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Ulnar collateral ligament

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https://www.readbyqxmd.com/read/28325273/length-of-time-between-surgery-and-return-to-sport-after-ulnar-collateral-ligament-reconstruction-in-major-league-baseball-pitchers-does-not-predict-need-for-revision-surgery
#1
Brandon J Erickson, Peter N Chalmers, Bernard R Bach, Joshua S Dines, Nikhil N Verma, Charles A Bush-Joseph, Steven B Cohen, Anthony A Romeo
HYPOTHESIS: Pitchers who return to sport (RTS) sooner will have a higher risk of revision ulnar collateral ligament reconstruction (UCLR) than those who return later. METHODS: All professional (major and minor league) baseball pitchers who underwent UCLR between 1974 and 2016 were identified. Date of the index UCLR was recorded. The date of the first game back at any professional level after surgery and the date the pitcher returned to the same level of play (if applicable) were recorded...
April 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28314869/-operative-treatment-of-terrible-triad-injury-of-the-elbow-open-reduction-and-internal-fixation
#2
R Babst, C Schraner, F J P Beeres
AIM OF SURGERY: Reconstruction of the most important ligamentous and osseus structures of the elbow after terrible triad injury via the radial head to the lateral collateral ligament complex (LCL) and if necessary beginning at the coronoid process. The aim is a stable concentrically guided elbow with early functional follow-up treatment. The approach depends on the intraoperatively tested stability. INDICATIONS: Osteoligamentous terrible triad injury pattern with or without subluxation position following reduction and temporary immobilization...
March 17, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28314694/stress-ultrasound-in-baseball-players-with-ulnar-collateral-ligament-injuries-additional-value-for-predicting-rehabilitation-outcome
#3
Na Ra Kim, Sung Gyu Moon, Jin-Young Park, Jin Woo Choi, Kyung-Soo Oh
BACKGROUND: The purpose of this study was to evaluate the additional value of stress ultrasound (US) for predicting rehabilitation outcome in baseball players with ulnar collateral ligament (UCL) injury. METHODS: Stress US and magnetic resonance imaging (MRI) in 41 baseball players with UCL injury who received rehabilitation treatment for more than 6 weeks were retrospectively compared between the rehabilitation group (n = 23) and surgery group (n = 18)...
March 14, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28314107/graft-site-morbidity-in-elbow-ligament-reconstruction-procedures-a-systematic-review
#4
Noortje C Hagemeijer, Femke M A P Claessen, Roel de Haan, Roeland Riedijk, Denise E Eygendaal, Michel P van den Bekerom
BACKGROUND: It is unclear which tendon harvest for ulnar or lateral collateral ligament reconstruction has the lowest graft site morbidity rate. PURPOSES: To obtain graft site morbidity rates after tendon harvest for ulnar and lateral collateral ligament reconstruction procedures. STUDY DESIGN: Systematic review/Meta-analysis. METHODS: Studies were eligible if (1) patients had undergone elbow ligament reconstruction procedures; (2) original data for at least 5 patients were available; (3) the article was written in English, German, or Dutch; (4) a full-text article was available; and (5) information about graft site morbidity was available...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28292199/high-resolution-mri-of-the-ulnar-and-radial-collateral-ligaments-of-the-wrist
#5
Taiki Nozaki, Wei Der Wu, Yasuhito Kaneko, Gregory Rafijah, Lily Yang, Dave Hitt, Hiroshi Yoshioka
Background Accurate diagnosis of injuries to the collateral ligaments of the wrist is technically challenging on MRI. Purpose To investigate usefulness of high-resolution two-dimensional (2D) and isotropic three-dimensional (3D) magnetic resonance imaging (MRI) for identifying and classifying the morphology of the ulnar and radial collateral ligaments (UCL and RCL) of the wrist. Material and Methods Thirty-seven participants were evaluated using 3T coronal 2D and isotropic 3D images by two radiologists independently...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28278401/avoiding-tommy-john-surgery
#6
Brian J Rebolledo, Jeffrey R Dugas, Asheesh Bedi, Michael G Ciccotti, David W Altchek, Joshua S Dines
The number of ulnar collateral ligament (UCL) reconstructions being performed has risen sharply in recent years, most notably in the young amateur athlete. While successful outcomes have been reported with reconstruction, the surgery and the associated rehabilitation timeline may be difficult for the nonelite athlete to incur. Return-to-play expectations, along with level of competition, should help guide surgeons in exploring management options. While reconstruction remains a mainstay, focused research exploring nonreconstructive options has expanded...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28248741/treatment-of-ulnar-collateral-ligament-injuries-of-the-thumb-a-critical-analysis-review
#7
Nicholas Pulos, Alexander Y Shin
No abstract text is available yet for this article.
February 21, 2017: JBJS Reviews
https://www.readbyqxmd.com/read/28203598/treatment-of-ulnar-collateral-ligament-tears-of-the-elbow-is-repair-a-viable-option
#8
Brandon J Erickson, Bernard R Bach, Nikhil N Verma, Charles A Bush-Joseph, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament (UCL) tears have become common, and UCL reconstruction (UCLR) is currently the preferred surgical treatment method for treating UCL tears. PURPOSE/HYPOTHESIS: The purpose of this study was to review the literature surrounding UCL repair and determine the viability of new repair techniques for treatment of UCL tears. We hypothesized that UCL repair techniques will provide comparable results to UCLR for treatment of UCL tears...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28160922/relative-individual-workload-changes-may-be-a-risk-factor-for-rerupture-of-ulnar-collateral-ligament-reconstruction
#9
Robert A Keller, Nima Mehran, Lafi S Khalil, Christopher S Ahmad, Neal ElAttrache
BACKGROUND: With an increasing number of Major League Baseball (MLB) players undergoing ulnar collateral ligament (UCL) reconstruction, there remains limited literature on appropriate post-reconstruction workload management to limit the risk of reinjury. METHODS: A total of 28 MLB pitchers who underwent primary UCL reconstruction surgery and subsequently required revision reconstruction were identified and compared with 137 MLB pitchers who underwent primary reconstruction but did not later require revision surgery...
March 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28149731/modified-jobe-approach-with-docking-technique-for%C3%A2-ulnar-collateral-ligament-reconstruction
#10
Daniel J Kaplan, Sergio A Glait, William E Ryan, Laith M Jazrawi
The ulnar collateral ligament (UCL) of the elbow acts as the primary restraint to valgus force experienced in the late cocking and early acceleration phases of overhead throwing. If the UCL or dynamic flexor-pronator musculature is incompetent, elbow extension and valgus torque, as seen in throwing, can result in posteromedial impingement with subsequent chondromalacia and osteophyte formation. Before the first UCL reconstruction, performed by Frank Jobe in 1974, this injury was considered career ending in overhead athletes...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28133709/thumb-collateral-ligament-injuries-in-the-athlete
#11
REVIEW
Daniel M Avery, Elizabeth R Inkellis, Michelle G Carlson
PURPOSE OF REVIEW: The purpose of this review is to identify current principles in the diagnosis and treatment of collateral ligament injuries of the thumb in the athlete. RECENT FINDINGS: Cadaver studies have clearly identified the ulnar and radial collateral ligaments origin and insertion footprints for repair or reconstruction. Ulnar and radial collateral ligament injuries are common in athletics. History and physical examination are paramount in determining partial versus complete tear...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28111623/bilateral-simultaneous-traumatic-thumb-injuries-extensor-pollicis-longus-rupture-on-one-side-and-ulnar-collateral-ligament-on-the-other-case-report
#12
Sarang Kasture, Raj Sakamuri
INTRODUCTION: Though isolated traumatic extensor pollicislongus rupture and ulnar collateral ligament rupture of the metacarpophalangeal joint of the thumb are well known injuries, it is rare to have simultaneous bilateral thumb injuries from a single traumatic event. In this article, we report simultaneous bilateral traumatic thumb injury with extensor pollicislongus tendon rupture on one side and ulnar collateral ligament tear on the other side. To the best of our knowledge, such injury has never been reported in the English literature...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28104091/major-league-pitching-workload-after-primary-ulnar-collateral-ligament-reconstruction-and-risk-for-revision-surgery
#13
Robert A Keller, Nima Mehran, Nathan E Marshall, Kelechi R Okoroha, Lafi Khalil, James E Tibone, Vasilios Moutzouros
BACKGROUND: Literature has attempted to correlate pitching workload with risk of ulnar collateral ligament (UCL) injury; however, limited data are available in evaluating workload and its relationship with the need for revision reconstruction in Major League Baseball (MLB) pitchers. METHODS: We identified 29 MLB pitchers who underwent primary UCL reconstruction surgery and subsequently required revision reconstruction and compared them with 121 MLB pitchers who underwent primary reconstruction but did not later require revision surgery...
February 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28098706/current-trends-in-ulnar-collateral-ligament-reconstruction-surgery-among-newly-trained-orthopaedic-surgeons
#14
Ryan M Degen, Christopher L Camp, Johnathan A Bernard, David M Dines, David W Altchek, Joshua S Dines
INTRODUCTION: Ulnar collateral ligament (UCL) reconstructions are being performed with an increasing annual incidence. The purpose of this study was to evaluate trends in UCL surgery among recently trained orthopaedic surgeons. METHODS: The American Board of Orthopaedic Surgeons (ABOS) database was used to identify all UCL reconstructions from 2004 to 2013. Procedures were identified by Current Procedural Terminology (CPT) codes and verified by International Classification of Disease, Ninth Revision (ICD-9) codes...
February 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28087165/radiographic-comparison-of-adolescent-athletes-with-elbow-osteochondritis-dissecans-to-ulnar-collateral-ligament-injuries-and-controls
#15
Brian C Lau, Nirav K Pandya
BACKGROUND: There are excellent data supporting recommendations to prevent elbow injuries (osteochondritis dissecans [OCD] and ulnar collateral ligament [UCL] injuries), such as pitch count and pitch type in baseball, but anatomic risk factors have not been thoroughly examined. This study aimed to evaluate radiographic measurements in adolescents with elbow OCD lesions or UCL injuries and controls. METHODS: We retrospectively identified adolescent patients between 2011 and 2016 with isolated capitellum OCD, UCL tear, or normal elbows based on magnetic resonance imaging...
January 10, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28060236/the-ulnar-collateral-ligament-injury-evaluation-and-treatment
#16
Brandon J Erickson, Anthony A Romeo
No abstract text is available yet for this article.
January 4, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28005101/ulnar-collateral-ligament-reconstruction-current-philosophy-in-2016
#17
E Lyle Cain, Taylor P Mathis
The ulnar collateral ligament (UCL) is the primary static restraint to valgus stress at the elbow. Since Jobe pioneered reconstruction in 1974, thousands of throwers have undergone UCL reconstruction, and good results have been achieved. The high-profile nature of the elite pitcher has brought this technique into the spotlight, and extensive research has been performed with new techniques emerging. The standard reconstruction, modified only slightly since Jobe's original description, remains the gold standard for treatment of UCL insufficiency...
November 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27940806/treatment-for-ulnar-neuritis-around-the-elbow-in-adolescent-baseball-players-factors-associated-with-poor-outcome
#18
Masahiro Maruyama, Hiroshi Satake, Masatoshi Takahara, Mikio Harada, Tomohiro Uno, Nariyuki Mura, Michiaki Takagi
BACKGROUND: Ulnar neuritis around the elbow is one of the injuries seen in throwing athletes. Outcomes of nonsurgical treatment and factors associated with failure outcomes have not been reported. PURPOSE: To investigate the outcomes of treatments for ulnar neuritis in adolescent baseball players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We assessed 40 male baseball players with a mean age of 15.0 years (range, 13-17 years) who presented with ulnar neuritis...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27903163/ultrasound-imaging-of-ulnar-collateral-ligament-injury
#19
Arie J van Duijn, Shawn D Felton
The patient was an 18-year-old collegiate baseball pitcher who injured his right throwing elbow during an overhead slider pitch. As a part of a study, preinjury ultrasound images of the throwing arm were obtained 2 weeks prior to the injury. One day postinjury, repeat ultrasound imaging of the medial elbow was performed. The attending team physician ordered a magnetic resonance arthrogram 2 days after injury, which confirmed the presence of a complete tear of the ulnar collateral ligament. J Orthop Sports Phys Ther 2016;46(12):1086...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27896290/do-clinical-results-and-return-to-sport-rates-after-ulnar-collateral-ligament-reconstruction-differ-based-on-graft-choice-and-surgical-technique
#20
Brandon J Erickson, Gregory L Cvetanovich, Rachel M Frank, Bernard R Bach, Mark S Cohen, Charles A Bush-Joseph, Brian J Cole, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament reconstruction (UCLR) has become a common procedure performed in overhead-throwing athletes of many athletic levels. PURPOSE/HYPOTHESIS: The purpose of this study was to determine whether clinical outcomes and return-to-sport (RTS) rates differ among patients undergoing UCLR based on graft choice, surgical technique, athletic competition level, handedness, and treatment of the ulnar nerve. We hypothesized that no differences would exist in clinical outcomes or RTS rates between technique, graft choice, or other variables...
November 2016: Orthopaedic Journal of Sports Medicine
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