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It is the bulk of muscle located at the superficial volar/anterior aspect of the forearm.[1]

The flexor digitorum superficialis courses along the volar aspect of the forearm, superficial to the flexor digitorum profundus and flexor pollicis longus muscles, and deep to the palmaris longus, flexor carpi radialis, flexor carpi ulnaris, and pronator teres.[1]

It was previously also named as Flexor Digitorum Sublimis.

The flexor digitorum superficialis muscle has two origins/ heads:

As it courses down the forearm, the flexor digitorum superficialis separates into two planes of muscular fibers, superficial and deep:

The four flexor digitorum superficialis tendons pass deep to the transverse carpal ligament, constituting four of the nine total tendons in the carpal tunnel.  Continuing into the palm, the flexor digitorum superficialis tendinously slips into two parts to pass posteriorly around each side of the tendons of flexor digitorum profundus and ultimately insert onto the middle phalangeal bases of digits 2 through 5, on the volar surface of the hand. [1][2][3]

Median nerve (C7, C8, T1)[1]

The primary blood supply to the flexor digitorum superficialis muscle is from the ulnar artery. Lymphatic drainage of the upper limb occurs via the axillary lymph nodes.[1]

[4]

[8]

To test flexor digitorum superficialis, the patient is asked to flex PIP joint of one of the digits from 2nd to 5th while other remaining three digits held in extension so as to inactivate Flexor Digitorum Profundus.

Clinical assessment of the variation of flexor digitorum superficialis muscle to the fifth finger:

Two methods are common and accurate in practice:

Other related pages:

Wrist and Hand Examination

Hand Function

Flexor digitorum superficialis muscle weakness is associated with median nerve injury. Another common cause that can hamper FDS function is tendon injury. There are various treatment regimes based upon the causes of a decremental function of FDS affecting hand fine motor activities. So graded exercise program or rehabilitation program is necessary for physiotherapy treatment based on cause, assessment findings and patient-centered goal[10]. For more details about the type of exercise and graded rehabilitation of flexion tendon injuries go for the following link below:

Hand Exercises

Flexor Tendon Injuries

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