AAEM minimonograph #2: important anomalous innervations of the extremities
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Updated: Nov 7, 2026

Electrophysiological Motor Unit Number Estimation (MUNE) Measuring Compound Muscle Action Potential (CMAP) in Mouse Hindlimb Muscles
Published on: September 25, 2015
1Department of Neurology, West Virginia University School of Medicine, Morgantown.
Abstract:
Anomalous innervations of the extremities are common and influence the interpretation of electrophysiologic studies in normal patients and those with peripheral nerve lesions. The following anomalous innervations are reviewed: median to ulnar nerve communication; ulnar to median nerve communication; variations in the innervation of intrinsic muscles of the hand; accessory deep peroneal nerve; and tibial to peroneal nerve communication. The electrophysiologic recognition of these anomalies and the manner in which they affect the interpretation of electrodiagnostic studies in various conditions is emphasized.
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