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Klumpke's Paralysis

Dr. S. P. Geetha
03/07/2018 0 0

Klumpke's Paralysis:-

Site of injury: Lower trunk of brachial plexus.

Cause of injury: Undue abduction of the arm, as in clutching something with hands after a fall from a height

Birth injury.

Nerve roots involved: Mainly T1 & partly C8

Muscles Paralysed: Intrinsic muscles of the hand (T1)

Ulnar Flexors of the wrist and fingers (C8)

Deformity and position of the hand: Claw hand due to unopposed action of long flexors and extensors of the fingers. 

In a claw hand, there is hyperextension at metacarpophalangeal joints and flexion at interphalangeal joints.


Disability: Biceps and supinator jerks are lost.

Complete claw hand

Cutaneous anaesthesia and analgesia in a narrow zone along ulnar border of the forearm and hand.


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