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Additional muscular slip of the flexor digitorum longus muscle to the fifth toe


Despite the fact that there are numerous reports on muscular variations in the sole of the foot, routine dissection in a formaldehyde-fixed cadaver revealed an accessory flexor digiti quinti muscle, which to the best of our knowledge is a very unusual variant. This was in the form of a slender, 38 mm long muscular slip, with a proximal and distal tendon extending from the common flexor digitorum longus tendinous plate out to the distal phalanx of the fifth toe. An associated finding was the absence of the musculotendinous portion of the flexor digitorum brevis to the same toe. A developmental explanation for this variation is presented. Clinical implications with regard to this anatomical condition may result in clawing of the fifth toe.

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Correspondence to Bojan V. Stimec.

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The authors (Stimec BV, Dash J, Assal M, Stern R and Fasel JHD) have no conflicts of interest or financial ties (direct or indirect) to disclose.

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Stimec, B.V., Dash, J., Assal, M. et al. Additional muscular slip of the flexor digitorum longus muscle to the fifth toe. Surg Radiol Anat 40, 533–535 (2018).

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  • Flexor digitorum longus
  • Anatomic variations
  • Muscles
  • Fifth toe