Abstract
A 3%year-old lady fell on her outstretched right hand. There was mild pain, but no swelling. A radiograph revealed no fracture of the carpus, and the pain settled in a day with normal function. Five weeks later she noticed progressive weakness of her dominant right hand while doing routine housework. This also affected her professional work on the computer keyboard, due to weakness and palmar flexion of the ulnar fingers of this hand. There was no associated sensory loss. Clinical examination revealed clawing of the ring and little fingers with normal abduction of the latter. There was a positive Froment’s sign with wasting of the interrossei, adductor pollicis, and hypothenar muscles, and no sensory deficit. Radiographs and CT scan of the wrist were normal. Electromyography (EMG)
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