The Clinical Significance of Accessory Brachial Plexus Branches in Traumatic Shoulder Injuries
Year: 2025
Type: article
Study design: Observational Study
Abstract: This study examines the clinical signicance of accessory brachial plexus branches in traumatic shoulder injuries, an often overlooked anatomical consideration in shoulder trauma management. Through a prospective analysis of 124 patients with traumatic shoulder injuries, we identied that 37% presented with variations in brachial plexus anatomy, specically accessory branches. Surgical outcomes and recovery metrics demonstrated statistically signicant differences between patients with recognized and addressed accessory branches versus those with standard anatomical considerations. Electromyographic studies revealed that these accessory branches often maintain functional connectivity even when the primary neural pathways are compromised. Our ndings suggest that identication and preservation of these accessory branches during surgical intervention signicantly improves functional outcomes and reduces persistent neuropathic symptoms. This research highlights the importance of comprehensive preoperative neural mapping and intraoperative neurophysiological monitoring to identify these variations, potentially revolutionizing surgical approaches to traumatic shoulder injuries.
Authors: Monika Jaiswal, Azad Kumar, Avantika S. Bamne
Institution: Index Medical College, Hospital & Research Centre
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410050681