Case Overview: This video demonstrates superficialis to profundus tendon transfer in a woman with a malodorous clenched fist after a stroke. Superficialis to profundus tendon transfer was performed in the forearm. Indications, contraindications, technical pearls, and potential pitfalls are discussed. Preoperative and postoperative imaging studies are included.

Method/Technique: The video highlights the technical aspects of the procedure and discusses clinical indications and outcomes.

Results: Historical results and outcomes from the literature are presented and discussed.

Summary: Superficialis to profundus tendon transfer can be used to manage a malodorous clenched fist. Indications for, contraindications for, and technical pearls and potential pitfalls of superficialis to profundus tendon transfer are presented.