During his one-year follow-up, no disease progression was observed except for a slight atrophy in the medial border of the left forearm, which added to the interosseal and hypothenar muscle
CMT patients showed diminished or absent tendon reflexes (100.0%), pes cavus (85.3%), drop foot (85.3%), and claw hand (32.4%), as well as bilateral atrophy of the first dorsal interosseous muscle (85.3%), bilateral thenar muscle atrophy (58.8%), hypothenar muscle
atrophy (bilateral 47.1%, unilateral 2.9%), gastrocnemius atrophy (bilateral 47.1%, unilateral 2.9%), and anterior tibial muscle atrophy (bilateral 52.9%, unilateral 5.9%).
There was wasting of interossei, thenar and hypothenar muscles
, more marked in the left hand and clawing in both hands (fig-1).
It innervates the hypothenar muscles
, third and fourth lumbricals, dorsal and palmar interossei muscles, adductor pollicis muscle, and deep head of the flexor pollicis brevis muscle.
Variations in the motor nerve supply of the thenar and hypothenar muscles
of the hand.
voluntary muscle testing showed Grade 0 power in the thenar and hypothenar muscles
In another case of ulnar nerve lesion, one could not find any denervation in hypothenar muscles
. These abnormal findings can be explained by the presence of an abnormal anastomosis of nerves in the upper extremity.
On motor examination, there was wasting of thenar and hypothenar muscles
of the right side with normal left sided examination.
The deep ulnar nerve is responsible for motor control of intrinsic hand function through innervation of the dorsal and palmar interossei, the lumbricals of fourth and fifth digits, the hypothenar muscles
(abductor, flexor and opponens digiti minimi), adductor pollicis muscle and the deep head of flexor pollicis brevis.
Atrophy of the first dorsal interosseous and hypothenar muscles
The deep branch curves around the hook of the hamate and turns radially across the interossei, supplying the hypothenar muscles
, the ulnar two lumbricals, all the interossei, and the adductor pollicis.
include the abductor digiti minimi (abducts the 5th finger), flexor digiti minimi (flexes the little finger) and oppenens digiti minimi (opposes the fifth digit).