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In human anatomy, the radial (RCL) and ulnar (UCL) collateral ligaments of the metacarpophalangeal joints (MCP) of the hand are the primary stabilisers of the MCP joints. [1] A collateral ligament flanks each MCP joint - one on either side. Each attaches proximally at the head of the metacarpal bone, and distally at the base of the phalynx.
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4]
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Ulnar collateral ligament (UCL) An extracapsular ligament, the UCL is located ulnarly to the AOL. It has its origin on the flexor retinaculum and is inserted on the ulnopalmar tubercle of the first metacarpal. It is taut in abduction, extension, and pronation, and often found elongated in connection to CMC joint arthritis.
These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends of the proximal phalanges. [1] Being condyloid, they allow the movements of flexion , extension , abduction , adduction and circumduction (see anatomical terms of motion ) at the joint.
The intermetacarpal joints are in the hand formed between the metacarpal bones. The bases of the second, third, fourth and fifth metacarpal bones articulate with one another by small surfaces covered with cartilage. The metacarpal bones are connected together by dorsal, palmar, and interosseous ligaments.
The transverse metatarsal ligament is a narrow band which runs across and connects together the heads of all the metatarsal bones. It is blended anteriorly with the plantar (glenoid) ligaments of the metatarsophalangeal articulations. Its plantar surface is concave where the Flexor tendons run below it.
These bands help stabilise the volar plates over the metacarpal heads. [2] In contrast to the volar plates of the MCP joints of the fingers, the volar plate of the thumb MCP joint is a thick structure firmly attached to the base of the proximal phalanx. It forms the bottom of a two-sided box, the sides of which are made up of the collateral ...