scholarly journals Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes

2020 ◽  
Vol 13 (3) ◽  
pp. 361-368
Author(s):  
Lucas K. Keyt ◽  
Jennifer Tangtiphaiboontana ◽  
Travis W. Turner ◽  
Joshua S. Dines ◽  
Michael L. Knudsen ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Surgical Techniques ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
Baseball Pitchers ◽  
Ulnar Collateral Ligament Reconstruction

scholarly journals Should We Limit Innings Pitched Following Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers?

2016 ◽  
Vol 4 (7_suppl4) ◽  
pp. 2325967116S0010
Author(s):  
Brandon J. Erickson ◽  
Gregory Cvetanovich ◽  
Bernard R. Bach ◽  
Charles A. Bush-Joseph ◽  
Nikhil N. Verma ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Major League Baseball ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
Major League ◽  
Baseball Pitchers ◽  
Ulnar Collateral Ligament Reconstruction

scholarly journals Comparison of Outcomes Based on Graft Type and Tunnel Configuration for Primary Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

2018 ◽  
Vol 6 (7_suppl4) ◽  
pp. 2325967118S0008
Author(s):  
Timothy B. Griffith ◽  
Christopher S. Ahmad ◽  
Michael G. Ciccotti ◽  
John D’Angelo ◽  
Joshua S. Dines ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Return To Play ◽  
Professional Baseball ◽  
Reconstruction Technique ◽  
Collateral Ligament ◽  
Baseball Players ◽  
Elbow Surgery ◽  
Baseball Pitchers ◽  
Ulnar Collateral Ligament Reconstruction

Objectives: Professional baseball pitchers are at high risk for tears of the ulnar collateral ligament (UCL) of the elbow, often requiring subsequent surgical reconstruction. Despite acceptable published return to play outcomes, multiple techniques and graft types have been described. There is a paucity of clinical data in the current literature comparing UCL reconstruction surgical technique and graft type. Even less is known about the risks for subsequent injury, surgery, or revision UCL reconstruction. Accordingly, this study compares UCL reconstruction outcomes based on tunnel configuration and graft type. Methods: Following approval from our institutional review board and Major League Baseball (MLB), 566 professional baseball pitchers who underwent UCL reconstruction between 2010 and 2014 were identified and included. The following patient demographics were analyzed: age, pitching role (starter vs. reliever), level of play (MLB vs. Minor League Baseball [MiLB]), and throwing side dominance. Surgical factors analyzed included reconstruction technique (Docking vs. Modified Jobe), graft type (palmaris longus autograft vs. gracilis autograft), and concomitant procedures. Primary outcome measures consisted of: the ability to return to play at any level (RTP), to return to the same level of play (RSL), the time to return, subsequent elbow injuries, and the need for subsequent or revision elbow surgery. The impact of the patient and surgical factors on outcomes were analyzed using multivariate linear and logistic regression modeling. Results: The overall RTP was 79.9% and RSL was 71.2%. There were no significant differences in the time to RTP or RSL based on reconstruction technique or graft type. RTP rates were similar for the Docking vs. Modified Jobe techniques (80.1% vs. 82.4%; p=0.537) and for the two primary graft types (83.1% for palmaris vs. 80.7% for gracilis; p=0.596). The risk of subsequent elbow surgery was 10.5% for the Docking Technique vs. 14.8% for the Modified Jobe (p=0.203); and the risk for subsequent UCL revision reconstruction surgery was 2.9% vs. 6.2% for the Docking vs. Modified Jobe Techniques, respectively (p=0.128). Significant trends towards an increasing use of palmaris autograft (p=0.023) and the docking technique (p=0.006) were observed. MLB pitchers were more likely than MiLB pitchers to RTP (p<0.001) and to RSL (p<0.001), but they required a longer time to return (mean difference 35 days; p=0.039), had a higher likelihood of subsequent elbow (OR 3.58; 95% CI 2.055 to 6.231; p<0.001) and forearm injuries (OR 5.695; 95% CI 1.99 to 16.302; p=0.004), but not subsequent elbow surgery. No specific variables were noted to be predictive of subsequent elbow or revision surgery in the multivariate analysis. Conclusion: Surgical outcomes in professional baseball players are not significantly influenced by ulnar collateral ligament reconstruction technique or graft type usage. Major League players are more likely to RTP and RSL, but they have a higher frequency of subsequent elbow and forearm injuries. Both the Docking Technique and palmaris autograft are increasing in popularity amongst surgeons treating professional baseball players.

Changes in pitching mechanics after ulnar collateral ligament reconstruction in major league baseball pitchers

2017 ◽  
Vol 26 (8) ◽  
pp. 1307-1315 ◽  
Author(s):  
Daniel A. Portney ◽  
Jake M. Lazaroff ◽  
Lucas T. Buchler ◽  
Stephen M. Gryzlo ◽  
Matthew D. Saltzman
Keyword(s):  
Ligament Reconstruction ◽  
Major League Baseball ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
Major League ◽  
Baseball Pitchers ◽  
Ulnar Collateral Ligament Reconstruction

Predictors of Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers

2016 ◽  
Vol 44 (9) ◽  
pp. 2202-2209 ◽  
Author(s):  
David Whiteside ◽  
Douglas N. Martini ◽  
Adam S. Lepley ◽  
Ronald F. Zernicke ◽  
Grant C. Goulet
Keyword(s):  
Ligament Reconstruction ◽  
Major League Baseball ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
Major League ◽  
Baseball Pitchers ◽  
Ulnar Collateral Ligament Reconstruction

Biomechanical Performance of Baseball Pitchers With a History of Ulnar Collateral Ligament Reconstruction

2015 ◽  
Vol 43 (5) ◽  
pp. 1045-1050 ◽  
Author(s):  
Glenn S. Fleisig ◽  
Charles E. Leddon ◽  
Walter A. Laughlin ◽  
Michael G. Ciccotti ◽  
Bert R. Mandelbaum ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Ulnar Collateral Ligament ◽  
Collateral Ligament ◽  
History Of ◽  
Baseball Pitchers ◽  
Ulnar Collateral Ligament Reconstruction

scholarly journals Comparison of Ulnar Collateral Ligament Reconstruction Techniques in the Elbow of Sports Players

2020 ◽  
Vol 23 (1) ◽  
pp. 41-47
Author(s):  
Jun-Gyu Moon ◽  
Hee-Dong Lee
Keyword(s):  
Clinical Outcomes ◽  
Ligament Reconstruction ◽  
Surgical Techniques ◽  
Ulnar Collateral Ligament ◽  
Review Article ◽  
Return To Sports ◽  
Collateral Ligament ◽  
Technical Issues ◽  
Graft Selection ◽  
Ulnar Collateral Ligament Reconstruction

Ulnar collateral ligament injuries have been increasingly common in overhead throwing athletes. Ulnar collateral ligament reconstruction is the current gold standard for managing ulnar collateral ligament insufficiency, and numerous reconstruction techniques have been described. Although good clinical outcomes have been reported regarding return to sports, there are still several technical issues including exposure, graft selection and fixation, and ulnar nerve management. This review article summarizes a variety of surgical techniques of ulnar collateral ligament reconstructions and compares clinical outcomes and biomechanics.

Sign in / Sign up

Export Citation Format

Share Document