Restoration of elbow extension, grasp, key pinch, and release are major goals in low-level tetraplegia. Traditionally, these functions are achieved using tendon transfers. In this case these goals were achieved using nerve transfers. We present a 21-year-old man with a C6 level of tetraplegia. The left upper limb was treated 6 months after injury with a triple nerve transfer. A teres minor nerve branch to long head of triceps nerve branch, brachialis nerve branch to anterior interosseous nerve, and supinator nerve branch to posterior interosseous nerve transfer were used successfully to reconstruct elbow extension, key pinch, grasp, and release simultaneously.
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Published online: July 23, 2014
Accepted: June 11, 2014
Received: October 24, 2013
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
© 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.