In klumpke’s paralysis nerve roots involved are
**Core Concept**
Klumpke's paralysis is a type of brachial plexus injury that affects the lower nerve roots, leading to weakness or paralysis of the muscles of the forearm and hand. It is characterized by damage to the C8 and T1 nerve roots, which are responsible for controlling the muscles of the forearm and hand.
**Why the Correct Answer is Right**
Klumpke's paralysis occurs when there is a traction injury to the lower brachial plexus, typically during a difficult delivery or a fall onto an outstretched hand. The C8 and T1 nerve roots are stretched or torn, leading to damage to the muscles of the forearm and hand. The ulnar nerve, which arises from the C8 and T1 nerve roots, is often affected, resulting in weakness or paralysis of the intrinsic muscles of the hand. The median nerve, which arises from the C6 to T1 nerve roots, may also be affected, leading to weakness of the flexor digitorum profundus muscle.
**Why Each Wrong Option is Incorrect**
**Option A:** C6-C7 is incorrect because this nerve root level is associated with Erb's palsy, not Klumpke's paralysis.
**Option B:** C7-C8 is incorrect because while C8 is involved in Klumpke's paralysis, C7 is not typically affected.
**Option D:** T1-T2 is incorrect because T2 is not typically involved in Klumpke's paralysis, and the injury is usually limited to the C8 and T1 nerve roots.
**Clinical Pearl / High-Yield Fact**
Klumpke's paralysis is often associated with a "claw hand" deformity, where the fingers are flexed at the proximal interphalangeal joints and extended at the distal interphalangeal joints. This is due to the weakness of the intrinsic muscles of the hand, which are responsible for fine motor movements.
**Correct Answer:**
β Correct Answer: C. C8-T1