Tendon Transfer for Correction of Pinch in Chronic Ulnar Nerve Injury

Inclusion Criteria: * Patients with chronic ulnar nerve injury (more than 1 year duration). * Age between 18 and 60 years. * Patients with stable joints and good passive range of motion of the hand and fingers. * Absence of active infection or severe contracture. Exclusion Criteria: * • Patients with combined median or radial nerve injury. * Patients with severe soft-tissue loss or fixed deformities precluding tendon transfer. * Uncooperative patients or those with systemic diseases affecting muscle power or healing (e.g., diabetes mellitus, peripheral vascular disease).