Baseball Commentary “Thumb Ligament Injuries: RCL and UCL”

Chhor, Kimberlly S.; Culp, Randall W.

doi:10.1016/j.hcl.2012.05.027

Cited by 6 publications

(12 citation statements)

References 4 publications

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“…1 ). 3 , 5 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 Eleven (47.8%) articles were patient case series (level IV evidence), and 12 (52.2%) articles were expert opinions and recommendations on RTP (level V evidence). 3 , 5 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 …”

Section: Resultsmentioning

confidence: 99%

Return to Play After Thumb Ulnar Collateral Ligament Injuries Managed Surgically in Athletes—A Systematic Review

Allahabadi¹,

Kwong²,

Pandya³

et al. 2023

Journal of Hand Surgery Global Online

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Section: Resultsmentioning

confidence: 99%

Return to Play After Thumb Ulnar Collateral Ligament Injuries Managed Surgically in Athletes—A Systematic Review

Allahabadi¹,

Kwong²,

Pandya³

et al. 2023

Journal of Hand Surgery Global Online

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“…Catchers had the longest RTP time of all position groups at 198 d. Notably, the sample size for catchers was small (n = 5) in this study and the long RTP could possibly be secondary to a majority having surgery toward the end of their season. For nonpitchers and pitchers, RTP is recommended when motion and pinch strength are 80% and 100% of the contralateral side, respectively (57). Outcomes after surgery in basketball players is more limited.…”

Section: Return To Playmentioning

confidence: 99%

Acute Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injury: Diagnosis, Management, and Return to Sports Considerations

Robinson

Jelsing

2023

Curr Sports Med Rep

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Thumb metacarpophalangeal joint ulnar collateral ligament injuries are common in athletes and range from mild sprains to complete retracted tears. The typical injury mechanism of a valgus force directed onto an abducted or extended thumb is frequently seen in certain sporting activities, such as skiing, football, and baseball. Ultrasound and magnetic resonance imaging are excellent imaging supplements to the clinical evaluation for diagnosis confirmation. Positive treatment outcomes have been demonstrated when these injuries are appropriately managed both nonoperatively and surgically. When deciding on a treatment plan, it is paramount to take the athlete's injury severity and sport-specific factors into account. The aim of this review is to summarize the sport epidemiology, diagnosis, treatment options, and return to play considerations for athletes who sustain an acute thumb metacarpophalangeal joint ulnar collateral ligament injury.

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“…3,9,14,20 Treatment can be influenced by hand dominance (throwing vs nonthrowing hand). 5 Patients with incomplete injuries (sprains) with a stable thumb MCP joint have historically been treated nonoperatively with cast or spica splint immobilization in their nonthrowing, or glove, hand. 5,14 However, complete tears of the thumb UCL treated nonoperatively may result in pain, instability, decreased pinch strength, and eventually symptomatic osteoarthritis.…”

mentioning

confidence: 99%

“…5 Patients with incomplete injuries (sprains) with a stable thumb MCP joint have historically been treated nonoperatively with cast or spica splint immobilization in their nonthrowing, or glove, hand. 5,14 However, complete tears of the thumb UCL treated nonoperatively may result in pain, instability, decreased pinch strength, and eventually symptomatic osteoarthritis. 5,21 Surgical repair of complete tears and those with a Stener lesion has yielded excellent results in more than 90% of patients, with RTS rates ranging from 96% to 100% in elite-level athletes.…”

mentioning

confidence: 99%

“…5,14 However, complete tears of the thumb UCL treated nonoperatively may result in pain, instability, decreased pinch strength, and eventually symptomatic osteoarthritis. 5,21 Surgical repair of complete tears and those with a Stener lesion has yielded excellent results in more than 90% of patients, with RTS rates ranging from 96% to 100% in elite-level athletes. [6][7][8]21,23 However, no study has determined outcomes following thumb UCL repair in MLB players.…”

mentioning

confidence: 99%

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Performance and Return to Sport After Thumb Ulnar Collateral Ligament Repair in Major League Baseball Players

Jack

Sochacki

Gagliano

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Acute ruptures of the ulnar collateral ligament (UCL) of the thumb are common injuries in sports. Surgical repair has yielded excellent results and high return-to-sport (RTS) rates in elite athletes.Purpose:To determine (1) the RTS rate in Major League Baseball (MLB) players following thumb UCL repair, (2) postoperative career length and games played per season, (3) pre- and postoperative performance, (4) postoperative performance compared with matched control players, and (5) whether dominant and nondominant hand injuries respond differently.Study Design:Cohort study; Level of evidence, 3.Methods:MLB players who underwent thumb UCL surgery from August 3, 1987, to September 6, 2016, were identified. Demographic and performance data were collected for each player, and matched controls were identified. RTS in the MLB was defined as playing in at least 1 MLB game after surgery. Comparisons were made by use of paired-samples Student t tests.Results:Twenty-one players were identified, with a mean ± SD age of 31.7 ± 3.9 years and mean experience in the MLB of 8.6 ± 3.3 years at time of surgery. Twenty-one players (100%) achieved RTS in the MLB at a mean 120.0 ± 75.9 days. No significant decrease was found in games per season or career length for any position following surgery. Infielders had a significantly lower rate of postoperative wins above replacement (WAR) compared with preoperatively (P = .006), but no significant differences in postoperative performance score were found compared with controls after the index date. No significant difference was found for performance between players undergoing surgery on their dominant hand and those who had surgery on their nondominant (glove) hand compared with controls.Conclusion:In this study, 100% of MLB players achieved RTS after thumb UCL repair, with in-season players returning at a mean of 8 weeks. Players who underwent thumb UCL repair played in a similar number of games per season and had similar career lengths in the MLB as controls. Infielders had a significantly lower postoperative WAR compared with preoperatively, but no significant postoperative performance score differences were noted when infielders were compared with post–index date matched controls. No significant performance differences were noted with regard to surgery on dominant and nondominant hands.

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Baseball Commentary “Thumb Ligament Injuries: RCL and UCL”

Cited by 6 publications

References 4 publications

Return to Play After Thumb Ulnar Collateral Ligament Injuries Managed Surgically in Athletes—A Systematic Review

Return to Play After Thumb Ulnar Collateral Ligament Injuries Managed Surgically in Athletes—A Systematic Review

Acute Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injury: Diagnosis, Management, and Return to Sports Considerations

Performance and Return to Sport After Thumb Ulnar Collateral Ligament Repair in Major League Baseball Players

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