A patient with a deep stab wound in the middle of the forearm has impaired movement of the thumb. Examination indicates a lesion of the anterior interosseous nerve. Which of the following muscles is paralyzed?
**Core Concept**
The anterior interosseous nerve is a branch of the median nerve that supplies muscles involved in thumb movement and forearm flexion. It is a critical nerve for hand function, and damage to it can result in significant impairments.
**Why the Correct Answer is Right**
The anterior interosseous nerve innervates the flexor pollicis longus (FPL) and the pronator quadratus (PQ) muscles. The FPL muscle is responsible for thumb flexion at the interphalangeal joint, while the PQ muscle aids in forearm pronation. The anterior interosseous nerve does not innervate the flexor pollicis brevis, which is often mistakenly associated with it due to its proximity and involvement in thumb movement.
**Why Each Wrong Option is Incorrect**
**Option A:** Flexor pollicis brevis - This muscle is actually innervated by the recurrent branch of the median nerve, not the anterior interosseous nerve.
**Option B:** Flexor carpi radialis - This muscle is innervated by the lateral antibrachial cutaneous nerve, which is a branch of the musculocutaneous nerve.
**Option C:** Pronator teres - This muscle is innervated by the median nerve, but it is not a branch of the anterior interosseous nerve.
**Option D:** Extensor pollicis longus - This muscle is actually innervated by the posterior interosseous nerve, a branch of the radial nerve.
**Clinical Pearl / High-Yield Fact**
In patients with suspected median nerve injury, look for weakness or paralysis of the FPL muscle, as this is a key indicator of anterior interosseous nerve involvement.
**Correct Answer:** C. Pronator quadratus.