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. Author manuscript; available in PMC: 2012 Nov 1.
Published in final edited form as: Hand Clin. 2011 Nov;27(4):495–509. doi: 10.1016/j.hcl.2011.07.002

Figure 4. Distal anterior interosseous nerve (AIN) to median recurrent motor branch (RMB) transfer.

Figure 4

For hand transplants at or below the level of the pronator quadratus muscle (left), the host AIN may serve as a reliable donor of motor axons to the thenar muscles, via nerve transfer to the RMB. The AIN may be transferred to the RMB either with the use of an interposing nerve graft (middle) or after more proximal motor fascicle dissection of the donor nerve (right). (Adapted from Colbert SH, Mackinnon SE. Nerve transfers in the hand and upper extremity. Tech Hand Up Extrem Surg 2008;12:20–33 and from Brown JM, Mackinnon SE. Nerve transfers in the forearm and hand. Hand Clinics. 2008;24:319-40; with permission.)