2019•Open Access Macedonian Journal of Medical SciencesOpen access
Unusual Splitting of Medial Cord of the Right Brachial Plexus and Its Relation to the Axillary Artery and Subscapular Artery: A Case Report
Adegbenro Omotuyi John Fakoya, Emilio Aguinaldo, Natalia M Velasco-Nieves, Zachary T Vandeveer, Nannette Morales-Marrietti, Shannon Matthew, Abayomi Gbolahan Afolabi, Thomas McCracken
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Abstract
BACKGROUND: Variations in human anatomy have been associated with numerous clinical correlations that may affect patient care. In this article, we present a unique variation of the medial cord of the brachial plexus about the axillary artery and subscapular artery. The precise assessment of this unique morphology was performed during a cadaveric dissection. CASE PRESENTATION: Contrary to the general course of the medial cord of the brachial plexus, this report demonstrates a rare splitting of the medial cord around the axillary artery and a second abnormal communication between the posterior and medial cords that show a "nutcracker-like" syndrome involving the subscapular artery. CONCLUSION: Such variations could make surgeries challenging. We also infer that these anatomical variations could make gliding therapy inefficient in any motor dysfunction initiating from the brachial plexus.