The radial collateral ligament of the index finger MCP joint is a strong cord connecting the radial side of the metacarpal head to the radial base of the proximal phalanx, providing the primary radial stability of the index MCP joint.
Resists ulnar deviation forces at the index MCP joint during lateral pinch — the index finger is subjected to the highest radial collateral ligament stress during key pinch against the thumb. Prevents palmar subluxation of the proximal phalanx during flexion.
Index MCP radial collateral ligament laxity in rheumatoid arthritis produces the classic ulnar drift deformity — the radial collateral ligaments of all fingers attenuate, allowing progressive MCP ulnar deviation. In Swanson arthroplasty, collateral ligament balancing is a key component of the procedure.
Acute or chronic laxity of the radial MCP collateral ligament producing index finger ulnar deviation and impaired lateral pinch, managed by ligament repair or reconstruction.
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