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A vast majority of peroneal neuropathy cases occur along the common peroneal nerve (CPN) that passes around the fibular head (1). Most of these lesions are traumatic in origin due to laceration, traction, and especially compression (2, 3). Recording the compound muscle action potential (CMAP) over the extensor digitorum brevis or the tibialis anterior is performed to determine the localization or severity of the lesion (3-8). However, using this approach, we may not be able to determine the lesion's location if the focal lesion of the peroneal nerve is located at or distal to the fibular neck area (3). Lee proposed that recording the compound nerve action potential.
Compound nerve action potential of common peroneal nerve recorded at fibular neck: its clinical usefulness. Lee HJ1.