Seddon-Sunderland Nerve Injury Classification

Seddon-Sunderland peripheral nerve-injury classification.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Sunderland grade
Grade IV — perineurium disrupted (neuroma-in-continuity)

Result: Sunderland grade IV: perineurium disrupted (neuroma-in-continuity); surgical repair typically required.

The tool opens with these values already filled in. Replace them with your own.

What the result means

I
Neurapraxia: myelin/conduction block, structures intact; complete recovery in days to weeks.
II
Axonotmesis: axon disrupted, endoneurium intact; good spontaneous recovery by axonal regrowth.
III
Axonotmesis: endoneurium also disrupted; slower, variable/incomplete recovery.
IV
Perineurium disrupted (neuroma-in-continuity); little spontaneous recovery — surgery usually required.
V
Neurotmesis: complete transection; no spontaneous recovery — surgical repair required.

What you enter

  • Sunderland grade
How this is calculated

Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951;74(4):491-516. (Five degrees; Seddon HJ. Three types of nerve injury. Brain. 1943;66(4):237-288.) Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

Browse all tools

Built by Clay Good. Source on GitHub.