Clinical Outcomes of the DANE TJ Technique to Treat Ulnar Collateral Ligament Insufficiency of the Elbow

Abstract

Clinically, the initial results compare favorably with other published techniques of elbow ulnar collateral ligament reconstruction. These early data support the use of the DANE TJ technique for revision cases and cases of sublime tubercle insufficiency.

‘Batter’s Shoulder’: Can Athletes Return to Play at the Same Level After Operative Treatment?

“…Finally, there were no validated outcome scores used. We relied on a modified Conway scale, which has been used in other peer-reviewed articles as an objective measure of outcome based on the rate and duration of return to play [4,8,9].…”

Ulnar Collateral Ligament Reconstruction; the Rush Experience

“…3,5 An interesting finding of this study was the breakdown in athletic level of patients who underwent UCLR. The majority of patients in this study were collegiate (51.6%) and high school (36.2%) athletes.…”

“…4 Since Dr Jobe's initial description of the procedure, several modifications have been made to the surgical technique, including different ways to expose the UCL, different graft types, and different fixation methods of the graft to the medial epicondyle and sublime tubercle of the ulna. [1][2][3]5,[14][15][16]20,25 Clinical outcome data are not available for every technique modification, although the results of several techniques have been encouraging. 3,5 Dines et al 5 reported on 22 patients who underwent UCLR using the DANE-TJ technique and found that 19 of 22 patients had excellent results using the Modified Conway Scale.…”

“…[1][2][3]5,[14][15][16]20,25 Clinical outcome data are not available for every technique modification, although the results of several techniques have been encouraging. 3,5 Dines et al 5 reported on 22 patients who underwent UCLR using the DANE-TJ technique and found that 19 of 22 patients had excellent results using the Modified Conway Scale. Similarly, Cain et al, 3 in the largest outcome study to date, reported on 743 patients who underwent UCLR with the American Sports Medicine Institute (ASMI) modification of the Jobe technique and found that 83% returned to their previous level of activity.…”

Pitcher’s elbow: medial elbow pain in the overhead-throwing athlete

“…Palmaris longus autograft was then passed through the tunnels using a figure-of-eight configuration and sutured back to itself. Since Jobe's initial description, there have been numerous modifications described in the literature [23][24][25][26][27][28][29]. These modifications typically involve differing techniques on dealing with graft fixation, ulnar nerve management, and graft configuration.…”