Froment’s sign is positive in cases of weakness of ?
**Core Concept**
Froment's sign is a clinical test used to assess the strength of the adductor pollicis muscle, which is responsible for thumb adduction. This muscle is innervated by the ulnar nerve and plays a crucial role in the fine motor functions of the hand, particularly in grip and pinch movements.
**Why the Correct Answer is Right**
A positive Froment's sign indicates weakness of the adductor pollicis muscle, which is unable to contract effectively to perform thumb adduction. When the adductor pollicis muscle is weakened, the flexor pollicis longus muscle, which is innervated by the anterior interosseous nerve, compensates by flexing the distal phalanx of the thumb to maintain grip strength. This is a classic example of the "weak muscle, strong antagonist" phenomenon, where a weakened muscle is compensated by its antagonist to maintain function.
**Why Each Wrong Option is Incorrect**
**Option B:** Thumb abduction is primarily performed by the abductor pollicis longus and brevis muscles, which are not assessed by Froment's sign.
**Option C:** Thumb flexion is performed by multiple muscles, including the flexor pollicis longus, which compensates for adductor pollicis weakness in Froment's sign, but is not the primary action being tested.
**Option D:** Thumb extension is primarily performed by the extensor pollicis longus and brevis muscles, which are not related to Froment's sign.
**Clinical Pearl / High-Yield Fact**
A positive Froment's sign is a sensitive indicator of ulnar nerve injury or compression, particularly at the elbow or wrist, and should prompt further investigation to rule out nerve damage.
**β Correct Answer: A. Thumb adduction**