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Updated: Jun 16, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
Median to radial nerve transfer to restore wrist and finger extension: technical nuances
Justin M Brown1, Thomas H H Tung, Susan E Mackinnon
1Department of Neurological Surgery and Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Washington University Medical Center, St. Louis, Missouri 63110-1093, USA. brownjm@nsurg.wustl.edu
Background:
Traditional methods for restoring finger and wrist extension following radial nerve palsy include interposition nerve grafting or tendon transfers. We have described the utilization of distal nerve transfers for the restoration of radial nerve function in the forearm.
Objective:
We review the neuroanatomy of the forearm and outline the steps required for the implementation of this transfer.
Methods And Results:
We use a step-by-step procedural outline and detailed photographs, line drawings, and video to describe the procedure.
Conclusion:
This approach is technically feasible and is a reconstructive option for patients with this nerve deficit.
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