Results 8 years after surgery. The accessory nerve was connected to the suprascapular nerve, half of the hypoglossal nerve was grafted to the musculocutaneous nerve, and the platysma motor branch was transferred to the medial pectoral nerve. The patient recovered 45° of abduction and full elbow flexion, scoring M4. Shoulder adduction was restored with a M4 power. In 7, note shoulder adduction without concomitant elbow flexion. The independent control of these 2 functions is advantageous for the patient.