Froment sign

Synonyms
Froment’s sign

The Froment sign is defined as compensatory flexion of the distal phalanx of the thumb by the flexor pollicis longus muscle, which occurs with paralysis of the adductor pollicis muscle.

Historical background

The Froment sign is named after the French neurologist Jules Froment (1878–1946), who observed the sign in patients with injuries to the ulnar nerve[^1].

Assessment

The Froment sign can be assessed by asking the patient to hold a sheet of paper firmly.

Froment sign
Normal use of the intrinsic hand muscles on the right and a positive Froment sign on the left. Figure adapted from Craig Richardson et al. 2003.

Interpretation

A positive Froment sign may occur with a distal lesion of the Ulnar nerve, as in patients with cubital tunnel syndrome. In the presence of concomitant Median nerve palsy, the Froment sign may be negative despite a distal ulnar nerve lesion.

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