Chapter 1 The wasted hand

Video 1 Benediction sign

The patient fails to flex the terminal phalanx of the thumb and index. There is wasting of the thenar eminence. The patient has a proximal median nerve lesion.

Video 2 Deep branch lesion of the ulnar nerve

The patient is unable to abduct the index finger on the right, and there is wasting of the first dorsal interosseous muscle.

Video 3 Dystrophia myotonica

Frontal balding, ptosis, ‘horizontal smile’, failure to bury the eye lashes, myotonia causing slowing of fist opening, and per cussion myotonia of thumb abduction.