Anomalous lumbrical muscles arising from the deep surface of flexor digitorum superficialis muscles in man.

During anatomy practice in 1999 at Kumamoto University School of Medicine, the anomalous lumbrical muscles originating in the forearm were observed in both arms of a cadaver. These muscles, originating from the intermediate tendon of the deep layer of the flexor digitorum superficialis for the index finger (FDS-II), passed through the carpal tunnel to join the insertion of the first lumbrical muscle, and formed a muscle belly near the origin in the left and at the insertion in the right. The left anomalous muscle was innervated by a branch of the median nerve just proximal to the carpal tunnel. The right one received a twig from the nerve to the first lumbrical muscle. Tracing the nerve fibers by peeling off the epi- and perineurium clarified that the nerve fibers supplying the left anomalous muscle formed a common bundle with the fibers to the first lumbrical muscle. Therefore, these anomalous muscles are considered to be the accessory lumbrical muscles arising from the forearm. The three accessory lumbricalis, including one case reported by Yamada (1986), received branches which had slightly different origins from proximally (nerve to the distal belly of FDS-II) to distally (nerve to the first lumbricalis). Accordingly the position of the muscle belly shifted distally. The occurrence of these unusual accessory lumbrical muscles indicates that the distal belly of FDS-III and the first lumbricalis are derived from a common muscle origin and presents an important clue to the phylogenetic origin of the flexor digitorum superficialis.