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J Hand Microsurg 2021; 13(04): 228-231
DOI: 10.1055/s-0040-1709098
Original Article

Morphometric Evaluation of Collateral Ligaments of the First Metacarpophalangeal Joint

Dhivyalakshmi Gnanasekaran
1   Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
,
Veeramani Raveendranath 
1   Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
,
Aravindhan Karupusamy
1   Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
› Author Affiliations Funding None.
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Abstract

Introduction The collateral ligaments of the first metacarpophalangeal (MCP) joint provide stability to the thumb. Injury to these collateral ligaments occurs more commonly in sports accidents leading to joint instability, weakness in pinch and grip strength. Normal morphometric measurements of collateral ligaments are essential for primary repair or reconstruction of the injured ligament. Hence, the objective of the study is to give the detailed morphometric profile of the proper collateral ligaments of the MCP joint of the thumb.

Materials and Methods A total of 55 adult cadaveric hands were included in the study taken from 18 male (36 hands) and 10 female (19 hands) cadavers. Out of 55 hands, 28 belonged to the left side, while 27 were of the left side. The MCP joints were dissected to expose the collateral ligament complex. The length and width of the proper ligaments were measured.

Results Both the proper collateral ligament attachments and the direction of the fibers were defined. Overall length and the width of both the proper collateral ligaments showed no statistically significant difference of mean between the left and the right sides. However, the length of both the proper collateral ligaments is significantly less in females compared with the males.

Conclusion The morphometric details of the proper collateral ligaments obtained from this study would be useful for hand surgeons during surgical correction of the injured collateral ligaments either by primary repair or reconstruction with a tendon graft.

Keywords

collateral ligaments - thumb - morphometry - reconstruction


Publication History

Article published online:
28 April 2020

© 2020. Society of Indian Hand & Microsurgeons. All rights reserved.

Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Wilppula E, Nummi J. Surgical treatment of ruptured ulnar collateral ligament of the metacarpophalangeal joint of the thumb. Injury 1970; 2 (01) 228-231
    PubMedGoogle Scholar
  • 2 Carlson MG, Warner KK, Meyers KN, Hearns KA, Kok PL. Anatomy of the thumb metacarpophalangeal ulnar and radial collateral ligaments. J Hand Surg Am 2012; 37 (10) 2021-2026
    CrossrefPubMedGoogle Scholar
  • 3 Barmakian JT. Anatomy of the joints of the thumb. Hand Clin 1992; 8 (04) 683-691
    CrossrefPubMedGoogle Scholar
  • 4 van Onselen EB, Goedkoop AY, Karim RB, Hage JJ. Early and late surgical treatment of complete rupture of the radial collateral ligament of the first metacarpophalangeal joint. Eur J Plast Surg 2000; 23: 232-234
    CrossrefPubMedGoogle Scholar
  • 5 Patel S, Potty A, Taylor EJ, Sorene ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strateg Trauma Limb Reconstr 2010; 5 (01) 1-10
    CrossrefPubMedGoogle Scholar
  • 6 Flatt AE. Our thumbs. Proc Bayl Univ Med Cent 2002; 15 (04) 380-387
    PubMedGoogle Scholar
  • 7 Camp RA, Weatherwax RJ, Miller EB. Chronic posttraumatic radial instability of the thumb metacarpophalangeal joint. J Hand Surg Am 1980; 5 (03) 221-225
    CrossrefPubMedGoogle Scholar
  • 8 Bean CH, Tencer AF, Trumble TE. The effect of thumb metacarpophalangeal ulnar collateral ligament attachment site on joint range of motion: an in vitro study. J Hand Surg Am 1999; 24 (02) 283-287
    CrossrefPubMedGoogle Scholar
  • 9 Baskies MA, Tuckman D, Paksima N, Posner MA. A new technique for reconstruction of the ulnar collateral ligament of the thumb. Am J Sports Med 2007; 35 (08) 1321-1325
    CrossrefPubMedGoogle Scholar
  • 10 Samora JB, Harris JD, Griesser MJ, Ruff ME, Awan HM. Outcomes after injury to the thumb ulnar collateral ligament—a systematic review. Clin J Sport Med 2013; 23 (04) 247-254
    CrossrefPubMedGoogle Scholar
  • 11 Padulo J, Oliva F, Frizziero A, Maffulli N. Basic principles and recommendations in clinical and field science research: 2016 update. Muscles Ligaments Tendons J 2016; 6 (01) 1-5
    PubMedGoogle Scholar
  • 12 Frank WE, Dobyns J. Surgical pathology of collateral ligamentous injuries of the thumb. Clin Orthop Relat Res 1972; 83 (83) 102-114
    CrossrefPubMedGoogle Scholar
  • 13 Gluck JS, Balutis EC, Glickel SZ. Thumb ligament injuries. J Hand Surg Am 2015; 40 (04) 835-842
    CrossrefPubMedGoogle Scholar
  • 14 Ladd AL, Lee J, Hagert E. Macroscopic and microscopic analysis of the thumb carpometacarpal ligaments: a cadaveric study of ligament anatomy and histology. J Bone Joint Surg Am 2012; 94 (16) 1468-1477
    CrossrefPubMedGoogle Scholar
  • 15 Sakellarides HT. Treatment of recent and old injuries of the ulnar collateral ligament of the MP joint of the thumb. Am J Sports Med 1978; 6 (05) 255-262
    CrossrefPubMedGoogle Scholar
  • 16 Melone Jr CP, Beldner S, Basuk RS. Thumb collateral ligament injuries. An anatomic basis for treatment. Hand Clin 2000; 16 (03) 345-357
    CrossrefPubMedGoogle Scholar
  • 17 Ahmed I, Yule A, Day C. Primary repair of chronic ulnar collateral ligament injury of thumb metacarpophalangeal joint. Oper Tech Orthop 2012; 22: 167-170
    CrossrefPubMedGoogle Scholar
  • 18 Avery III DM, Caggiano NM, Matullo KS. Ulnar collateral ligament injuries of the thumb: a comprehensive review. Orthop Clin North Am 2015; 46 (02) 281-292
    CrossrefPubMedGoogle Scholar
  • 19 Edelstein DM, Kardashian G, Lee SK. Radial collateral ligament injuries of the thumb. J Hand Surg Am 2008; 33 (05) 760-770
    CrossrefPubMedGoogle Scholar
  • 20 Iba K, Wada T, Hiraiwa T, Kanaya K, Oki G, Yamashita T. Reconstruction of chronic thumb metacarpophalangeal joint radial collateral ligament injuries with a half-slip of the abductor pollicis brevis tendon. J Hand Surg Am 2013; 38 (10) 1945-1950
    CrossrefPubMedGoogle Scholar