Innervation.—The posterior division of the tibial nerve passes between the medial heads of M. flexor perforatus digiti III and M. flexor perforatus digiti IV and sends a twig to the lateral surface of the former, then passes deep to the common belly of M. flexor perforatus digiti IV and sends a twig to the posterior surface of the anterolateral head of M. flexor perforatus digiti III.
Individual Variation.—None of significance.
T. cupido
Individual Variation.—In one leg, an extra branch (immediately distal to the branch to M. gastrocnemius pars media) of the medial division of the tibial nerve penetrates the medial surface of the proximal end of the medial head.
P. p. jamesi
Individual Variation.—None of significance.
M. Flexor Perforatus Digiti II,[Figs. 15], [17]
T. pallidicinctus
General Description and Relations.—Bipinnate; on posterior aspect of shank deep to M. flexor perforatus digiti IV and between two heads of M. flexor perforatus digiti III; bounded anteriorly by Mm. flexor digitorum longus and flexor hallucis longus; proximal part divided into three small heads—medial, lateral, and anterolateral; medial and proximal parts of medial head tendinous and extremely thin except for ossified medial edge; proximal part of lateral head tendinous and lateral to insertional tendon of M. extensor iliofibularis; both tendinous and fleshy parts fused to overlying tendon of M. flexor perforatus digiti IV; narrow anterolateral head fused to overlying anterolateral head of latter muscle and (anterolateral edge) to ossified tendon of anterolateral head of M. flexor perforatus digiti III; lateral edge of common belly fused to latter head; medial edge of muscle fused to medial heads of Mm. flexor perforatus digiti IV and flexor perforatus digiti III and to M. flexor hallucis longus.
Origin.—The medial head attaches by a slender ossified tendon to the medial part of the popliteal area in common with the medial head of M. flexor perforatus digiti III and with the medial edges of Mm. flexor perforatus digiti IV (medial head) and flexor hallucis longus; this head is also fused to the articular capsule. The above-mentioned ossified part of the tendon is situated at the junction of M. flexor perforatus digiti II and M. flexor perforatus digiti III (medial head) and could be considered to be a part of the latter rather than the former. The flat tendon of the lateral head arises in common with the lateral head of M. flexor perforatus digiti IV (which see). The anterolateral head arises in common with the anterolateral heads of Mm. flexor perforatus digiti IV and flexor perforatus digiti III (see former).