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Optimal Stimulation Site for Deep Peroneal Motor Nerve Conduction Study Around the Ankle: Cadaveric Study
Annals of Rehabilitation Medicine ; : 182-186, 2012.
Article Dans Anglais | WPRIM | ID: wpr-134662
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.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Nerf fibulaire commun / Tendons / Cadavre / Électrodes / Cheville / Muscles / NAD / Conduction nerveuse Limites du sujet: Animaux langue: Anglais Texte intégral: Annals of Rehabilitation Medicine Année: 2012 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Nerf fibulaire commun / Tendons / Cadavre / Électrodes / Cheville / Muscles / NAD / Conduction nerveuse Limites du sujet: Animaux langue: Anglais Texte intégral: Annals of Rehabilitation Medicine Année: 2012 Type: Article