERVE INJURY
• WHEN WRIST JOINT FLEXED AGAINST
RESISTANCE HAND TENDS TO DEVIATE TO
RADIAL SIDE

4. Adductor digiti minimi
• Ask pts to abduct little finger against
resistance keeping hand on table

5. INTEROSSEI MUSCLES
• EGAWA’S TEST :- ABDUCT middle FINGER
AGAINST RESISTANCE while resting hand on
table
• CARD TEST :- FOR PALMAR INTEROSSEOUS OF
THE FINGERS
• TEST FOR 1ST INTEROSSEOUS MUSCLE:-
ABDUCT INDEX FINGER AGAINST RESISTANCE

6. ADDUCTOR POLLICIS
• ASK PTS TO GRASP BOOK BETWEEN
EXTENDED THUMB AND OTHER FINGERS – IF
NERVE IS INJURED THEN FORMENT’S SIGN
SENSATION OVER HAND
• Test for the sensation over hands