scholarly journals Update On Performance And Return To Sport After Biceps Tenodesis In Professional Baseball Players (226)

2021 ◽  
Vol 9 (10_suppl5) ◽  
pp. 2325967121S0033
Author(s):  
Brandon Erickson ◽  
Peter Chalmers ◽  
John Dangelo ◽  
Kevin Ma ◽  
Dana Rowe ◽  
...  
Keyword(s):  
Performance Metrics ◽  
Return To Sport ◽  
Interference Screw ◽  
Return To Play ◽  
Professional Baseball ◽  
Biceps Tenodesis ◽  
Baseball Players ◽  
Slap Repair ◽  
History Of ◽  
And Performance

Objectives: Determine the return to sport (RTS) rate and performance upon RTS in professional baseball players who underwent biceps tenodesis. Methods: All professional baseball pitchers who underwent biceps tenodesis between 2014 and 2017 were included. Players with concomitant rotator cuff repair were excluded. Demographic and performance data (preoperative and postoperative) were recorded for each player. Performance metrics were then compared between the biceps tenodesis and matched control (no history of biceps tenodeses) groups. Results: 14 players (average age 27±4 years; 12 pitchers, 2 position outfielders) were included. Most (79%) were open subpectoral tenodeses while one was an arthroscopic biceps transfer and one was arthroscopic suprapectoral. Fixation methods included cortical button (42%), interference screw (25%), suture anchor (25%) and drill holes (8%). Most players (79%) underwent concomitant procedures (43% underwent SLAP repair). Among the 14 players, 2 were unable to RTS, 5 RTS but to a lower level, and 7 RTS at the same or a higher level. Thus, overall, while 86% (12/14) were able to RTS, 50% (7/14) were able to return to the same or a better level and 50% were either unable to return or returned to a lower level. Among pitchers specifically, 100% (12/12) were able to return to play, but only 50% (6/12) were able to return to the same or a higher level. For those players who did return to play, it took 245±84 days, their performance was unchanged and did not differ from matched controls. Conclusions: While 86% of professional baseball players returned to sport following biceps tenodesis, only 50% returned at the same or higher level. No decline in performance was noted in players who successfully returned. Open subpectoral tenodesis is the most common tenodesis technique performed on professional baseball players.

scholarly journals Performance and Return to Sport Following Ulnar Nerve Transposition/Decompression in Professional Baseball Players

2018 ◽  
Vol 6 (7_suppl4) ◽  
pp. 2325967118S0016
Author(s):  
Brandon J. Erickson ◽  
Peter Nissen Chalmers ◽  
John D’Angelo ◽  
Kevin Ma ◽  
Anthony A. Romeo
Keyword(s):  
Ulnar Nerve ◽  
Performance Metrics ◽  
Return To Sport ◽  
Professional Baseball ◽  
Baseball Players ◽  
Nerve Decompression ◽  
Ulnar Nerve Transposition ◽  
Significant Difference ◽  
And Performance ◽  
Nerve Transposition

Background: Isolated ulnar nerve decompression/transposition is an uncommon surgery amongst professional baseball players. Purpose: To determine the rate of return to sport (RTS) and performance upon RTS in professional baseball players following isolated ulnar nerve decompression/transposition, including those who required an ulnar nerve transposition/decompression following ulnar collateral ligament reconstruction (UCLR), and to determine if outcomes differ between players with isolated ulnar nerve decompression/transposition and matched controls. Hypothesis: There is a high rate of RTS in professional baseball players undergoing isolated ulnar nerve decompression/transposition with no significant difference in RTS rate or performance (specifically related to the primary outcome performance variables of earned run average (ERA), WHIP ((walks +hits)/innings pitched), wins above replacement (WAR), and on base + slugging percentage (OPS)) between cases and controls. Methods: All professional baseball players who underwent isolated ulnar nerve decompression/transposition between 2010-2016 were included. Demographic and performance data (pre and post surgery) for each player was recorded. Performance metrics were then compared between cases and a group of matched controls. Results: Overall 52 players, 83% pitchers (14 who underwent prior UCLR) were included. Most surgeries (92%) were anterior subcutaneous transpositions. Overall, 62% of players were able to successfully RTS and 56% returned to the same or a higher level. There was no significant difference between cases and controls in the majority of performance metrics pre-operative or post-operatively, specifically ERA, WHIP, WAR, and OPS. When players who had a UCLR prior to their ulnar nerve transposition/decompression were compared to controls with a history of a UCLR but who did not go on to have an ulnar nerve transposition/decompression, the only performance difference of all the recorded metrics was cases allowed more walks per 9 innings (4.4 vs. 2.8; p=0.011). Conclusion: Anterior subcutaneous transposition is the most common surgery in professional baseball players to address ulnar nerve compression. Players have a 62% rate of RTS. Upon RTS, players performance compared to matched controls remains the same in the majority of performance metrics including ERA, WHIP, WAR, and OPS. Post-operatively, pitchers with a UCLR prior to ulnar nerve transposition/decompression performed the same as matched controls with prior UCLR.

scholarly journals Performance and Return to Sport Following Open Reduction Internal Fixation About the Elbow in Professional Baseball Players

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0037
Author(s):  
Brandon J. Erickson ◽  
Peter Nissen Chalmers ◽  
John D’Angelo ◽  
Kevin Ma ◽  
Anthony A. Romeo
Keyword(s):  
Stress Fracture ◽  
Open Reduction ◽  
Performance Metrics ◽  
Return To Sport ◽  
Olecranon Fracture ◽  
Professional Baseball ◽  
Baseball Players ◽  
Significant Difference ◽  
And Performance ◽  
Olecranon Fractures

Objectives: The results of open reduction and internal fixation (ORIF) of stress reactions and fractures of the olecranon in professional baseball players with regards to return to sport (RTS) are unknown. The purpose was to determine the RTS rate and performance in professional baseball players following ORIF of acute, displaced olecranon fractures and olecranon stress fractures, and to compare RTS rate and performance to matched controls. The authors hypothesized that there is a high rate of RTS in professional baseball players following ORIF of acute, displaced olecranon fractures and olecranon stress fractures with no significant difference in rate of RTS or performance, specifically related to the primary outcome performance variables of win-loss percentage (W-L%), WHIP ((walks +hits)/innings pitched), fielding independent pitching (FIP), and wins above replacement (WAR)) between cases and controls between cases and controls. Methods: All professional baseball players who underwent ORIF of the olecranon between 2010-2016 were included. Demographic and performance data (pre and post surgery) for each player was recorded. Performance metrics were then compared between cases and a group of matched controls. Results: Overall, 52 professional baseball players (average age 22.6 +/- 3.6 years) underwent ORIF of an olecranon fracture. The majority of players sustained a primary olecranon stress fracture (73%), that was fixed with one screw (60%), with a RTS rate of 67.5%. No difference in RTS rate existed between matched controls and the players. No significant difference existed between the primary preoperative and postoperative performance (change in performance) metrics for pitchers who underwent ORIF of an acute, displaced olecranon fracture or ORIF of a primary olecranon stress fracture. No significant difference existed between pitchers who underwent ORIF of a primary olecranon stress fracture and matched controls in any of the primary performance metrics. Conclusion: Professional baseball players who undergo ORIF of an olecranon fracture (either acute, displaced or stress fracture) have a RTS rate of 67.5%, which is no different than natural attrition from matched controls. No decline in performance metrics is seen in players who are able to RTS when compared to their preoperative performance, or to the performance of matched controls.

Performance and Return to Sport After Open Reduction and Internal Fixation of the Olecranon in Professional Baseball Players

2019 ◽  
Vol 47 (8) ◽  
pp. 1915-1920 ◽  
Author(s):  
Brandon J. Erickson ◽  
Peter N. Chalmers ◽  
John D’Angelo ◽  
Kevin Ma ◽  
Christopher S. Ahmad ◽  
...  
Keyword(s):  
Stress Fracture ◽  
Open Reduction ◽  
Performance Metrics ◽  
Return To Sport ◽  
Olecranon Fracture ◽  
Professional Baseball ◽  
Baseball Players ◽  
Significant Difference ◽  
And Performance ◽  
Olecranon Fractures

Background: The results of open reduction and internal fixation (ORIF) of stress reactions and fractures of the olecranon among professional baseball players with regard to return to sport (RTS) are unknown. Purpose/Hypothesis: To determine the RTS rate and performance of professional baseball players after ORIF of acute, displaced olecranon fractures and olecranon stress fractures and to compare the RTS rate and performance with that of matched controls. The authors hypothesized that there is a high rate of RTS among professional baseball players after ORIF of acute, displaced olecranon fractures and olecranon stress fractures with no significant difference in rate of RTS or performance between cases and controls. Study Design: Cohort study; Level of evidence, 3. Methods: All professional baseball players who underwent ORIF of the olecranon between 2010 and 2016 were included. Demographic and performance data (before and after surgery) for each player were recorded. Performance metrics were then compared between cases and a group of matched controls. Results: Overall, 52 professional baseball players (mean ± SD age, 22.6 ± 3.6 years) underwent ORIF of an olecranon fracture. The majority of players sustained a primary olecranon stress fracture (73%) that was fixed with 1 screw (60%), with an overall RTS rate of 67.5%. No difference in RTS rate existed between matched controls and the cases. No significant difference existed between the primary pre- and postoperative performance metrics (ie, change in performance) for pitchers who underwent ORIF of an acute, displaced olecranon fracture or ORIF of a primary olecranon stress fracture. No significant difference existed between pitchers who underwent ORIF of a primary olecranon stress fracture and matched controls in any of the primary performance metrics. Three cases and 2 controls underwent ulnar collateral ligament reconstruction later in their careers after olecranon ORIF. Conclusion: Professional baseball players who undergo ORIF of an olecranon fracture (acute, displaced, or stress) have an RTS rate of 67.5% (57.6% to the same or higher level), which is no different from natural attrition among matched controls. No decline in performance metrics was seen among players who were able to RTS when compared with their preoperative performance or the performance of matched controls.

scholarly journals Incidence and Return to Play after Biceps Tenodesis in Major League Baseball Players

2017 ◽  
Vol 5 (3_suppl3) ◽  
pp. 2325967117S0011 ◽  
Author(s):  
Peter Nissen Chalmers ◽  
Brandon J. Erickson ◽  
Nikhil N. Verma ◽  
Anthony A. Romeo
Keyword(s):  
Major League Baseball ◽  
Small Sample ◽  
Shoulder Surgery ◽  
Return To Play ◽  
Rate Of Return ◽  
Labral Repair ◽  
Professional Baseball ◽  
Biceps Tenodesis ◽  
Baseball Players ◽  
Major League

Objectives: Superior labral anterior-posterior (SLAP) tears are a common source of inability to play among baseball players of all levels. SLAP repair is unpredictable and thus biceps tenodesis (BT) has been proposed as an alternative. Furthermore, tenodesis may be indicated for pain isolated to the biceps tendon. The incidence of BT among professional baseball players is unknown, as are the rates of return to play (RTP). The purpose of this study was to determine RTP rates after BT among professional baseball players. Methods: Major League Baseball (MLB) has maintained a prospective database containing all major and minor league baseball players who have undergone shoulder surgery since 2010. Using this database we determined the incidence, demographics, position, prior surgical history, concomitant procedures, RTP rates, time to RTP, and performance upon RTP for professional baseball players following BT. Minimum follow-up was 2 years. Results: Between 2010 and 2013, 17 professional baseball players underwent BT, of which 71% were pitchers, and 29% were in the major league. Forty-seven percent had a history of prior shoulder surgery and 47% underwent concomitant labral repair. Overall RTP after BT was 35%. RTP for isolated BT was 44% in 0.8±0.5 years while RTP for those who underwent both BT and labral repair was 25% (p=0.620). All players who RTP were able to return to at least ten games at their pre-operative level of play. Return to professional play was significantly more common among position players than pitchers (80% vs. 17%, p=0.028). RTP was less common among players with prior shoulder surgery, but this was not statistically significant (56% vs. 13%, p=0.131). For those players who did RTP, pre-operative and post-operative performance was unchanged. Conclusion: Professional baseball players who undergo biceps tenodesis have a 35% rate of return to their prior level of play. While pitchers have only a 16% rate of return to play, position players have an 80% rate of return to play. Furthermore, 100% of those who returned to baseball played at least 10 games at their pre-operative level with no significant change in performance statistics. Professional baseball players who choose to undergo biceps tenodesis should be counseled regarding the low rates or return to play. Pitchers in particular may have a poor prognosis following tenodesis. However, given the small sample size and concomitant procedures, further study is needed before definitive conclusions can be made.

Incidence and Return to Play After Biceps Tenodesis in Professional Baseball Players

2018 ◽  
Vol 34 (3) ◽  
pp. 747-751 ◽  
Author(s):  
Peter N. Chalmers ◽  
Brandon J. Erickson ◽  
Nikhil N. Verma ◽  
John D'Angelo ◽  
Anthony A. Romeo
Keyword(s):  
Return To Play ◽  
Professional Baseball ◽  
Biceps Tenodesis ◽  
Baseball Players

Performance and Return to Sport After Excision of the Fractured Hook of the Hamate in Professional Baseball Players

2020 ◽  
Vol 48 (12) ◽  
pp. 3066-3071
Author(s):  
Brandon J. Erickson ◽  
Kathryn Mcelheny ◽  
Peter N. Chalmers ◽  
James B. Carr ◽  
John D’Angelo ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Median Time ◽  
Performance Metrics ◽  
Return To Sport ◽  
High Rate ◽  
Professional Baseball ◽  
Tourniquet Time ◽  
Baseball Players ◽  
Before And After ◽  
Hook Of Hamate

Background: A fracture of the hook of the hamate is a common injury affecting professional baseball players. The treatment for these fractures ranges from nonoperative immobilization to excision of the fragment. Purpose/Hypothesis: The purpose was to report the results of surgical treatment of hook of hamate fractures in professional baseball players and determine which factors are associated with return to sport (RTS) and time to RTS. The hypothesis was that there is a high rate of RTS in professional baseball players after surgical treatment of the hook of the hamate fracture with no significant decline in performance after RTS. Study Design: Descriptive epidemiology study. Methods: All professional baseball players who underwent excision of the hook of the hamate between 2010 and 2017 were included. Player characteristic and performance data (before and after surgery) were recorded. Performance metrics were then compared before and after surgery. Results: Overall, 261 players were included. Of total injuries, 96% were due to hitting, 86% occurred on the nondominant hitting side, and 89% were acute fractures (11% were nonunion cases). Most (95%) injuries occurred at the Minor League level and 96.2% of procedures were performed by hand fellowship–trained surgeons. Eight percent of players underwent concomitant procedures. The average tourniquet time was 31 ± 13 minutes. In total, 81% of players returned to sport at the same or higher level; 3% returned to sport at a lower level. The median time to RTS after surgery was 48 days (range, 16-246 days). The tourniquet time and number of days to RTS were significantly associated with one another ( P = .001; Spearman ρ = 0.290; N = 130). Player utilization significantly increased after surgery. While player efficiency, including batting average (BA), on-base percentage (OBP), and on-base plus slugging percentage (OPS), significantly decreased, these changes were numerically small (BA: 0.26 ± 0.04 preoperatively vs 0.25 ± 0.04 postoperatively; OBP: 0.34 ± 0.04 preoperatively vs 0.32 ± 0.04 postoperatively; OPS: 0.73 ± 0.12 preoperatively vs 0.70 ± 0.11 postoperatively) ( P < .001). There were no significant differences between rates of RTS to the same or higher level of play among acute fractures (81%) and nonunion cases (76%) ( P = .837). Conclusion: After surgical excision for hook of hamate fractures in professional baseball players, 84% were able to RTS, with 81% returning to the same or higher level. The median time for players to RTS after surgery was 48 days. Player usage increased after surgery, while hitting efficiency slightly declined.

scholarly journals Open Reduction Internal Fixation of Medial Epicondyle Fractures After Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

2019 ◽  
Vol 7 (6) ◽  
pp. 232596711985289 ◽  
Author(s):  
Brandon J. Erickson ◽  
Peter N. Chalmers ◽  
John D’Angelo ◽  
Kevin Ma ◽  
Anthony A. Romeo
Keyword(s):  
Return To Sport ◽  
Ulnar Collateral Ligament ◽  
Open Reduction Internal Fixation ◽  
Medial Epicondyle ◽  
Professional Baseball ◽  
Performance Outcome ◽  
History Of ◽  
Baseball Pitchers ◽  
And Performance ◽  
And Control

Background: Ulnar collateral ligament reconstruction (UCLR) is a common procedure among professional baseball pitchers. An uncommon complication after UCLR is a fracture of the medial epicondyle at the level of the humeral tunnel, which requires open reduction internal fixation (ORIF). Purpose/Hypothesis: The purpose of this study was to determine the performance upon and rate of return to sport (RTS) in professional baseball pitchers after ORIF of the medial epicondyle and examine whether there is a difference in the RTS rate and performance between players who underwent ORIF and matched controls. It was hypothesized that there would be a high rate of RTS in professional baseball pitchers after ORIF of the medial epicondyle, with no difference between the ORIF and control groups in the rate of RTS or performance, specifically related to the primary performance outcome variables of win-loss percentage, walks plus hits per inning pitched, fielding independent pitching, and wins above replacement. Methods: All professional baseball pitchers who underwent ORIF of the medial epicondyle between 2010 and 2016 were included in this study. Demographic and performance data (preoperative and postoperative) were recorded for each player. Performance metrics were then compared between the ORIF and control (no history of UCLR or ORIF) groups. Results: Overall, 15 pitchers (80.0% starters, 73.3% right-handed) underwent ORIF of a medial epicondyle fracture. All had undergone prior UCLR using either the American Sports Medicine Institute (n = 9; 60.0%) or docking (n = 6; 40.0%) technique. ORIF techniques included fixation with 1 screw (n = 13; 86.7%) and fixation with suture anchors (n = 2; 13.3%). Eleven (73.3%) pitchers were able to return to sport (did not differ from controls; P = .537); 55% returned to the same level or higher. No significant differences existed in the primary performance outcome variables when comparing preoperative with postoperative performance. No significant differences in the primary performance outcome variables were seen between the ORIF and control groups after surgery, although players in the ORIF group pitched fewer innings than controls after surgery ( P = .003). Conclusion: After ORIF of the medial epicondyle in professional pitchers with a history of UCLR, 73.3% were able to return to sport (only 55% of those who returned pitched at the same level or higher) without a significant decline in most performance variables when compared with their preoperative performance or matched controls. The number of innings pitched declined after surgery.

SLAP tears and return to sport and work: current concepts

2021 ◽  
pp. jisakos-2020-000537
Author(s):  
Matthew R LeVasseur ◽  
Michael R Mancini ◽  
Benjamin C Hawthorne ◽  
Anthony A Romeo ◽  
Emilio Calvo ◽  
...  
Keyword(s):  
Treatment Options ◽  
Return To Sport ◽  
Operative Management ◽  
Return To Play ◽  
Biceps Tenodesis ◽  
Overhead Athletes ◽  
Slap Lesions ◽  
Slap Repair ◽  
Biceps Tenotomy ◽  
Sporting Activities

Superior labrum, anterior and posterior (SLAP) lesions are common and identified in up to 26% of shoulder arthroscopies, with the greatest risk factor appearing to be overhead sporting activities. Symptomatic patients are treated with physical therapy and activity modification. However, after the failure of non-operative measures or when activity modification is precluded by athletic demands, SLAP tears have been managed with debridement, repair, biceps tenodesis or biceps tenotomy. Recently, there have been noticeable trends in the operative management of SLAP lesions with older patients receiving biceps tenodesis and younger patients undergoing SLAP repair, largely with suture anchors. For overhead athletes, particularly baseball players, SLAP lesions remain a difficult pathology to manage secondary to concomitant pathologies and unpredictable rates of return to play. As a consequence, the most appropriate surgical option in elite throwers is controversial. The objective of this current concepts review is to discuss the anatomy, mechanism of injury, presentation, diagnosis and treatment options of SLAP lesions and to present current literature on outcomes affecting return to sport and work.

Career Length and Performance Among Professional Baseball Players Returning to Play After Hip Arthroscopy

2018 ◽  
Vol 46 (11) ◽  
pp. 2588-2593 ◽  
Author(s):  
Salvatore J. Frangiamore ◽  
Sandeep Mannava ◽  
Karen K. Briggs ◽  
Shannen McNamara ◽  
Marc J. Philippon
Keyword(s):  
Performance Measures ◽  
Hip Arthroscopy ◽  
Case Series ◽  
Return To Play ◽  
Professional Baseball ◽  
Study Cohort ◽  
Baseball Players ◽  
Career Length ◽  
The Mean ◽  
And Performance

Background: Hip arthroscopy has been shown to be effective for management of symptomatic femoroacetabular impingement (FAI) in professional athletes; however, it is unclear how hip arthroscopy affects career length and performance when professional baseball players return to play. Purpose: To determine the career length, performance, and return-to-play rates of professional baseball players after undergoing arthroscopy for symptomatic FAI. Study Design: Case series; Level of evidence, 4. Methods: Forty-four professional baseball players (51 hips) underwent hip arthroscopy for FAI between 2000 and 2015 by a single surgeon. Data were retrieved for each player from MLB.com , MiLB.com , Baseballreference.com , and individual team websites. Age, surgical procedure, and intraoperative findings were also used in analysis. Return to play was defined as playing in a preseason or regular season major or minor league game after arthroscopy. Career length was measured as total years played before and after arthroscopy. Performance measures included earned run average for pitchers, batting average for position players, and games played for all players. Results: Of the 44 players, there were 21 pitchers and 23 position players. Ninety-five percent (n = 42) were able to return to professional baseball after hip arthroscopy. The mean career length for all players was 9.5 years. The mean career length after return to play was 3.6 seasons (range, 1-14 seasons). Pitchers had a mean career length of 8.7 years (3.3 after surgery), and position players averaged a career length of 10 years (3.9 after surgery). There were no differences in performance measures between preinjury and postoperative values. Conclusion: Professional baseball players undergoing hip arthroscopy for FAI returned to sport and had similar performance as they did before injury. The average career length was 9.5 years. In our study cohort, more pitchers than position players underwent hip arthroscopy. Hip arthroscopy appears to be an effective surgical intervention, allowing for return to play after complete recovery.

Performance and Return to Sport After Ulnar Nerve Decompression/Transposition Among Professional Baseball Players

2019 ◽  
Vol 47 (5) ◽  
pp. 1124-1129 ◽  
Author(s):  
Brandon J. Erickson ◽  
Peter N. Chalmers ◽  
John D’Angelo ◽  
Kevin Ma ◽  
Anthony A. Romeo
Keyword(s):  
Ulnar Nerve ◽  
Surgical Procedure ◽  
Performance Metrics ◽  
Major League Baseball ◽  
Return To Sport ◽  
Professional Baseball ◽  
Baseball Players ◽  
Nerve Decompression ◽  
Significant Difference ◽  
Major League

Background: Isolated ulnar nerve decompression/transposition is an uncommon surgical procedure among professional baseball players. Purpose/Hypothesis: To determine performance and rate of return to sport (RTS) among professional baseball players after isolated ulnar nerve decompression/transposition, including those who required decompression/transposition after ulnar collateral ligament reconstruction (UCLR), and to compare outcomes between cases and matched controls. The authors hypothesized a high rate of RTS among professional baseball players undergoing isolated ulnar nerve decompression/transposition with no difference in RTS rate or performance between cases and controls as related to earned run average, WHIP ([walks + hits]/innings pitched), wins above replacement, and on base + slugging percentage. Study Design: Cohort study; Level of evidence, 3. Methods: Utilizing the injury database of Major League Baseball, we identified all professional baseball players who underwent isolated ulnar nerve decompression/transposition between 2010 and 2016. De-identified demographic and performance data (before and after surgery) for each player were recorded from Major League Baseball records. Performance metrics were then compared between cases and matched controls. Results: The study included 52 players; 83% were pitchers; and 14 underwent prior UCLR. Most surgical procedures (92%) were anterior subcutaneous transpositions. Overall, 62% of players were able to successfully RTS, and 56% returned to the same or higher level. There was no significant difference between cases and controls in the majority of pre- and postoperative performance metrics—specifically, earned run average, WHIP, wins above replacement, and on base + slugging percentage. When players who had UCLR before ulnar nerve decompression/transposition were compared with controls with a history of UCLR but no subsequent ulnar nerve decompression/transposition, the only performance difference of all the recorded metrics was that cases allowed more walks per 9 innings (4.4 vs 2.8, P = .011). Conclusion: Anterior subcutaneous transposition is the most common surgical procedure among professional baseball players to address ulnar neuropathy at the elbow. Players have a 62% rate of RTS, which is lower than expected for this nonreconstruction or repair procedure. For players who successfully RTS, performance metrics versus matched controls remained the same except for allowing significantly more walks per 9 innings. Postoperatively, pitchers with UCLR before ulnar nerve decompression/transposition who had a successful RTS performed the same as matched controls with prior UCLR without subsequent ulnar nerve decompression/transposition.

Sign in / Sign up

Export Citation Format

Share Document