Ulnar Collateral Ligament Reconstruction

  • Erickson B
  • Harris J
  • Chalmers P
 et al. 
  • 10

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.

Abstract

CONTEXT Ulnar collateral ligament (UCL) injuries lead to pain and loss of performance in the thrower's elbow. Ulnar collateral ligament reconstruction (UCLR) is a reliable treatment option for the symptomatic, deficient UCL. Injury to the UCL usually occurs because of chronic accumulation of microtrauma, although acute ruptures occur and an acute-on-chronic presentation is also common. EVIDENCE ACQUISITION Computerized databases, references from pertinent articles, and research institutions were searched for all studies using the search terms ulnar collateral ligament from 1970 until 2015. STUDY DESIGN Clinical review. LEVEL OF EVIDENCE Level 5. RESULTS All studies reporting outcomes for UCLR are level 4. Most modern fixation methodologies appear to be biomechanically and clinically equivalent. Viable graft choices include ipsilateral palmaris longus tendon autograft, gracilis or semitendinosus autograft, and allograft. Clinical studies report excellent outcomes of UCLR for both recreational and elite level athletes with regard to return to sport and postoperative performance. Complications, although rare, include graft rerupture or attenuation, ulnar nerve symptoms, stiffness, pain, and/or weakness leading to decreased performance. CONCLUSION Injuries to the UCL have become commonplace among pitchers. Nonoperative treatment should be attempted, but the limited studies have not shown promising results. Operative treatment can be performed with several techniques, with retrospective studies showing promising results. Complications include ulnar neuropathy as well as failure to return to sport. Detailed preoperative planning, meticulous surgical technique, and a comprehensive rehabilitation program are essential components to achieving a satisfactory result.

Author-supplied keywords

  • and ulnar collateral ligament
  • biomechanics
  • elbow
  • epidemiology of medial elbow
  • instability
  • pain
  • pitcher
  • surgical management
  • throwing athlete
  • tommy john
  • ulnar collateral ligament reconstruction

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Authors

  • Brandon J. Erickson

  • Joshua D. Harris

  • Peter N. Chalmers

  • Bernard R. Bach

  • Nikhil N. Verma

  • Charles A. Bush-Joseph

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free