Fifty-two forearms of 26 Japanese adult cadavers were examined. The flexor digitorum superficialis can be separated into two layers: a superficial layer and a deep layer. The superficial layer is composed of the radial head and the superficial part of the humeroulnar head. It forms two muscle bellies which give rise to the tendons for the third and fourth digits, respectively. The deep layer is composed of the deep part of the humeroulnar head. After forming an intermediate tendon, the deep layer also divides into two fleshy bellies which give rise to the tendons for the second and fifth digits, respectively. Based on the mode of occurrence of the communicating muscle fasciculi between the superficial layer and the deep layer, the flexor digitorum superficialis can be classified into four types.
Type I muscle has no communicating fasciculus (4/52,7.7%).
Type II muscle has a communicating muscle fasciculus between the intermediate tendon and the muscle belly for the fourth digit (muscle fasciculus A) (29/52,55.8%).
Type III muscle has the muscle fasciculus A as well as another communicating muscle fasciculus between the intermediate tendon and the belly for the third digit (muscle fasciculus B) (18/52,34.6%).
Type IV muscle has the muscle fasciculus B only (1/52,1.9%).
Six other kinds of variations were also recognized.
The flexor digitorum superficialis is innervated by four to five branches from the median nerve. These are usually grouped into uppermost, middle and distal branches. In one case, a small part of the humeroulnar head was innervated by a slender branch from the ulnar nerve.
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