Site of Injure in Higher lesion - Around Elbow

Lesion Can happen due to - Supracondylar fracture of Humerus and Pronator teres syndrome(Entrapment of median nerve between the two heads of pronator teres)

Motor Loss -

• Forearm in Supine Position.
• Weak wrist flexion.
• Ulnar deviation on attempted flexion.
• Loss of interphalangeal flexion at index and middle fingers- Benediction Hand.
• Pointing index finger - Ochsner's Clasping Hand.
• Loss of terminal phalanx of thumb fexion. Pinch defect. Ape thumb deformity.
• Paralysis of two lumbricals of index and middle fingers and thenar muscles.

Sensory Loss - Loss of sensation in lateral half of the palm and lateral 3.5 digits(including nailbeds)

The motor are sensory loss that occur due to median nerve injury are discussed above.