Abstract
INTRODUCTION: Forearm lacerations could lead to disastrous disabilities, nerve injuries led by the ulna nerve cause severe hand deformity and disfunction with little options to repair. CASE PRESENTATION: A young male suffered a distal ulna nerve injury and underwent multiple surgeries over two years. Zancolli-Lasso procedure was done, and major improvement was obtained. DISCUSSION: A comprehensive approach for claw hand is essential, supple mobile joints and the Bouvier maneuver are the most decisive factors, literature shows that the right procedure will work for the right patient. CONCLUSION: The Zancolli procedure could be a simple viable treatment for a compliant patient who suffers from hand clawing and adapted to a weaker pinch.