Paralysis of which muscle group results in total 'claw' hand?

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Multiple Choice

Paralysis of which muscle group results in total 'claw' hand?

Explanation:
Clawing of the hand happens when the intrinsic muscles that balance flexion at the metacarpophalangeal joints with extension at the interphalangeal joints are disrupted. The lumbricals normally flex the MCP joints and, by pulling on the extensor expansions, help extend the IP joints. When the lumbricals are paralyzed, the extensor digitorum acts unopposed at the MCP joints, causing hyperextension there, while the flexor digitorum profundus and superficialis pull the IP joints into flexion. This combination produces the characteristic claw-like deformity, especially noticeable when all lumbricals are affected.

Clawing of the hand happens when the intrinsic muscles that balance flexion at the metacarpophalangeal joints with extension at the interphalangeal joints are disrupted. The lumbricals normally flex the MCP joints and, by pulling on the extensor expansions, help extend the IP joints. When the lumbricals are paralyzed, the extensor digitorum acts unopposed at the MCP joints, causing hyperextension there, while the flexor digitorum profundus and superficialis pull the IP joints into flexion. This combination produces the characteristic claw-like deformity, especially noticeable when all lumbricals are affected.

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