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Pen Test for Abductor Pollicis Brevis (APB) (Median nerve – C8–T1) Purpose To assess the strength and function of Abductor Pollicis Brevis, which is commonly affected in median nerve lesions (e.g., carpal tunnel syndrome). Muscle Action Abduction of the thumb at the carpometacarpal (CMC) joint Movement is perpendicular to the plane of the palm (lifting thumb away from palm) Procedure (Pen Test) Ask the patient to place the hand supinated (palm facing up). Ask the patient to abduct the thumb stra
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