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Sexual dimorphism in the anatomy of the ulnar collateral thumb ligament.
- Source :
-
Wiener klinische Wochenschrift [Wien Klin Wochenschr] 2019 May; Vol. 131 (9-10), pp. 216-220. Date of Electronic Publication: 2019 Apr 01. - Publication Year :
- 2019
-
Abstract
- Background: Treatment of ruptured ulnar collateral thumb metacarpophalangeal (MCP) joint ligaments (UCL) necessitate a profound anatomic knowledge for optimal surgical repair in order to preserve range of motion and ensure postoperative joint stability. Therefore, knowledge of the angle between the UCL and the longitudinal axis of the first metacarpal bone could be useful.<br />Methods: In this study 46 ulnar collateral thumb MCP joint ligaments in 15 male and 15 female embalmed anatomic specimens were dissected and the angles between the longitudinal axis of the first metacarpal bone and the proper (PUCL) as well as the accessory ulnar collateral thumb MCP ligament (AUCL) were measured.<br />Results: In male specimens the angle for the PUCL measured on average 133.5° (±2.35°) and 122.75° (±3.8°) for the AUCL. A significantly different angle was measured for female specimens which showed on average 137.88° (±3.51°) for the PUCL and 128.65° (±4.14°) for the AUCL.<br />Conclusions: Optimal surgical repair or reconstruction of torn ulnar collateral thumb MCP joint ligaments should aim for an angle of approximately 135° in PUCL and 126° in AUCL in relation to the longitudinal axis of the metacarpal bone. Differences in men and women should be considered if possible.<br />Level of Evidence: IV (anatomic study).
- Subjects :
- Biomechanical Phenomena
Cadaver
Collateral Ligaments
Female
Humans
Joint Instability
Male
Range of Motion, Articular physiology
Sex Characteristics
Collateral Ligament, Ulnar anatomy & histology
Collateral Ligament, Ulnar injuries
Collateral Ligament, Ulnar surgery
Metacarpophalangeal Joint anatomy & histology
Metacarpophalangeal Joint injuries
Metacarpophalangeal Joint surgery
Thumb
Subjects
Details
- Language :
- English
- ISSN :
- 1613-7671
- Volume :
- 131
- Issue :
- 9-10
- Database :
- MEDLINE
- Journal :
- Wiener klinische Wochenschrift
- Publication Type :
- Academic Journal
- Accession number :
- 30937541
- Full Text :
- https://doi.org/10.1007/s00508-019-1483-8