The transfer of the long head of the triceps branch of the radial nerve to the anterior division of the axillary nerve is a well-established technique for restoring shoulder abduction in cases of C5,6 brachial plexus and isolated axillary nerve injuries. Patients should exhibit at least British Medical Research Council (MRC) grade 4 strength in elbow extension. Both posterior and anterior surgical approaches have been described for this procedure. Recovery of MRC grade 3 shoulder abduction has been reported in 82% of patients with brachial plexus or isolated axillary nerve injuries. Transfers from a clinically normal triceps resulted in better shoulder abduction strength and range of motion.