Anomalous extensor muscles of the hand are not uncommon. Well-recognized an
omalies anomalous extensor indicis proprius, extensor digitorum brevis manu
s, extensor medii proprius, and extensor indicis et medii communis are revi
ewed and discussed in detail. Anomalous extensor indicis proprius and exten
sor digitorum brevis manus may occasionally give rise to dorsal wrist pain
and the diagnosis is often confused especially in the presence of other pat
hologic findings such as a ganglion. An analysis of the embryologic develop
ment of the extensor muscle mass with phylogenetic comparisons between spec
ies of the animal kingdom is presented to underscore the clinical relevance
of these anomalous extensors. Copyright (C) 1999 by the American Society f
or Surgery of the Hand.