Shrugging of shoulder following neck surgery due to injury to:-
**Core Concept**
Injury to a specific nerve during neck surgery can lead to the shrugging of the shoulder, a condition known as _spinal accessory nerve (SAN) palsy_. The SAN is responsible for innervating the sternocleidomastoid and trapezius muscles, which play a crucial role in shoulder movement.
**Why the Correct Answer is Right**
The spinal accessory nerve arises from the cranial root, which emerges from the lateral surface of the medulla oblongata, and the cervical root, which emerges from the upper cervical spinal cord. The SAN then descends through the neck, passing between the sternocleidomastoid and trapezius muscles, and innervates these muscles. Injury to the SAN during neck surgery can result in weakness or paralysis of these muscles, leading to a characteristic shrugging of the shoulder. This is because the trapezius muscle, which is responsible for elevating and rotating the scapula, is unable to function properly.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the suprascapular nerve primarily innervates the supraspinatus and infraspinatus muscles, which are involved in shoulder rotation and abduction, but not the shrugging of the shoulder.
**Option B:** This option is incorrect because the long thoracic nerve innervates the serratus anterior muscle, which is responsible for scapular rotation and downward motion, but not the shrugging of the shoulder.
**Option C:** This option is incorrect because the axillary nerve primarily innervates the deltoid and teres minor muscles, which are involved in shoulder abduction and rotation, but not the shrugging of the shoulder.
**Clinical Pearl / High-Yield Fact**
To remember the spinal accessory nerve, recall that it is the nerve responsible for the "shrugging" of the shoulder, and that injury to this nerve can result in weakness of the trapezius and sternocleidomastoid muscles.
**Correct Answer:** C.