The Sural, Superficial Peroneal, And Saphenous Nerves

Sural Nerve

Place the recording electrode posterior or inferior to the lateral malleolus and the reference electrode further down the lateral aspect of the foot. Apply, stimulation to the posterior-lateral aspect of the leg 14 cm above the recording electrode.

fig49 (1)fig50

Stimulation can also be applied at other points proximally along the nerve and conduction velocities calculated. Distances may be short, however, making these calculations less reliable. At times, especially when there is a lot of edema, needle electrode recording is needed.

Superficial Peroneal Nerve

We record the action potential with a bar electrode placed 2 fingerbreadths anterior to the lateral malleolus at the ankle. The nerve is stimulated 12cm proximal to the recording electrode on the anterolateral aspect of the leg overlying the fibula.

fig51 fig52

You can calculate velocities by stimulating the nerve at two points along its course.

Saphenous Nerve

The response is obtained from a bar recording electrode placed over the medial aspect of the tibia with the active electrode at 3 to 4 fingerbreadths above the medial malleolus. The nerve is stimulated 14 cm proximal to the active electrode with the stimulator probes tucked underneath the medial edge of the tibia.