A device to stimulate and measure a response from the ulnar dorsal cutaneous nerve of a patient may include a first surface electrode to apply a stimulating signal to the ulnar dorsal cutaneous nerve, a second surface electrode to record the response from the stimulating signal after applying the stimulating signal to the ulnar dorsal cutaneous nerve, and a third surface electrode to reference the stimulating signal. The second surface electrode may be placed over the fifth metacarpal joint, and the device may include a ground electrode positioned over the dorsal surface of the hand. The device may include a inactive stimulating electrode positioned near to the first surface electrode. The inactive stimulating electrode may be positioned within 3 cm of the first surface electrode, and the first electrode may be placed substantially above the tendon the flexor carpi ulnaris muscle. The first electrode may be placed substantially at the level of styloid, and the second surface electrode may be placed in an area supplied by the ulnar dorsal cutaneous nerve. The first surface electrode may be placed substantially proximal to the styloid.