Deep branch of ulnar nerve supplies all except ?
## **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 supplies the intrinsic muscles of the hand involved in fine motor movements.
## **Why the Correct Answer is Right**
The deep branch of the ulnar nerve supplies muscles such as the **adductor pollicis**, **flexor pollicis brevis** (not the entire muscle, only the medial part), and all the **interossei** and **lumbricals** to the 4th and 5th fingers, as well as the **deep head of the flexor pollicis brevis**. It is primarily responsible for the innervation of the intrinsic muscles of the hand, excluding those supplied by the median nerve (thenar muscles, except for the medial part of flexor pollicis brevis and adductor pollicis).
## **Why Each Wrong Option is Incorrect**
- **Option A:** Incorrect because the **adductor pollicis** is indeed supplied by the deep branch of the ulnar nerve.
- **Option B:** Incorrect as **flexor pollicis brevis** (medial part) receives innervation from the deep branch of the ulnar nerve.
- **Option C:** Incorrect since **all interossei** muscles are supplied by the deep branch of the ulnar nerve.
- **Option D:** Correct because the **thenar muscles (abductor pollicis brevis, flexor pollicis brevis - lateral part, and opponens pollicis)** are primarily supplied by the **median nerve**, not the deep branch of the ulnar nerve.
## **Clinical Pearl / High-Yield Fact**
A key clinical correlation is **ulnar claw hand**, which results from ulnar nerve damage. This leads to the hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints of the 4th and 5th fingers due to the paralysis of the lumbricals and interossei muscles supplied by the ulnar nerve.
## **Correct Answer:** D. Thenar muscles.