Peripheral nerve injury can result in serious problems with a severe functional deficit. Solutions of individual cases vary and proper management based on the physician's sound professional experience is fundamental. In case of motor nerve lesions, time is the crucial factor due to the ongoing deterioration of motor end plates. Distal nerve transfers are procedures leading to the reduction of distance between the point of injury and the denervated muscles. The authors describe the case of a young boy with proximal ulnar nerve injury to present the method. Key words: ulnar nerve - nerve transfer - nerve injury.