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This report aims to describe a novel technique of distal nerve transfer designed for elbow extension reconstruction in patients sustaining a C5\u2013C7 nerve root injury. We report a patient sustaining a brachial plexus injury with triceps palsy and preserved finger extension motion; after careful intraneural dissection of the radial nerve, a fascicle innervating the <jats:italic>extensor digitorum communis<\/jats:italic> muscle was sectioned, derouted and connected to a motor branch to the lateral head of the triceps. Eleven months after surgery, elbow extension strength scored MRC M4. No deficits on finger extension were observed. \u00a9 2011 Wiley Periodicals, Inc. 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