Challenges and opportunities of early brachial plexus reconstruction in polytrauma: Case report and review of the literature

Assessment and treatment of brachial plexus injury in polytrauma patients is often challenging due to concomitant injuries and the role of immediate exploration remains debated. We present the case of a 21-year-old male with an infraclavicular brachial plexus injury as well as a floating shoulder and axillary artery rupture, successfully treated with early multidisciplinary intervention. Vascular repair, bone stabilization, and nerve reconstruction using grafts and transfers led to significant functional recovery. Early exploration prevents degenerative changes, optimizing nerve regeneration and facilitating early rehabilitation. This case highlights the benefits of early intervention in complex brachial plexus injuries to improve outcomes and quality of life.