Hovnanian transfer of latissimus dorsi muscle for paralysis of biceps and brachialis muscles. A, Normal anatomy of axilla; note that thoracodorsal nerve and artery are long and can be easily mobilized. B, Skin incision. C, Origin and belly of latissimus dorsi have been transferred to arm, and origin has been sutured to biceps tendon and to other structures distal to elbow joint. SEE TECHNIQUE 34.28.