Hidden Variations of the Flexor Pollicis Longus: Novel Accessory Muscles Uncovered in Recent Forearm Studies
Anatomical research continues to demonstrate that the human forearm is not fixed. As advanced imaging tools such as 3T dynamic magnetic resonance imaging and ultra-high-frequency ultrasound enter daily clinical practice, hand surgeons and radiologists detect soft-tissue variations that previously appeared only during cadaver dissections. Recognizing that the flexor pollicis longus can possess accessory contractile heads, cross-compartmental muscular bridges, and direct attachments into its own tenosynovium shifts clinical diagnostics away from rigid textbook maps toward individualized, functionally specific surgical planning.
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muscle flexor pollicis longus