Which muscle is tested in Froment’s sign?
## **Core Concept**
Froment's sign is a clinical test used to assess the function of a specific muscle in the hand. It evaluates the integrity of the **ulnar nerve**, particularly the **adductor pollicis muscle**, which is responsible for thumb adduction.
## **Why the Correct Answer is Right**
The correct answer, **Adductor pollicis**, is right because Froment's sign specifically tests the function of this muscle. During the test, the patient is asked to hold a piece of paper between their thumb and index finger. The examiner then tries to pull the paper away while the patient resists. A positive Froment's sign, indicated by the patient's inability to maintain grip on the paper due to compensatory flexion of the thumb IP joint (using **flexor pollicis longus**), suggests weakness of the **adductor pollicis muscle**. This muscle is primarily innervated by the **ulnar nerve**.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Incorrect because, although **flexor pollicis brevis** is involved in thumb movement, Froment's sign specifically tests for **adductor pollicis** function.
- **Option B:** Incorrect as **abductor pollicis longus** and **brevis** are involved in thumb abduction, not the action tested in Froment's sign.
- **Option C:** While **flexor pollicis longus** may show compensatory action in a positive Froment's sign (as the IP joint flexes), it is not the muscle being primarily tested.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that a positive Froment's sign often indicates **ulnar nerve damage** or dysfunction, which can lead to significant hand weakness and impairment. Clinicians should be aware that a positive sign might necessitate further investigation into the cause of the ulnar nerve compromise.
## **Correct Answer:** . Adductor pollicis