Published online Jul 18, 2013. doi: 10.5312/wjo.v4.i3.107
Revised: May 3, 2013
Accepted: June 8, 2013
Published online: July 18, 2013
Core tip: Intercostal nerves are a very good choice for elbow flexion or extension and shoulder abduction when the intraplexus donor nerves are not available. Use in combination with proper muscles, intercostal nerve transfer can yield adequate power to the paretic upper limb. Reinnervation of native muscles (i.e., latissimus dorsi) should always be sought as they can successfully be transferred later on for further functional restoration.