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Hand Therapy Practice Exam Question 23

23.   After radial wrist extension, radial deviation, and supination have returned in a patient with a high radial nerve lesion, what function would you expect to return next? A.  Pronation  B.  Ulnar wrist extension and ulnar deviation  C.  Thumb extension  D.  Finger extension 

Hand Therapy Practice Exam Question 23 ANSWER

Correct answer  B.  Ulnar wrist extension & ulnar deviation  After innervating the extensor carpi radialis brevis (ECRB) and extensor carpi radialis longus (ECRL) at the elbow, the radial nerve divides into the posterior interroseous nerve (PIN) and the superficial branch of the radial nerve. The PIN provides motor function to the following muscles, in order proximal to distal: Supinator, extensor carpi ulnaris, extensor digitorum communis, extensor digiti minimi, abductor policis longus, extensor policis longus, extensor policis brevis, extensor indicis. The pronator is innervated by the median nerve therefore answer (A) pronation, is incorrect.   Reference:    Rehabilitation of the Hand and Upper Extremity, 6 th  edition.   Chapter 3: Anatomy and Kinesiology of the Elbow