Wednesday, October 6, 2010

USMLE Step 1: Froment's Sign is used to Test for?



A. Thoracic outlet impingement
B. Palsy of ulnar nerve
C. Carpal tunnel syndrome
D. Tenosynovitis

Answer B

E1. Froment’s sign tests for palsy of the ulnar nerve, especially the actions of the thumb muscle- adductor pollicis

E2. With palsy of the ulnar nerve, the individual will not be able to hold an object with his thumb

E3. The injury is then compensated by flexion of the DIP joint of the thumb

E4. The flexion of the thumb is controlled by flexor pollicus longs which is innervated by the anterior interosseous branch of the median nerve

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