Patient information: A 35-year-old male patient, left hand dominant, presented to orthopaedic outpatient clinic with complaints of paraesthesia and weakness in his right hand for the past 6 weeks along with an inability to make a fist fully and difficulty in writing with the same hand. Clinical Findings: A detailed examination was carried out. General physical examination was unremarkable. Local examination revealed a 2 cm transverse surgical scar mark (from the venous cut down procedure) present at the medial aspect of right arm just proximal to the elbow crease (Fig. 1). He had appreciable wasting of thenar eminence of that hand as compared to the other side. There was decreased sensation over the lateral aspect of palm and palmar aspect of radial 31/2 digits as compared to the other side. He was unable to do the "OK sign", which suggested weakness of the flexor pollicis longus (FPL) and flexor digitorum profundus (FDP) of index finger (Fig. 2). "Pointing finger sign" was positive due to the inability to flex PIP and DIP joints of index finger (Fig. 3). Hence, a clinical diagnosis of median nerve injury secondary to peripheral venous cut down was made. Timeline: He reported that his symptoms started developing 6 weeks ago when he was admitted in emergency room and had a peripheral venous cut down procedure done to gain emergency vascular access as he had presented with intestinal perforation secondary to intestinal tuberculosis. Diagnostic Assessment: Clinical suspicion of median nerve injury warranted the need to do electrodiagnostic studies, EMG (electromyography) and NCV (nerve conduction velocity), to further aid in diagnosis. EMG revealed wasted right abductor pollicis brevis with decreased recruitment and interference pattern. Sensory NCV revealed lack of stimulation of fibres across right median nerve at the level of elbow. Hence, the diagnosis of median nerve injury was confirmed. Therapeutic intervention: Patient was explained the nature of the problem and a detailed discussion was held with him discussing the various treatment options, operative versus non-operative. Patient was counselled about the risks and benefits of the surgery and signed an informed consent form. Upon exploration, it was noted that the median nerve was tightly tied circumferentially with a non absorbable suture, (most likely being an ethilon suture, which is same as used to close the skin) forming a constriction band (Fig. 4). The constriction band was released and external neurolysis done (Fig. 5). Follow up & Outcomes: Post-operatively, patient underwent transcutaneous nerve stimulation daily for three weeks along with physiotherapy exercises. Around two weeks post operatively, it was noted that patient was able to flex PIP joint of index finger (Fig. 6). During follow-up visit, at around 4 months, he showed complete recovery in the function of the muscles of the hand innervated by median nerve i.e. flexor digitorum superficialis, lateral half of the flexor digitorum profundus and flexor pollicis longus and was able to make a full fist (Fig. 7). He was able to write normally, had no complaints of paraesthesia and could go back to work. He has been followed up for a period of 12 months and there have been no concerns.