Intrinsic minus is a physical exam finding seen in patients who have ulnar nerve injuries. It is characterized by hyperextension of the metacarpophalangeal joints with flexion of the proximal and distal interphalangeal joints, most prominently affecting the fourth and fifth digits. It results from paralysis of the intrinsic hand muscles innervated by the ulnar nerve, including the ulnar lumbricals and the dorsal and palmar interossei. Loss of intrinsic muscle function leaves the extrinsic flexor
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