{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T15:48:10Z","timestamp":1790092090962,"version":"4.0.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Claw deformity is a devastating consequence of low ulnar nerve palsy, resulting in loss of finger function. Traditionally, the Brand transfer is a favored intervention but requires lengthy grafts and bulky tenorrhaphies, risking adhesions in the lumbrical canal. We present a modified Brand tendon transfer, which extends the extensor carpi radialis brevis (ECRB) into 4 tails for individual grafting into the lateral band, decreasing adhesion risk and graft length need.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Nine consecutive patients with claw hand were examined in detail to confirm the diagnosis and appropriateness for claw-correction surgery by the senior author. All patients underwent our modified Brand transfer. Follow-up for a minimum of 6 months was pursued for each patient, with range of motion, grip strength, and pinch strength recorded at that time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Treated patients demonstrate maintained grip and pinch strength, coordinated grasp, and improvement in metacarpophalangeal posture. One patient required reoperation for extensive scarring and underwent tenolysis of the tendon grafts and revision grafting for the small finger.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We concluded that our modified weave of a 4-tailed tendon graft through the ECRB is a synergistic transfer that maintains acceptable hand strength in the setting of a chronic low ulnar nerve palsy with a lower risk of tendon adhesion and length of grafting, offering an additional tool in the armamentarium of the hand surgeon approaching the ulnar nerve\u2013injured hand.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241257558","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T06:57:45Z","timestamp":1718002665000},"page":"1057-1063","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Modification to the Brand Transfer for Claw Hand: The Four-Tailed Extensor Carpi Radialis Brevis to Lateral Band Transfer"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6240-5981","authenticated-orcid":false,"given":"Lauren E.","family":"Wessel","sequence":"first","affiliation":[{"name":"University of California, Los Angeles, Santa Monica, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2377-1364","authenticated-orcid":false,"given":"Nirbhay S.","family":"Jain","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambika E.","family":"Paulson","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2035-7926","authenticated-orcid":false,"given":"Carrie","family":"Bettlach","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5072-1733","authenticated-orcid":false,"given":"Mitchell A.","family":"Pet","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4951-1325","authenticated-orcid":false,"given":"Amy M.","family":"Moore","sequence":"additional","affiliation":[{"name":"The Ohio State University, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2018.08.002"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2011.09.009"},{"key":"e_1_3_2_4_2","first-page":"1077","article-title":"Bone block operation for Clawhand","volume":"118","author":"Mikhail IK.","year":"1964","unstructured":"Mikhail IK. Bone block operation for Clawhand. Surg Gynecol Obstet. 1964;118:1077-1079.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195739050-00007"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0072-968X(73)90028-4"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90019-1"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197355080-00011"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B3.444"},{"key":"e_1_3_2_10_2","first-page":"1","article-title":"Surgery of the intrinsic muscles of the hand other than those producing opposition of the thumb","volume":"24","author":"Bunnell S.","year":"1942","unstructured":"Bunnell S. Surgery of the intrinsic muscles of the hand other than those producing opposition of the thumb. J Bone Joint Surg. 1942;24:1-3.","journal-title":"J Bone Joint Surg"},{"key":"e_1_3_2_11_2","volume-title":"Treatment of Injuries of Peripheral Spinal Nerves","author":"Stiles HJ","year":"1922","unstructured":"Stiles HJ, Forrester-Brown MF. Treatment of Injuries of Peripheral Spinal Nerves. H. Frowde and Hodder and Stoughton; 1922."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197352040-00004"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195335020-00003"},{"key":"e_1_3_2_14_2","first-page":"125","article-title":"Note sur une paralysie partielle des muscles de la main","volume":"18","author":"Bouvier M.","year":"1851","unstructured":"Bouvier M. Note sur une paralysie partielle des muscles de la main. Bull Acad Nat Med (Paris). 1851;18:125.","journal-title":"Bull Acad Nat Med (Paris)"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e31824a441c"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(83)80044-6"},{"key":"e_1_3_2_17_2","first-page":"1745","volume-title":"Rehabilitation of the Hand and Upper Extremity","author":"Michlovitz S","unstructured":"Michlovitz S. Ultrasound and selected physical agent modalities in upper extremity rehabilitation. In: Mackin E, Callahan A, Skirven T, et al eds. Rehabilitation of the Hand and Upper Extremity (Vol. 2). 5th ed. Mosby; 2002:1745-1763.","edition":"5"},{"key":"e_1_3_2_18_2","first-page":"1745","volume-title":"Rehabilitation of the Hand and Upper Extremity","author":"Blackmore S","unstructured":"Blackmore S, Williams D, Wolf S. The use of biofeedback in hand rehabilitation. In: Mackin E, Callahan A, Schneider L, et al eds. Rehabilitation of the Hand and Upper Extremity (Vol. 2). 5th ed. Mosby; 2002:1745-1763.","edition":"5"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198203000-00012"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2003.50004"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.47276\/lr.93.2.102"},{"key":"e_1_3_2_22_2","volume-title":"Clinical Mechanics of the Hand","author":"Brand R","year":"1993","unstructured":"Brand R, Hollister A. The motor muscles of the hand. In: Brand P, ed. Clinical Mechanics of the Hand. 2nd ed. Mosby; 1993.","edition":"2"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447241257558","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447241257558","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447241257558","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:29:32Z","timestamp":1777447772000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447241257558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,10]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1177\/15589447241257558"],"URL":"https:\/\/doi.org\/10.1177\/15589447241257558","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,10]]}}}