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deterioration of medical care for appendicitis. Reconstruction of thump opposition with selective nerve transfer of the motor branch of the abductor digiti minimi muscle (ADM) to the thenar motor branch. Injury of the median nerve or thenar motor branch and resulting loss of thumb opposition. Combined median and ulnar nerve injuries or brachial plexus lesions of C8-Th1, or a time interval 12months since denervation of the thenar branch. The ADM motor branch is microsurgically dissected and transferred to the thenar branch. After