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The classic presentation, known as Klumpke-Dejerine palsy (Figure 7), is the claw hand , in which: the forearm is supinated the metacarpophalangeal joints are hyperextended the fingers are flexed In the case of the patient presented here, he did not show all the signs of either complete upper or lower brachial injury because not all of the spinal nerve roots were affected by the injury (C7 and possibly C6 were spared)

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