A well-developed anomalous muscle within the forearm flexor compartmen
t was discovered during a routine cadaveric dissection. The identified
muscle originated from the intercompartmental septum on the medial si
de of the forearm just proximal to the wrist joint and inserted on the
proximal phalanx of the fifth digit. When stressed, the tendon of the
muscle produced flexion of the metacarpophalangeal joint of the fifth
digit. Contiguous muscles, including the flexor digitorum profundus,
displayed normal morphology. The muscle appeared to be an accessory be
lly of flexor digitorum profundus. The combination of an accessory fle
xor digitorum profundus muscle belly acting on the metacarpophalangeal
joint of the little finger has not been previously reported. Based on
its origin, insertion, and action we have named this variant accessor
y flexor digiti minimi profundus. This muscular variant could have cli
nical relevance, possibly affecting ulnar nerve function and circulati
on in the hand. (C) 1998 Wiley-Liss, Inc.