Coexistence of accessory band with the second type of extensor hallucis longus.

The main muscles responsible for extension of the toes are the extensor digitorum longus and extensor hallucis longus. Morphological variants of both of these muscles are mostly related to the numbers of tendons and their unusual points of insertion. The case presented shows an accessory band deriving from the extensor digitorum longus and fusing with the extensor hallucis longus, a concomitant additional tendon of the latter inserting to the proximal phalanx of the hallux. Knowledge of these anatomical patterns is important not only from the anatomical but also the clinical point of view and can be useful in lower limb surgery.