Ulnar collateral ligament reconstruction anatomy indications, techniques, and outcomes

Complications include ulnar neuropathy as well as failure to return to sport.

One potential cause is poor tendon-to-bone healing due to inadequate vascularity. A Systematic Review of Overlapping Meta-Analyses,Comparison of Glenohumeral Contact Pressures and Contact Areas After Posterior Glenoid Reconstruction With an Iliac Crest Bone Graft or Distal Tibial Osteochondral Allograft,Allograft Reconstruction for Glenoid Bone Loss in Glenohumeral Instability: A Systematic Review,Magnetic Resonance Imaging Evaluation of Normal Glenoid Length and Width: An Anatomic Study,Feasibility of an Osteochondral Allograft for Biologic Glenoid Resurfacing,The High Failure Rate of Biologic Resurfacing of the Glenoid in Young Patients with Glenohumeral Arthritis,Topographic Analysis of the Glenoid and Proximal Medial Tibial Articular Surfaces – A Search for the Ideal Match for Glenoid Resurfacing,Comparison of Glenohumeral Contact Pressures and Contact Areas After Glenoid Reconstruction With Latarjet or Distal Tibial Osteochondral Allografts,The Importance of the Recognition and Treatment of Glenoid Bone Loss in an Athletic Population,Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis,Retrospective Analysis of Arthroscopic Management of Glenohumeral Degenerative Disease,A Biomechanical Analysis of Shoulder Stabilization: Posteroinferior Glenohumeral Capsular Plication,Normalization of Glenohumeral Articular Contact Pressures After Latarjet or Iliac Crest Bone-Grafting,Clinical Outcomes After Microfracture of the Glenohumeral Joint,A New Arthroscopic Technique to Determine Anterior-Inferior Glenoid Bone Loss: Validation of the Secant Chord Theory in a Cadaveric Model,Glenoid Bone Deficiency in Recurrent Anterior Shoulder Instability: Diagnosis and Management,Humeral Avulsion of the Glenohumeral Ligament: Injury Pattern and Arthroscopic Repair Techniques,Measurement of Glenoid Bone Loss: a Comparison of Measurement Error Between 45 Degrees and 0 Degrees Bone Loss Models and with Different Posterior Arthroscopy Portal Locations,Assessment of Glenoid Chondral Healing: Comparison of Microfracture to Autologous Matrix Induced Chondrogenesis in a Novel Rabbit Shoulder Model,The Influence of Evidence-Based Surgical Indications and Techniques on Failure Rates After Arthroscopic Shoulder Stabilization in the Contact or Collision Athlete With Anterior Shoulder Instability,Revision Arthroscopic Repair versus Latarjet Procedure in Patients with Recurrent Instability Following Initial Repair Attempt: A Cost ­Effectiveness Model,Role of the superior labrum after biceps tenodesis in glenohumeral stability,Subpectoral Biceps Tenodesis for Bicipital Tendonitis With SLAP Tear,The Management of Type II Superior Labral Anterior to Posterior Injuries,Retrospective Analysis of Arthroscopic Superior Labrum Anterior to Posterior Repair: Prognostic Factors Associated with Failure,Outcome of Arthroscopic Repair of Type II SLAP Lesions in Worker’s Compensation Patients.A Biomechanical Analysis of Capsular Plication Versus Anchor Repair of the Shoulder: Can the Labrum Be Used as a Suture Anchor?Combined SLAP Repair and Biceps Tenodesis for Superior Labral Anterior-Posterior Tears,Revision Arthroscopic Repair Versus Latarjet Procedure in Patients With Recurrent Instability After Initial Repair Attempt: A Cost-Effectiveness Model,Acute Infection with Propionibacterium Acnes After a Latarjet Coracoid Transfer Procedure: A Case Report,Open Repair of Retracted Latissimus Dorsi Tendon Avulsion,Arthroscopic Suprascapular Nerve Decompression: Transarticular and Subacromial Approach.Surgery: Preserving Shoulder Movement in Advanced OA—Yes We CAM!Synovial Fluid From Patients With Early Osteoarthritis Modulates Fibroblast-like Synoviocyte Responses to Toll-like Receptor 4 and Toll-like Receptor 2 Ligands via Soluble CD14,Pectoralis Major Transfer for Treatment of Irreparable Subscapularis Tear: A Systematic Review,Biomechanical Analysis of the Pectoralis Major Tendon and Comparison of Techniques for Tendo-osseous Repair,Suture Technique Influences the Biomechanical Integrity of Pectoralis Major Repairs,Patient Preference Before and After Arthroscopic Rotator Cuff Repair,Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation,Early Return to Work in Workers’ Compensation Patients After Arthroscopic Full-Thickness Rotator Cuff Repair,Biomechanical Evaluation of Transosseous Rotator Cuff Repair,Outcomes After Patch Use in Rotator Cuff Repair,Comparing Clinical Outcomes After Concurrent Rotator Cuff Repair and Long Head Biceps Tenodesis or Tenotomy,Effect of Highly Purified Capsaicin on Articular Cartilage and Rotator Cuff Tendon Healing: An In Vivo Rabbit Study,Is Double-Row Rotator Cuff Repair Clinically Superior to Single-Row Rotator Cuff Repair: A Systematic Review of Overlapping Meta-Analyses,Arthroscopic Repair of Full-Thickness Rotator Cuff Tears With and Without Acromioplasty: Randomized Prospective Trial With 2-Year Follow-Up,The Role of Acromioplasty for Rotator Cuff Problems,All-Arthroscopic Patch Augmentation of a Massive Rotator Cuff Tear: Surgical Technique,Low Accuracy of Interpretation of Rotator Cuff MRI in Patients with Osteoarthritis,Comparison of Subjective and Objective Outcomes After Rotator Cuff Repair,Arthroscopic Primary Rotator Cuff Repairs in Patients Aged Younger Than 45 Years,Transosseous-Equivalent Rotator Cuff Repair: A Systematic Review on the Biomechanical Importance of Tying the Medial Row,An Evidenced-Based Examination of the Epidemiology and Outcomes of Traumatic Rotator Cuff Tears,The Role of Platelet-Rich Plasma in Arthroscopic Rotator Cuff Repair: A Systematic Review With Quantitative Synthesis,The Role of Subacromial Decompression in Patients Undergoing Arthroscopic Repair of Full-Thickness Tears of the Rotator Cuff: A Systematic Review and Meta-analysis,The Arthroscopic Management of Partial-Thickness Rotator Cuff Tears: A Systematic Review of the Literature,Medial Versus Lateral Supraspinatus Tendon Properties: Implications for Double-Row Rotator Cuff Repair,Arthroscopic Repair of Anterosuperior Rotator Cuff Tears Combined With Open Biceps Tenodesis,Outcomes of Arthroscopic Rotator Cuff Repair in Patients Aged 70 Years or Older,Early Return to Work in Workers' Compensation Patients After Arthroscopic Full-Thickness Rotator Cuff Repair.Does the Literature Confirm Superior Clinical Results in Radiographically Healed Rotator Cuffs After Rotator Cuff Repair?Outcomes After Arthroscopic Revision Rotator Cuff Repair,Does the Literature Support Double-Row Suture Anchor Fixation for Arthroscopic Rotator Cuff Repair?

Level of Evidence: Level 5.

Three-dimensional CT and gross dissection revealed increased disruption of small perforating vessels of the posterior aspect of the ME for the modified Jobe technique.

the pitchers who required revision surgery pitching less than those who did not (primary: 1413.6 pitches The docking technique was more common in the drive leg group, while the figure-of-8 technique was more common in the landing leg group ( P > .001). A Systematic Review of Overlapping Meta-analyses,Is Local Viscosupplementation Injection Clinically Superior to Other Therapies in the Treatment of Osteoarthritis of the Knee: A Systematic Review of Overlapping Meta-analyses,Synovial Fluid from Patients with Early Osteoarthritis Modulates Fibroblast-like Synoviocyte Responses to TLR-4 and TLR-2 Ligands via Soluble CD14,A Biomechanical Analysis of Bone-Patellar Tendon-Bone Grafts After Repeat Freeze-Thaw Cycles in a Cyclic Loading Model,Effects of Graft Rotation on Initial Biomechanical Failure Characteristics of Bone-Patellar Tendon-Bone Constructs,Patellofemoral Kinematics After Limited Resurfacing of the Trochlea,Contact Pressure at Osteochondral Donor Sites in the Patellofemoral Joint,The Docking Technique for Posterolateral Corner Reconstruction,Publication and Level of Evidence Trends in The American Journal of Sports Medicine From 1996 to 2011,Utility of Modern Arthroscopic Simulator Training Models,Response to Letter to the Editor on: Validation Study of an Electronic Method of Condensed Outcomes Tools Reporting in Orthopaedics.Should We Limit Innings Pitched After Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers?Epidemiologic Comparison of Pitching Mechanics, Pitch Type, and Pitch Counts Among Healthy Pitchers at Various Levels of Youth Competition,Predictors of Throwing Velocity in Youth and Adolescent Pitchers,Clinical Outcomes of Hemiarthroplasty and Biological Resurfacing in Patients Aged Younger Than 50 Years,All information contained on the sportssurgerychicago.com website is intended for informational and educational purposes. Operative,reports were reviewed to determine the following surgical,details: type of graft used (allograft vs autograft), graft,source (eg, palmaris longus, hamstring tendon), tunnel con-,figuration (eg, modified Jobe, docking technique), and con-,comitant procedures. Results In the context of primary UCL recon-,scores between surgical technique (docking vs double-dock-.ing) or graft types (palmaris autograft, hamstring autograft,and allograft). and Romeo, {Anthony A. Recent findings: Determine performance and rate of return to sport (RTS) in professional baseball players after UCLR and compare performance and RTS rate, as well as injury rates, between players who underwent UCLR with hamstring versus palmaris autograft. The RTP rate was 79.9%, and the RSL rate was 71.2%. Ulnar collateral ligament reconstruction (UCLR) is a reliable treatment option for the symptomatic, deficient UCL.

Both the docking and double-docking techniques produce excellent clinical outcomes in patients undergoing UCLR. AOSSM has not.conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.Ethical approval for this study was waived by the Mayo Clinic Institutional Review Board.means were assessed using an unpaired Student,these results are reported with their corr.was used to determine the significance of trends over time,From 2010 to 2016, a total of 69 professional baseball,pitchers underwent revision UCL reconstruction at an,average of 1424 days (47 months) after their primary sur-,gery. Injury to the medial collateral ligament (MCL) of the elbow is a debilitating condition in overhead throwing athletes, particularly baseball pitchers. The,(A) A trend was found toward increasing number of,) compared with minor league players (39.5,.01). and Harris, {Joshua D.} and Chalmers, {Peter N.} and Bach, {Bernard R.} and Verma, {Nikhil N.} and Bush-Joseph, {Charles A.} No surgeon would perform a concomitant biceps tenodesis, either open or arthroscopic. Significantly more subsequent injuries to the contralateral lower extremity were seen in the hamstring group versus the palmaris group (25 vs 13, respectively) ( P = .040). Most MLB team orthopaedic surgeons perform a UCLR using the docking technique with a palmaris longus autograft without concomitant elbow arthroscopy or obligatory transposition of the ulnar nerve. Three-dimensional computed tomography (CT) and gross dissection were performed to assess terminal vessel integrity. To identify significant predictors of UCL reconstruction in MLB pitchers. The dif-,ferences in RTP, RSL, subsequent injury, and subsequent,injury rates were compared between groups by use of a 2-,tailed Fisher exact test. This article provides a detailed description and video demonstration of how to perform this technique. After approval from our institutional review board and Major League Baseball (MLB), 566 professional baseball pitchers who underwent UCLR between 2010 and 2014 were identified and included.

Methods:

Methods:: No difference in overall upper or lower extremity injury rates existed between groups (all P > .05), and no difference in performance metrics existed between groups upon RTS.

It is paramount that surgeons remain up to date on the current literature, as modern indications and surgical techniques continue to improve clinical outcomes. The overwhelming majority of these surgeons would also treat an operative type II SLAP tear with a SLAP repair. (UCL) injury; however, limited data are available in evaluating workload and its relationship with Players with prior UCLR with ipsilateral (drive leg) hamstring autograft will have the same return-to-sport (RTS) rate and,Background::

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