Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 May 2;14(1):e14-e15.
doi: 10.1055/s-0039-1685531. eCollection 2019 Jan.

Anomalous Innervation to the Extensor Digitorum Brevis

Affiliations

Anomalous Innervation to the Extensor Digitorum Brevis

Marc A Swerdloff et al. J Brachial Plex Peripher Nerve Inj. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Compound muscle action potential (CMAP) of the extensor digitorum brevis (EDB) stimulating from various points on the foreleg. Normally the amplitude of the CMAP of the EDB obtained by stimulation of the deep peroneal nerve at the ankle would be equal to that obtained by stimulation at the popliteal fossa, that is, trace A would equal with B. With a deep peroneal to posterior tibial anastomosis, a response is elicited by stimulating the posttibial nerve at the medial ankle (trace D). If there was an accessory deep peroneal nerve contribution, trace C would have a response. Proximal tibial stimulation would elicit a robust response in trace E in an “all tibial foot.”
Fig. 2
Fig. 2
Stimulation sites used to obtain a compound muscle action potential (CMAP) of the extensor digitorum brevis (EDB). ( A ) anterior ankle, ( B ) Lateral popliteal fossa, ( C ) lateral ankle, ( D ) medial ankle, tarsal tunnel, and ( E ) medial popliteal fossa.
Fig. 3
Fig. 3
Illustration of deep peroneal/post tibial anastomosis that must be present to obtain our results. It is shown as red slanted lines.

References

    1. Preston D C, Shapiro B E. Cleveland, OH: Elsevier Saunders; 2013. Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic Correlations. 3rd ed; pp. 115–124.
    1. Yamashita M, Mezaki T, Yamamoto T. “All tibial foot” with sensory crossover innervation between the tibial and deep peroneal nerves. J Neurol Neurosurg Psychiatry. 1998;65(05):798–799. - PMC - PubMed
    1. Linden D, Berlit P. The intrinsic foot muscles are purely innervated by the tibial nerve (“all tibial foot”)--an unusual innervation anomaly. Muscle Nerve. 1994;17(05):560–561. - PubMed
    1. Stewart J D. New York, NY: Elsevier; 1987. Focal peripheral neuropathies; pp. 137–138.