Blackhand's Breadth

Blackhand's Breadth is a trinket which increases the wearer's critical hit chance.

Source
This item is a quest reward from the Alliance quest which starts with Marshal Maxwell at Morgan's Vigil in Burning Steppes. To complete the quest, you must kill General Drakkisath in Blackrock Spire and return to Marshal Maxwell.

It is also a quest reward from the Horde quest which starts with Thrall in Orgrimmar in Durotar. To complete the quest, you must turn in the following item to Thrall:
 * Head of Rend Blackhand

Horde
The quest chain for the Horde begins in Kargath.


 * (Quest Item)

Alliance
The quest chain begins by looting from Overlord Wyrmthalak in Lower Blackrock Spire.