Srampickal GM, Mathew A, Raveendran S, et al. - This study was attempted to evaluate the recovery of elbow flexion power and to match the outcome following single nerve transfer and double nerve transfer to branches of the musculocutaneous nerve in adult traumatic brachial plexus injury. Researchers performed a retrospective cohort study of patients with traumatic upper brachial plexus injury who had undergone nerve transfer of the musculocutaneous nerve with either Ulnar nerve fascicles or both Ulnar and Median nerve fascicles for restoring elbow flexion. They included individuals with a minimum follow up of 18 months after surgery in this study. They assessed elbow flexion strength applying a force transducer and software module and compared the results between the two groups. This study’s findings reveal that the additional nerve transfer of median nerve fascicles with musculocutaneous nerve branch to the brachialis muscle does not add clinically obvious morbidity to the patient but has definite benefit as observed in the study. Whether the median and ulnar nerve functions are normal, they suggest double fascicular nerve transfer for elbow flexion in upper brachial plexus injuries.