WASTING OF SMALL MUSCLES OF HAND

(classified according to site of pathology)

cord lesions affecting anterior horn cells at T1 level:

motor neurone disease

Friedreich's ataxia

syringomyelia

cord compression

polio

meningovascular syphilis

Charcot-Marie-Tooth disease

T1 root lesions:

cervical spondylosis

'dumb-bell' neurofibroma

brachial plexus lesions (lower cord - T1):

cervical rib

Pancoast tumour

Klumpke's paralysis (traumatic)

peripheral nerve lesions:

median and ulnar nerve lesions

muscle disease / other:

disuse atrophy

rheumatoid arthritis

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click here for a classification according to whether unilateral or bilateral

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