Radial nerve injury may be the consequence of a complex humerus fracture, direct nerve trauma, compressive neuropathies, neuritis, or (rarely) from malignant tumor, and considered one of the most debilitating injury affecting function in the hand because of impairment of grasp. These injuries are not uncommon in our society resulting in poor quality of living, dependency & loss of livelihood.More than 70% of RNP cases will recover conservatively. Conservative treatment consists of the patient wearing a brace and undergoing rehabilitation. The aim of rehabilitation is to maintain the passive motion of various joints and to limit the risk of adhesions. Tendon transfers are also an alternative method and it has been used for over a century to restore function after radial nerve injury or paralysis with good results. Innumerous tendon transfers have been described to treat radial nerve palsy, and all have their advocates who have shown commendable results.