A patient comes into your office complaining of weakness in their grip and parae

Question

A patient comes into your office complaining of weakness in their grip and paraesthesia in the hand. You notice an obvious guttering (muscle atrophy) between the metacarpal bones. The patient tells you there has been no recent injury that they can attribute to this problem. What would you ask the patient? What tests would you do to further your understanding of the problem? Where would you look for the lesion? What could be causing the problem? Explain how the answer is known, through anatomical reasoning.

Explanation / Answer

Muscle atropy is nothing but decrease in muscle size resulting from lack of stimulation causing reduced protein synthesis and leads to increase in protein degradation.

The patient should be asked that whether he has muscle weakness regularly and if there is any loss of sensation or not.

Genetic testing on a blood or tissue sample is done in order to identify the symptoms of muscular atropy.

Muscular atropy usually reflects lower motor neurons and it is a major sign for lesion.

Muscle atropy is nothing but muscle weakness and it may be caused due to damage in ulnar nerve which there by causes loss of sensation.It can be confined to one muscle group or be more generalised.

Muscle atropy is mainly due to lack of physical activity .It there by decreases muscle mass which finally leads to muscle weakness and it may be a cause of atropy.

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