Skip to main content
. 2018 Jan;39(1):162–169. doi: 10.3174/ajnr.A5438

Table 2:

Criteria for stratifying of nerve injuries on MRN and surgery based on Sunderland classification

Class MRN Surgical
I Qualitative: Homogeneous increased T2 signal of nerve with no change in caliber Intact with no internal or external fibrosis, normal mobility and neuroarchitecture (visualize fascicles and Fanconi bands)
Quantitative: No changes
II Qualitative: Homogeneous increased T2 signal of nerve and mild nerve thickening Perineural fibrosis Intact with no internal fibrosis with external fibrosis, restricted mobility but neuroarchitecture intact (visualized fascicles and Fanconi bands once external scar removed)
Quantitative: <50% larger than contralateral /normal nerve
III Qualitative: Homogeneous increased T2 signal of nerve and moderate to marked nerve thickening Perineural fibrosis Intact with both internal and external fibrosis, restricted mobility and disturbance of neuroarchitecture (abnormal fascicle patterns and/or Fanconi bands not visible)
Quantitative: >50% larger than contralateral/normal nerve
IV Qualitative: Heterogeneous increased T2 signal of nerve and focal enlargement in otherwise continuous nerve (neuroma in continuity) Perineural and intraneural fibrosis Partial transected nerve, but some amount of distal nerve present with or without lateral neuroma
Quantitative: Focal swelling with heterogeneous T2 signal or fascicular disruption
V Qualitative: Discontinuous nerve with end-bulb neuroma Completely transected nerve with or without amputation (end-bulb) neuroma
Quantitative: Complete disruption with gap and end-bulb neuroma