Epidemiology of Medial Ulnar Collateral Ligament Reconstruction

Abstract

The frequency of UCL reconstruction is steadily rising in New York State and becoming more common in adolescent athletes. Emphasis on public education on the risks of overuse throwing injuries and the importance of adhering to preventative guidelines is essential in youth baseball today.

Epidemiology of Surgical Treatment of Adolescent Sports Injuries in the United States: Analysis of the MarketScan Commercial Claims and Encounters Database

“…Our sex-specific trends also showed varying agreement with previous findings. Hodgins et al 18 noted that male adolescents were 11.8 times more likely to undergo UCL reconstruction than female adolescents in their study, whereas our data demonstrated surgery was more likely in males with an odds ratio of 1.14 (P < .0005). In another study, Dodwell et al 11 found that male adolescents were 15% more likely to undergo ACL reconstruction as opposed to female adolescents, similar to our data.…”

“…The aforementioned findings contradict the findings of other studies that have looked at trends in surgical intervention for sports injuries in youth and adolescent populations. 10,11,14,15,18 Dodwell et al 11 used the New York Statewide Planning and Research Cooperative System (SPARCS) database and identified an almost 3-fold increase in the incidence in ACL reconstruction among 25,315 patients from 3 to 20 years of age from 1990 to 2009. Werner et al 15 used the Pearl Diver database and also found that overall numbers of ACL injury diagnoses and reconstructions increased from e62 2007 to 2011, although incidence data were not available.…”

“…On the contrary, this may be a more accurate representation of the national trend in ACL injury management, given the significantly higher number of patients from across the country seen in the current MarketScan database. Hodgins et al 18 also looked at the SPARCS database from 2002 to 2011. They identified a 193% increase in the total number of UCL injuries and a 3-fold increase in the rate of UCL reconstructions, noting a significant increase specifically among patients 17 to 18 and 19 to 20 years of age.…”

“…Several studies have looked at trends in surgical management of sports injuries in the pediatric and adolescent population. 11,14,15,18,19 These studies have used state-specific or institution-specific series of patients that may not accurately depict trends in surgical management nationally secondary to smaller numbers of patients as well as a lack of geographic diversity within the patient population.…”

Sekundäre Bandrekonstruktion am Ellenbogen

“…Über 400 professionelle Baseballspieler haben zwischen 1998 und 2015 eine mediale Bandplastik erhalten, wobei die Anzahl der durchgeführten Operationen erst in den letzten Jahren deutlich zugenommen hatte [5]. Auch Hodgins et al [29] …”