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![Understanding the management of brachial plexus birth palsy and the roles of nerve transfers](https://image.oaes.cc/8f9e2d59-520f-40f7-8a78-e112c7907a12/5679.fig.4.jpg)
Figure 4. Distal nerve transfers. (Top) Posterior approach transferring a distal branch of the spinal accessory nerve to the suprascapular nerve and also releasing the scapular ligament. (Center) Transferring a motor branch of the radial nerve to the lateral triceps to reinnervate the axillary nerve close to its neuromuscular junction in the deltoid muscle. (Below) Using a motor branch of the ulnar nerve to the flexor carpi ulnaris muscle to reinnervate the biceps muscle. Shared with permission by authors[41].