Deep branch of ulnar nerve supplies:
## **Core Concept**
The ulnar nerve is a major peripheral nerve of the upper limb that provides motor and sensory innervation to the forearm and hand. It divides into a superficial branch and a deep branch, each supplying different muscles and areas of the hand. The deep branch of the ulnar nerve primarily provides motor innervation.
## **Why the Correct Answer is Right**
The deep branch of the ulnar nerve (**ramus profundus**) supplies the intrinsic muscles of the hand, specifically the **adductor pollicis**, **deep head of flexor digiti minimi brevis**, and the **interossei** and **lumbricals** to the 4th and 5th fingers are not supplied by the deep branch but by the superficial branch for the 4th and 5th lumbricals. However, it does supply the **interosseous muscles**, **third and fourth lumbricals**, and muscles of the thenar eminence are not primarily supplied by the deep ulnar but the thenar muscles are innervated by the **median nerve** (except the **adductor pollicis**).
## **Why Each Wrong Option is Incorrect**
- **Option A:** Incorrect because while some lumbricals are supplied by the ulnar nerve, specifically the 4th and 5th lumbricals are supplied by the **superficial branch** of the ulnar nerve.
- **Option B:** Incorrect because the thenar muscles (except the **adductor pollicis**) are primarily innervated by the **median nerve** via its terminal branches.
- **Option C:** Incorrect because the **flexor digiti minimi brevis** is partially innervated by the ulnar nerve but stating it as a whole is not precise; the **superficial head** is by the ulnar nerve but **deep head** by the **deep branch** of ulnar nerve.
## **Clinical Pearl / High-Yield Fact**
A key clinical correlation is **ulnar claw hand** or **Claw hand deformity** which results from damage to the ulnar nerve. This leads to hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints of the 4th and 5th fingers due to the imbalance of muscle forces.
## **Correct Answer:** D.