scholarly journals The Role of Biologic Agents in the Non-operative Management of Elbow Ulnar Collateral Ligament Injuries

2020 ◽  
Vol 13 (4) ◽  
pp. 442-448 ◽  
Author(s):  
John M. Apostolakos ◽  
Kenneth M. Lin ◽  
James B. Carr ◽  
Asheesh Bedi ◽  
Christopher L. Camp ◽  
...  
Keyword(s):  
Ulnar Collateral Ligament ◽  
Operative Management ◽  
Biologic Agents ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Non Operative Management

scholarly journals MRI Predictors of Failure in Non-operative Management of Ulnar Collateral Ligament Injuries in Professional Baseball Pitchers

2016 ◽  
Vol 4 (7_suppl4) ◽  
pp. 2325967116S0016 ◽  
Author(s):  
Thomas Sean Lynch ◽  
Salvatore Frangiamore ◽  
Michael Derek Vaughn ◽  
Lonnie Soloff ◽  
Mark S. Schickendantz
Keyword(s):  
Ulnar Collateral Ligament ◽  
Operative Management ◽  
Professional Baseball ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Baseball Pitchers ◽  
Non Operative Management

Non-operative management of ulnar collateral ligament injuries in the throwing athlete

2017 ◽  
Vol 45 (3) ◽  
pp. 234-238 ◽  
Author(s):  
Mia Smucny ◽  
Robert W. Westermann ◽  
Matthew Winters ◽  
Mark S. Schickendantz
Keyword(s):  
Ulnar Collateral Ligament ◽  
Operative Management ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Throwing Athlete ◽  
Non Operative Management

The Role of Biologics in Ulnar Collateral Ligament Injuries

2021 ◽  
pp. 141-151
Author(s):  
John M. Apostolakos ◽  
Joshua Wright-Chisem ◽  
Joshua S. Dines ◽  
David W. Altchek ◽  
James B. Carr ◽  
...  
Keyword(s):  
Ulnar Collateral Ligament ◽  
Ligament Injuries ◽  
Collateral Ligament

scholarly journals Evaluation and management of elbow injuries in the adolescent overhead athlete

2021 ◽  
Vol 9 ◽  
pp. 205031212110033
Author(s):  
Austin M Looney ◽  
Paolo D Rigor ◽  
Blake M Bodendorfer
Keyword(s):  
Skeletal Maturity ◽  
Functional Anatomy ◽  
Ulnar Collateral Ligament ◽  
Elbow Flexion ◽  
Operative Management ◽  
Collateral Ligament ◽  
Wide Range ◽  
Elbow Injuries ◽  
Overhead Throwing ◽  
Non Operative Management

With an increased interest in youth sports, the burden of overhead throwing elbow injuries accompanying early single-sport focus has steadily risen. During the overhead throwing motion, valgus torque can reach and surpass Newton meters (N m) during the late cocking and early acceleration phases, which exceeds the tensile strength (22.7–33 N m) of the ulnar collateral ligament. While the ulnar collateral ligament serves as the primary valgus stabilizer between and degrees of elbow flexion, other structures about the elbow must contribute to stability during throwing. Depending on an athlete’s stage of skeletal maturity, certain patterns of injury are observed with mechanical failures resulting from increased medial laxity, lateral-sided compression, and posterior extension shearing forces. Together, these injury patterns represent a wide range of conditions that arise from valgus extension overload. The purpose of this article is to review common pathologies observed in the adolescent overhead throwing athlete in the context of functional anatomy, osseous development, and throwing mechanics. Operative and non-operative management and their associated outcomes will be discussed for these injuries.

scholarly journals Ulnar Collateral Ligament Injury in Gymnasts: An Analysis of Return to Competition Rates and Patient Outcomes

2021 ◽  
Vol 9 (7_suppl4) ◽  
pp. 2325967121S0020
Author(s):  
Somnath Rao ◽  
Robert Jack ◽  
Donald Willier ◽  
Steven Cohen ◽  
Christopher Dodson ◽  
...  
Keyword(s):  
Treatment Options ◽  
Ulnar Collateral Ligament ◽  
Operative Management ◽  
Return To Play ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Operative Outcomes ◽  
The Mean ◽  
Non Operative Management

Objectives: While results following ulnar collateral ligament (UCL) injury in baseball players has been well documented, results following UCL injury in gymnasts are not well documented. As such, the purpose of this study was to report the operative and non-operative outcomes of UCL injury in gymnasts. Methods: Gymnasts who underwent UCL injury treatment whether non-operative or operative at a single institution were evaluated at a minimum of 2 years post-operatively. Patients were assessed with Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score (KJOC), Mayo Elbow Performance Score (MEPS), Andrews-Timmerman (A-T) Elbow score, Quick Disabilities of the Arm, Shoulder and Hand (qDASH) score and a custom return to play survey. Results: There were 11 patients who met inclusion criteria and complete follow-up was available in 9 patients. Overall, 6 patients were treated operatively (4 UCL reconstructions (UCLR) and 2 UCL repairs) and 3 patients were treated non-operatively. One UCLR was performed after 2 months of failed non-operative management. All patients were female with a mean age of 16.1 (range, 12-20) and mean BMI of 24.46 (range 19.2-34.1) at time of surgery or initial visit. Average follow-up was 4.04 years. Overall, 66.7% of operative versus 100% of non-operative were able to RTP at an average of 7.5 and 7 months, respectively. One re-injury was reported in the non-operative group, which was a re-dislocation of the elbow unrelated to gymnastics and was ultimately treated non-operatively. The mean KJOC, MEPS, A-T and qDASH scores for the operative group were 70.0 (range, 48.5-89), 97.5 (range, 95-100), 90.8 (range, 75-100) and 24.6 (range, 22.7-29.5), respectively. The mean scores for the non-operative group were 75.9 (range, 61-91.2), 71.7 (range, 65-75), 71.7 (range, 55-80) and 34.1 (range, 22.7-40.9), respectively. Conclusions: Both operative and non-operative treatments can be offered as successful treatment options for UCL injuries in gymnasts. Further investigation is needed to determine the optimal management of UCL injuries in gymnasts.

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