This document discusses the anatomy and clinical evaluation of median nerve injuries as well as various management strategies. It describes the anatomy of the median nerve and its branches that innervate different muscle groups in the arm and hand. Clinical presentations of high and low median nerve palsies are outlined. Surgical techniques for restoring function are proposed, including nerve transfers to regain opposition, sensation, flexion and pronation. Tendon transfers are also mentioned to help with opposition and finger flexion.