If median nerve is injured at the wrist then loss of function of all of the following will take place except
## **Core Concept**
The median nerve is a vital peripheral nerve that provides motor and sensory innervation to parts of the hand. Injury to the median nerve at the wrist affects its terminal branches, impacting hand function. The **thenar muscles** (thumb muscles) are primarily affected, along with sensation to the palmar surface of the thumb, index, middle finger, and the lateral half of the ring finger.
## **Why the Correct Answer is Right**
The median nerve at the wrist primarily supplies the thenar muscles (except the adductor pollicis and the deep head of the flexor pollicis brevis which are supplied by the ulnar nerve), and provides sensory innervation to the palmar surface of the thumb, index, middle finger, and the lateral half of the ring finger via the **palmar cutaneous branch** and **digital cutaneous branches**. The thenar muscles include the **abductor pollicis brevis**, **flexor pollicis brevis (superficial head)**, and **opponens pollicis**. Therefore, functions like thumb abduction, opposition, and flexion (at the metacarpophalangeal joint) are compromised.
## **Why Each Wrong Option is Incorrect**
- **Option A:** The **abductor pollicis brevis** is innervated by the median nerve. Its paralysis leads to weakened thumb abduction, a key function lost in median nerve injury at the wrist.
- **Option B:** The **flexor pollicis brevis (superficial head)** is also innervated by the median nerve. Its dysfunction affects thumb flexion at the metacarpophalangeal joint.
- **Option D:** The **opponens pollicis** muscle, responsible for opposition of the thumb (bringing the thumb towards the palmar surface of the other fingers), is innervated by the median nerve.
## **Why Option C is Correct and Others are Incorrect (Implicitly)**
- **Option C:** Refers to a muscle not primarily innervated by the median nerve at the wrist level or its function not primarily lost due to such an injury. The **adductor pollicis** and **deep head of flexor pollicis brevis** are actually innervated by the **ulnar nerve**. Therefore, their functions are not lost in a median nerve injury at the wrist.
## **Clinical Pearl / High-Yield Fact**
A key clinical test for median nerve injury at the wrist is the **Tinel's sign**, where tapping over the nerve elicits a tingling sensation in the distribution of the nerve. Additionally, **thenar atrophy** can be observed in chronic cases. A simple clinical test to assess median nerve function is the **opposition of the thumb**; inability to oppose the thumb strongly suggests median nerve dysfunction.
## **Correct Answer:** C.