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There was a question related to Shrugging off the Shoulder in Neck Surgery. What is it related to?

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When performing neck surgeries, be cautious of the accessory nerve to prevent postoperative shoulder dysfunction.
Updated On: June 02, 2025
  • Accessory nerve damage
  • Spinal cord injury
  • Shoulder dislocation
  • Thoracic outlet syndrome
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Solution and Explanation

Shrugging off the shoulder during neck surgery is often related to accessory nerve (cranial nerve XI) damage. This nerve innervates the trapezius muscle, which is responsible for shoulder shrugging. Damage to this nerve during surgery can result in weakness or paralysis of the trapezius muscle, leading to the inability to shrug the shoulder.
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