Table 1.
Classification of nerve injuries by Seddon and Sunderland
Sunderland | Seddon | Description | Examples |
---|---|---|---|
I | Neuropraxia | Localized damage to myelin | Relatively mild injury often involving compression of the nerve at a bony interface or indolent growth of a tumor |
II | Axonotmesis | Loss of axon continuity with damage to myelin | Motor vehicle accidents, falls, and physical assault are all common inciting events for grade II–IV injury |
III | Injury to myelin, axon, and endoneurium | ||
IV | Injury to myelin, axon, endoneurium, and perineurium | ||
V | Neurotmesis | Complete transection of all components including epineurium | Laceration from sharp objects including knives, glass, surgical instruments, or animal bites |