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However, children with persistent wrist extension paralysis have limited surgical options, particularly in the setting of extensive plexus injury. Notably, infants with C5-C8 injuries often lose wrist extension while preserving median nerve function due to intact T1 contributions. We report two infants in whom wrist extension was successfully restored using an anterior interosseous nerve-to-extensor carpi radialis brevis (AIN-ECRB) nerve transfer.<\/jats:p>","DOI":"10.1007\/s00381-026-07460-0","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T03:35:34Z","timestamp":1789356934000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior interosseous to extensor carpi radialis brevis nerve transfer for wrist extension in brachial plexus birth injury"],"prefix":"10.1007","volume":"42","author":[{"given":"Alejandro J.","family":"Friedman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Pettitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Gotlieb-Horowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn Ann","family":"Forrester","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M.","family":"Koehler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"7460_CR1","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.jhsa.2021.11.014","volume":"47","author":"JA Bertelli","year":"2022","unstructured":"Bertelli JA, Ghizoni MF (2022) Reconstruction of C5-C8 (T1 hand) brachial plexus paralysis in a series of 52 patients. 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