Optimal stimulation site for deep peroneal motor nerve conduction study around the ankle: Cadaveric study

Ki Hoon Kim, Dong Hwee Kim, Hyeong Suk Yun, Byung Kyu Park, Ji Eun Jang

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

    Abstract

    Objective: To identify the optimal distal stimulation point for conventional deep peroneal motor nerve (DPN) conduction studies by a cadaveric dissection study. Method: DPN was examined in 30 ankles from 20 cadavers. The distance from the DPN to the tibialis anterior (TA) tendon was estimated at a point 8 cm proximal to the extensor digitorum brevis (EDB) muscle. Relationships between the DPN and tendons including TA, extensor hallucis longus (EHL), and extensor digitorum longus (EDL) tendons were established. Results: The median distance from the DPN to the TA tendon in all 30 cadaver ankles was 10 mm (range, 1-21 mm) at a point 8 cm proximal to the EDB muscle. The DPN was situated between EHL and EDL tendons in 18 cases (60%), between TA and EHL tendons in nine cases (30%), and lateral to the EDL tendon in three cases (10%). Conclusion: The optimal distal stimulation point for the DPN conduction study was approximately 1 cm lateral to the TA tendon at the level of 8 cm proximal to the active electrode. The distal stimulation site for the DPN should be reconsidered in cases with a weaker distal response but without an accessory peroneal nerve.

    Original languageEnglish
    Pages (from-to)182-186
    Number of pages5
    JournalAnnals of Rehabilitation Medicine
    Volume36
    Issue number2
    DOIs
    Publication statusPublished - 2012 Apr

    Keywords

    • Cadaver
    • Nerve conduction
    • Peroneal nerve
    • Stimulation

    ASJC Scopus subject areas

    • Rehabilitation

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