Major pa of intrinsic muscles of hand are innervated by
## **Core Concept**
The intrinsic muscles of the hand are primarily innervated by the **ulnar nerve** and **median nerve**. These nerves are responsible for controlling the majority of the hand's intrinsic muscles, which are crucial for fine motor movements and dexterity.
## **Why the Correct Answer is Right**
The ulnar nerve (**C. Ulnar nerve**) is correct because it innervates a significant portion of the intrinsic muscles of the hand, including all the interossei muscles, the third and fourth lumbricals, the hypothenar muscles, and the adductor pollicis. The median nerve also innervates some of the intrinsic muscles, specifically the thenar muscles (except the adductor pollicis and the deep head of flexor pollicis brevis) and the first two lumbricals. However, when considering the "major part," the ulnar nerve's contribution is substantial.
## **Why Each Wrong Option is Incorrect**
- **Option A:** The **radial nerve** primarily innervates the muscles of the forearm and the extensor muscles of the wrist and fingers, not the intrinsic muscles of the hand.
- **Option B:** The **median nerve** does innervate some intrinsic muscles of the hand, like the thenar muscles and the first two lumbricals, but it does not innervate the major part.
- **Option D:** The **musculocutaneous nerve** primarily innervates the biceps brachii, brachialis, and coracobrachialis, which are not intrinsic muscles of the hand.
## **Clinical Pearl / High-Yield Fact**
A key clinical point to remember is the "ulnar claw hand" deformity, which results from ulnar nerve damage. This leads to the hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints of the fourth and fifth fingers due to the paralysis of the interossei and lumbricals (innervated by the ulnar nerve).
## **Correct Answer:** . C. Ulnar nerve