A patient with a C8-T1 injury will often present with a "Simian Hand" (flat hand due to loss of muscle bulk in the palm) and inability to perform fine motor tasks like writing or buttoning a shirt.
| Condition | Treatment | |-----------|-----------| | C8/T1 radiculopathy (disc/stenosis) | Conservative (PT, NSAIDs, epidural steroid injection); surgery if progressive weakness | | Neurogenic TOS | Physical therapy (scalene stretching, postural correction); surgical decompression if severe | | Pancoast tumor | Oncology: chemoradiation + possible surgical resection | | Klumpke’s palsy (birth) | OT, splinting, nerve transfer if no recovery by 3–6 months | A patient with a C8-T1 injury will often