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[Comment] Nerve transfers to restore upper limb function in tetraplegia

20:41 EDT 4 Jul 2019 | The Lancet

“For those who have nothing, a little is a lot.”1 As Sterling Bunnell, a pioneer of tetraplegic extremity reconstruction observed, small gains in function for people with spinal cord injury can equate to enormous gains in independence. People with mid-cervical spinal cord injury usually retain volitional movement at the shoulder and some control of their elbows and wrists. Hand opening and closing, a capacity that patients rate as more important to regain than walking or sexual function, is often lost.

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