Unusual Splitting of Medial Cord of the Right Brachial Plexus and Its Relation to the Axillary Artery and Subscapular Artery: A Case Report

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.