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Published on: August 27, 2019
A novel technique for conduction studies of the infrapatellar nerve
Jeanna Tsenter1, Isabella Schwartz, Michal Katz-Leurer
1Department of Physical Medicine and Rehabilitation, Hadassah Medical Center-Hadassah University Hospital, Jerusalem, Israel.
Objective:
To introduce a noninvasive method for electrodiagnostic evaluation of the infrapatellar nerve (IPN).
Design:
A prospective cohort study.
Setting:
Electrodiagnostic laboratory, rehabilitation department, Hadassah University Hospital.
Participants:
A total of 38 healthy adults; 57 asymptomatic limbs were studied.
Methods:
Sensory nerve action potential of the IPN was recorded with surface electrodes placed 2.5 cm below the distal pole of the patella and 2 cm medially from the medial border of the patellar tendon. Transcutaneous antidromic electrical stimulation of IPN was applied above the medial femoral condyle and 8-10 cm proximally from the active surface electrode.
Results:
The sensory nerve action potential mean (n = 38) onset latency was 1.69 ± 0.32 ms. Peak latency was 2.36 ± 0.47 ms, and amplitude was 6.96 ± 3.68 μV.
Conclusions:
This article describes a novel and simple technique for IPN conduction electrodiagnostic examination. The method used provides a new tool to evaluate IPN injury in reference to anterior or inferior knee pain with associated sensory deficit.
