Dear Sir, Digital nerve injuries are common. The injury may be overlooked and the repair may fail requiring late reconstruction. A 17-year-old male was stabbed. The digital nerves to his thumb and radial aspect of the index finger were divided completely and repaired with the FPL tendon and both tendons to the index finger. At 3-months postoperatively there was no recovery of sensibility and the repair was explored. The digital nerve repairs had ruptured at the branching of a large single cutaneous branch of the median nerve into three smaller digital nerves supplying the thumb and the radial aspect of the index finger. The neuroma was excised leaving a gap of 2 cm. An anatomical trifurcation of the lateral antebra-chial cutaneous nerve was found which matched the injury. The nerve was harvested and grafted to the digital nerves (Fig 1). The review of the patient 6 months after the surgery showed improved sensibility of the affected fingers to deep touch and pin prick. Static two point discrimination was 6 mm.
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