Proximal interphalangeal joint (PIPJ) arthritis causes pain, stiffness, and reduced hand function, often from osteoarthritis, trauma, or inflammatory disease. Daily tasks such as gripping become difficult, limiting quality of life. Standard management includes NSAIDs, splinting, injections, or surgery such as arthroplasty and arthrodesis, which may sacrifice motion. Denervation offers a joint-preserving alternative by interrupting sensory nerve supply while maintaining motor function and stability. This minimally invasive technique reduces pain and preserves mobility, making it a valuable option for patients seeking relief without fusion or replacement, particularly in early or moderate disease stages. The video here narrates the experience of a patient who was had denervation surgery.

Thumb MCPJ Radial Collateral Ligament (RCL) Repair is a surgical procedure performed to restore stability, strength, and function to the thumb after injury to the radial collateral ligament of the metacarpophalangeal (MCP) joint. This ligament is essential for maintaining proper thumb alignment and enabling pinch, grip, and fine motor activities. What Is the Thumb MCP Joint? The metacarpophalangeal (MCP) joint of the thumb connects the thumb metacarpal bone to the proximal phalanx. It plays a critical role in thumb movement and stability. The radial collateral ligament supports the thumb on the radial (outer) side and prevents excessive sideways movement during grasping and pinching. Causes of Radial Collateral Ligament Injury Injuries to the thumb MCPJ radial collateral ligament commonly occur due to: Sports injuries (basketball, skiing, football, martial arts) Falls onto an outstretched hand Direct trauma to the thumb Repetitive stress or twisting injuries Untreated RCL injuries can lead to chronic thumb instability, weakness, pain, and early arthritis of the MCP joint. Symptoms of Thumb MCPJ RCL Injury Patients with a radial collateral ligament tear may experience: Pain and tenderness on the radial side of the thumb Swelling and bruising around the MCP joint Thumb weakness or instability Difficulty gripping, pinching, or holding objects A feeling that the thumb is “giving way” When Is Thumb MCPJ RCL Repair Needed? Surgical repair is typically recommended when: The ligament is completely torn There is persistent instability despite conservative treatment Chronic injury causes functional limitation or pain High-demand hand function is required (athletes, manual workers) Thumb MCPJ Radial Collateral Ligament Repair Procedure During thumb MCPJ radial collateral ligament repair, the surgeon: Makes a small incision over the MCP joint Identifies the torn or avulsed ligament Reattaches the ligament to bone using sutures or suture anchors Restores proper thumb alignment and joint stability Closes the incision carefully to minimize scarring In chronic cases, ligament reconstruction using tendon grafts may be required. Recovery After Thumb RCL Repair Recovery following thumb MCPJ RCL repair typically includes: Immobilization in a thumb spica splint or cast for 4–6 weeks Gradual initiation of hand therapy Progressive strengthening and range-of-motion exercises Return to daily activities in 8–12 weeks Full recovery and sports return in approximately 3–4 months Adherence to post-operative rehabilitation is essential for optimal outcomes. Benefits of Thumb MCPJ Radial Collateral Ligament Repair Restores thumb stability and alignment Improves grip and pinch strength Reduces pain and prevents joint degeneration Enables return to work, sports, and daily activities Prevents long-term MCP joint arthritis Risks and Complications As with any surgery, potential risks include: Infection Stiffness or reduced range of motion Residual instability Nerve irritation Scar sensitivity These risks are minimized with proper surgical technique and rehabilitation. Conclusion Thumb MCPJ Radial Collateral Ligament Repair is a reliable and effective procedure for treating thumb instability caused by ligament injury. Early diagnosis and appropriate treatment help restore function, reduce pain, and prevent long-term complications. If you are experiencing thumb pain, weakness, or instability, consult Dr Ravi Mallina to determine whether thumb MCPJ RCL repair is right for you.