Ulnar Nerve Injury and Froment's Test: A Case Report
Traumatic, peripheral nerve injuries can be easily missed in the emergency department. The attending physician needs to maintain a high index of suspicion when reviewing patients with extremity injuries. We present a case of a stable, 28-year-old male sustaining penetrating trauma to his right forea...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2019-12, Vol.11 (12), p.e6335 |
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| creator | Cloete, David Lahri, Sa'ad |
| description | Traumatic, peripheral nerve injuries can be easily missed in the emergency department. The attending physician needs to maintain a high index of suspicion when reviewing patients with extremity injuries. We present a case of a stable, 28-year-old male sustaining penetrating trauma to his right forearm with resultant, isolated ulnar nerve transection. Clinical findings and related anatomy are discussed pertaining to this patient's injury, with specific reference to Froment's test. This is a useful clinical adjunct when reviewing potential ulnar nerve injuries, demonstrating disruption of specific motor innervation to the thumb when such pathology exists. As a result, compensatory hyperflexion occurs with attempted thumb adduction, due to intact median nerve innervation of flexor pollicis longus. Early recognition of this pathology, whether isolated or concomitant, allows for early appropriate referral and improved patient outcomes. |
| doi_str_mv | 10.7759/cureus.6335 |
| format | Article |
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The attending physician needs to maintain a high index of suspicion when reviewing patients with extremity injuries. We present a case of a stable, 28-year-old male sustaining penetrating trauma to his right forearm with resultant, isolated ulnar nerve transection. Clinical findings and related anatomy are discussed pertaining to this patient's injury, with specific reference to Froment's test. This is a useful clinical adjunct when reviewing potential ulnar nerve injuries, demonstrating disruption of specific motor innervation to the thumb when such pathology exists. As a result, compensatory hyperflexion occurs with attempted thumb adduction, due to intact median nerve innervation of flexor pollicis longus. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2019, Cloete et al. 2019 Cloete et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c306t-ce468b20b9bbdf0216f7bf7568bb6c7ea6509c4bd6e5f2905de1dd7bbca4dbce3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952870/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952870/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31929954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cloete, David</creatorcontrib><creatorcontrib>Lahri, Sa'ad</creatorcontrib><title>Ulnar Nerve Injury and Froment's Test: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Traumatic, peripheral nerve injuries can be easily missed in the emergency department. The attending physician needs to maintain a high index of suspicion when reviewing patients with extremity injuries. We present a case of a stable, 28-year-old male sustaining penetrating trauma to his right forearm with resultant, isolated ulnar nerve transection. Clinical findings and related anatomy are discussed pertaining to this patient's injury, with specific reference to Froment's test. This is a useful clinical adjunct when reviewing potential ulnar nerve injuries, demonstrating disruption of specific motor innervation to the thumb when such pathology exists. As a result, compensatory hyperflexion occurs with attempted thumb adduction, due to intact median nerve innervation of flexor pollicis longus. Early recognition of this pathology, whether isolated or concomitant, allows for early appropriate referral and improved patient outcomes.</description><subject>Anatomy</subject><subject>Case reports</subject><subject>Elbow</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Fingers & toes</subject><subject>Gloves</subject><subject>Orthopedics</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkM1LAzEQxYMottSevEvAgwfZmuzmY-NBKMVqoShIew75Wm1pNzXZLfS_N6Va6mmGmcebNz8ArjEacE7Fg2mDa-OAFQU9A90cszIrcUnOT_oO6Me4RAhhxHPE0SXoFFjkQlDSBWS-qlWAby5sHZzUyzbsoKotHAe_dnVzF-HMxeYRDuFIRQc_3MaH5gpcVGoVXf-39sB8_DwbvWbT95fJaDjNTIFYkxlHWKlzpIXWtkIpUMV1xWkaama4U4wiYYi2zNEqF4hah63lWhtFrDau6IGng--m1WtnTQoU1EpuwmKtwk56tZD_N_XiS376rWSC5iVHyeD21yD47zY9Ipe-DXXKLPOCCIxJYpJU9weVCT7G4KrjBYzknrI8UJZ7ykl9cxrqqP1jWvwAGeh5qw</recordid><startdate>20191210</startdate><enddate>20191210</enddate><creator>Cloete, David</creator><creator>Lahri, Sa'ad</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20191210</creationdate><title>Ulnar Nerve Injury and Froment's Test: A Case Report</title><author>Cloete, David ; Lahri, Sa'ad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c306t-ce468b20b9bbdf0216f7bf7568bb6c7ea6509c4bd6e5f2905de1dd7bbca4dbce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anatomy</topic><topic>Case reports</topic><topic>Elbow</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Fingers & toes</topic><topic>Gloves</topic><topic>Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cloete, David</creatorcontrib><creatorcontrib>Lahri, Sa'ad</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cloete, David</au><au>Lahri, Sa'ad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ulnar Nerve Injury and Froment's Test: A Case Report</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2019-12-10</date><risdate>2019</risdate><volume>11</volume><issue>12</issue><spage>e6335</spage><pages>e6335-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Traumatic, peripheral nerve injuries can be easily missed in the emergency department. 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| ispartof | Curēus (Palo Alto, CA), 2019-12, Vol.11 (12), p.e6335 |
| issn | 2168-8184 2168-8184 |
| language | eng |
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| source | PubMed Central Open Access; PubMed Central |
| subjects | Anatomy Case reports Elbow Emergency medical care Emergency Medicine Fingers & toes Gloves Orthopedics |
| title | Ulnar Nerve Injury and Froment's Test: A Case Report |
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