@dr.arshad.childspecialis: This 5-year-old child developed weakness of one hand following surgical fixation of an elbow fracture. The examination demonstrates a claw hand deformity with marked thenar and hypothenar muscle wasting, consistent with combined median and ulnar nerve injury. Nerve conduction studies and electromyography help define the extent of injury and guide management. Early rehabilitation is essential, while persistent deficits may require peripheral nerve surgery or tendon transfer to improve hand function.