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Flexor digitorum accessorius longus.

H Nathan, H Gloobe, Z Yosipovitch

    Clinical Orthopaedics and Related Research
    |November 1, 1975
    PubMed
    Summary
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    A rare accessory muscle, the flexor digitorum accessorius longus, was identified in 12% of cadavers. This muscle

    Area of Science:

    • Anatomy
    • Orthopedics
    • Surgical Anatomy

    Background:

    • Anatomical variations in the posterior leg compartment are not uncommon.
    • The flexor digitorum accessorius longus is a rare supernumerary muscle.
    • Understanding its anatomical course is crucial for clinical practice.

    Purpose of the Study:

    • To document the incidence and anatomical characteristics of the flexor digitorum accessorius longus.
    • To investigate its potential clinical implications, particularly regarding tarsal tunnel syndrome.

    Main Methods:

    • Dissection of 100 cadavers.
    • Identification and description of the flexor digitorum accessorius longus muscle.
    • Documentation of its origin, insertion, and relationship to surrounding structures.

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    Main Results:

    • The flexor digitorum accessorius longus was found in 12% of the studied cadavers.
    • The muscle exhibited variations in its origin (single or double-headed).
    • It consistently descended through the tarsal tunnel, often retaining fleshy fibers.

    Conclusions:

    • The flexor digitorum accessorius longus is a significant anatomical variant.
    • Its presence and anatomical course may contribute to tarsal tunnel syndrome.
    • Awareness of this muscle is important for clinicians diagnosing and treating foot and ankle pathologies.