Wartenberg Thumb Reflex

Forceful flexion of the fingers at the distal IP joints produces (Adduction, flexion, and opposition of the thumb) INSTEAD of a normal response of abduction and extension.  

This is a manifestation of a corticospinal tract lesion and has been called the upper extremity equivalent of Babinski’s plantar sign. 

This is distinct from unrelated Wartenberg sign in ulnar neuropathy.  

Dr. Boby Varkey Maramattom @bobvarkey

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Boby Varkey Maramattom @bobvarkey · 2 years ago
Lead consultant Neurologist, Aster Medcity, Kochi, India. Internal medicine faculty Royal college of UK https://twitter.com/bobvarkey
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