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In upper brachial plexus injury (UBPI), restoring shoulder function is crucial. This study compares the transfer of long and lower medial heads of triceps branches to the axillary nerve to achieve proper restoration of function. A retrospective comparative study was conducted between two groups of patients with (UBPI). Group I patients (1 [mean age 19 ± 10.6 years] were managed by transferring triceps long head branch to axillary nerve while group II patients (8) [mean age 26 ± 9.6 years] were managed by triceps lower medial head bran