Question: Hi, I was in a car accident almost 6 months ago. I lost the function of my left hand completely. It is spasming all day and is contorted into a fixed fingers flexed position. the fingers do variate slightly in thier positions depending on what I am doin but not by much. My questions are 1. My neck MRI showed mild uncovertebral hypertrophy. Would this be the cause? 2. This to me seems like nerve compression but I had a normal EMG. 3. When I bend my neck to the right as far as it will go (my neck has to touch my ear my hand will start to open, then my fingers get stuck where they are currently in contracture. I have had Ct scan of neck and brain, EMG, MRI of neck and Brachial plexus. Everything but the neck MRI was normal. I don't know what to do, I have pain that is burning, shooting and aching, discolored skin on hand and arm which gets mottled and purple. Also severe tingling in wrist and hand. Bad spasms in hand and fingers. My hand and arm goes from hot to freezing cold. I don't want to be permantly stuck using one hand. I have heard multiple terms thrown around and I'm confused. Does this sound like nerve compression to you?

I did not cut my arm at all during the accident. I know it cant be a crush injury because nothing was crushed. The tractor trailer truck side swiped my car and knocked the mirror off. I was wearing a seat belt and I got jossled to the right.The fingers affected are all of them except my pinky. My thumb is clamped down on top of my bent first finger. I cannot lift my thumb or use it at all. My second (middle finger and third (ring) finger are bent as well. My hand has been in this claw position for so long it is in contracture. I have severe numbness and tingling in my thumb, first and second fingers, and my palm, with some tingling in the third finger. I believe I had both a nerve conduction and an EMG and the nerve conduction was normal. It was done 4 1/2 weeks after the accident. The EMG shows these results on the report.... "MOTOR NERVE CONDUCTION STUDIES OF THE LEFT MEDIAN AND ULNAR NERVES WERE NORMAL. RADIAL NERVE WAS NORMAL. SENSORY NCS'S WERE NORMAL OF LEFT MEDIAN, ULNAR AND RADIAL NERVES. CONCENTRIC NEEDLE ELECTROMYOGRAPHY (emg) OF SELECTED MUSCLES REPRESENTING THE LEFT C5-T1 MYOTOMES WAS PERFORMED. FIRST DORSAL INTEROSSEOUS (FDI) REVEALED INCREASED INSERTIONAL ACTIVITY AND POOR ACTIVATION. ABDUCTOR POLLIS BREVIS REVEALED POOR ACTIVATION, EXTENSOR DIGITORUM COMMUNIS REVEALED FAIR ACTIVATION. EMG OF C8 PARASPINAL MUSCLES, BICEPS, AND TRICEPS WERE NORMAL. IT SAYS THERE IS NO EVIDENCE OF BRACHIAL PLEXOPATHY OR CERVICAL RADICULOPATHY. IT DOES SAY THE NEEDLE EXAMINATION NOTABLE FOR SIGNIFICANTLY DECREASED ACTIVATION IN CLINICALLY INVOLVED MUSCLES. DECREASED ACTIVATION MAY REFLECT RECOMMENDED." You mentioned nerve compression at the upper limb level. Which nerve were you referring to and where is "upper limb level"? That is my question. Oh, can you please email me the answer. I have trouble opening the website up to confirm questions. THANK YOU!