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 language | English |
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Pages (from-to) | 182-186 |
Number of pages | 5 |
Journal | Annals of Rehabilitation Medicine |
Volume | 36 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2012 Apr |
Externally published | Yes |
Keywords
- Cadaver
- Nerve conduction
- Peroneal nerve
- Stimulation
ASJC Scopus subject areas
- Rehabilitation