The Collateral Ligament of the Digits of the Hand: Anatomy, Physiology, Biomechanics, Injury, and Treatment

J Hand Surg Am. 2017 Nov;42(11):904-915. doi: 10.1016/j.jhsa.2017.08.024.

Abstract

Ligament injuries are among the most common musculoskeletal injuries seen in clinical practice and ligaments are the most frequently injured structures in a joint. Ligaments play an important role in balancing joint mobility and joint stability. Disruption of joint ligaments severely impairs joint function. Over the past 10 years, a new appreciation of a neuroanatomy and neurophysiology of joint ligaments and its biofeedback loops to surrounding muscles and tendons has emerged to explain the relationship between primary and secondary restraints that allow normal joint motion yet prevent pathological motion. This review focuses on this recent information with a view to new clinical approaches to these common problems.

Keywords: Dislocation; finger; injury; joint; ligament.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Collateral Ligaments / injuries*
  • Collateral Ligaments / surgery
  • Education, Medical, Continuing
  • Female
  • Finger Injuries / diagnostic imaging
  • Finger Injuries / surgery*
  • Hand / anatomy & histology
  • Hand / physiology
  • Humans
  • Injury Severity Score
  • Joint Instability / prevention & control*
  • Male
  • Metacarpophalangeal Joint / physiopathology
  • Metacarpophalangeal Joint / surgery*
  • Orthopedic Procedures / methods
  • Prognosis
  • Range of Motion, Articular / physiology*
  • Risk Assessment
  • Treatment Outcome