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Accessory muscle of the flexor digitorum superficialis and its clinical implications

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Summary:ABSTRACT Anatomical variations of the flexor digitorum superficialis (FDS) muscle and tendon unit are frequently reported by anatomists and clinicians. Anatomical muscle variations of the FDS and its tendons may include variations of muscle belly, presence of accessory or duplicate tendons, abnormal tendon connections, and absence of muscle or tendon components. Such variations may or may not have clinical implications. This report presents a case not described previously: a unilateral accessory muscle of the flexor digitorum superficialis which was connected by a thick tendon to the flexor digitorum superficialis muscle; it was directed proximally to the insertion of the medial epicondyle of the humerus, next to the superficialis head of the pronator teres muscle. The belly of the accessory muscle was positioned anterior to the median and anterior interosseous nerve. This anatomical variation is known as type V in the classification of Elliot et al. The knowledge of these anatomical variations helps hand surgeons interpret the clinical examination, particularly in the evaluation of patients who have suffered tendon injuries or show sign s of possible peripheral nerve entrapment.
Main Authors:Caetano,Edie Benedito
Other Authors:Sabongi Neto,João José; Ribas,Lucas Augusto Ayres; Milanello,Edson Vinícius
Subject:Muscle skeletal/abnormalities Nerve compression syndromes Cadaver
Year:2017
Country:Brazil
Document type:report
Access type:open access
Associated institution:IBICT
Language:English
Origin:Oasisbr

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