Road accidents, especially those involving two-wheelers, can cause injuries beyond fractures — damaging the nerves that control arm and hand movement and at times leaving the limb almost paralysed. Brachial plexus injuries from road crashes account for 43% of related surgeries at AIIMS Bhopal, with two-wheeler accidents a major concern. Brachial plexus injuries account for 43% of surgery cases linked to road crashes at AIIMS Bhopal, highlighting a hidden trauma burden.