2004-2005 Sterling Bunnell Traveling Fellowship report.

The Bunnell Traveling Fellowship was established in 1982 with the purpose of sponsoring a young hand surgeon in the development of national and international relationships that contribute to his/her pursuit of higher learning and that foster the principles of scholarship of the American Society for Surgery of the Hand. I was fortunate to be selected as the 24th Sterling Bunnell Fellow, and I had the opportunity to follow in the footsteps of the 23 former fellows. In Bunnell's Surgery of the Hand, Fourth Edition (Boyes JH, ed. Philadelphia, Lippincott; 1964:561-567), a man with a brachial plexus injury was described. The recommended treatment was shoulder arthrodesis and transhumeral amputation, followed by fitting of an above-elbow prosthesis. Sterling Bunnell has been quoted as saying, "To someone who has nothing, a little is a lot." Nowhere in the field of hand surgery is this more true than in patients with brachial plexus injuries. The theme and purpose of my traveling fellowship was to evaluate the status and advances of adult brachial plexus surgery throughout the world, to determine the utility of the contralateral C7 nerve transfer, to evaluate the optimal reconstruction of grasp, and finally to determine the philosophies of experts around the world regarding the treatment of these patients.