Which of the following movement of thumb is lost in ulnar nerve injury
## **Core Concept**
The ulnar nerve primarily controls muscles involved in finger movements and some intrinsic hand muscles. Thumb movements are primarily governed by the median nerve (thenar muscles) and the ulnar nerve (adductor pollicis). The specific movement of the thumb that is associated with the ulnar nerve is adduction.
## **Why the Correct Answer is Right**
The adductor pollicis muscle, which is responsible for thumb adduction, is innervated by the ulnar nerve. When the ulnar nerve is injured, the adductor pollicis muscle is weakened or paralyzed, leading to a loss of thumb adduction. This movement is crucial for grasp and fine motor functions of the hand.
## **Why Each Wrong Option is Incorrect**
* **Option A:** Flexion of the thumb is primarily controlled by the flexor pollicis longus (median nerve) and flexor pollicis brevis (median nerve), not the ulnar nerve.
* **Option B:** Abduction of the thumb is primarily controlled by the abductor pollicis longus (radial nerve) and abductor pollicis brevis (median nerve), not the ulnar nerve.
* **Option D:** Opposition of the thumb, crucial for grasp, involves the thenar muscles (opponens pollicis, flexor pollicis brevis, and abductor pollicis brevis) which are innervated by the median nerve.
## **Clinical Pearl / High-Yield Fact**
A key clinical test for ulnar nerve injury is the Froment sign, where a patient is asked to hold a piece of paper between their thumb and index finger. Normally, the adductor pollicis (ulnar nerve) helps in adduction of the thumb. If the ulnar nerve is injured, the patient compensates by using the flexor pollicis longus (innervated by the median nerve), leading to flexion of the interphalangeal joint of the thumb.
## **Correct Answer:** . Adduction of thumb.