2019
DOI: 10.5397/cise.2019.22.4.235
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Management of Ulnar Collateral Ligament Injuries in Overhead Athletes

Abstract: Ulnar collateral ligament injuries of the elbow are frequent among overhead athletes. The incidence of ulnar collateral ligament reconstructions (UCLRs) in high-level players has increased dramatically over the past decade, but the optimal technique of UCLR is controversial. Surgeons need to manage the patients’ expectations appropriately when considering the mode of treatment. This article reviews current studies on the management of ulnar collateral ligament injuries, particularly in overhead athletes.

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Cited by 12 publications
(11 citation statements)
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“…The number of ulnar collateral ligamen (UCL) reconstructions (UCLR) has increased dramatically in recent years among overhead athletes 1–4 . The number of reconstructions is projected to rapidly increase in the future, especially within the 15–19‐year‐old and 20–24‐year‐old age ranges 5 .…”
Section: Introductionmentioning
confidence: 99%
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“…The number of ulnar collateral ligamen (UCL) reconstructions (UCLR) has increased dramatically in recent years among overhead athletes 1–4 . The number of reconstructions is projected to rapidly increase in the future, especially within the 15–19‐year‐old and 20–24‐year‐old age ranges 5 .…”
Section: Introductionmentioning
confidence: 99%
“…UCLR using either palmaris longus (PL) or gracilis (GR) tendons is the mainstay of treatment for UCL injuries that fail to improve with rest and physical therapy 2,3,5 . Unfortunately, several studies have shown that the biomechanical performance of UCLR techniques do not replicate the stiffness and resistance to gap formation of the native UCL 1 .…”
Section: Introductionmentioning
confidence: 99%
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“…The vast majority of current sports performance and clinical literature related to this pathology focuses on overhead throwing athletes, specifically baseball pitchers. 7,[35][36][37][38] A recent text by Gardner and Bedi reports that only 79 of 1902 (4.2%) patients in UCL studies to date are female, and some studies lacked formal sex comparisons. 9 As such, maledominated literature may be incorrectly guiding the diagnosis and treatment of female UCL injuries.…”
Section: Discussionmentioning
confidence: 99%
“…The mean MINORS score was 11 6 4.17 (range, 6-21) (Figure 4). For noncomparative studies (n = 12), the mean score was 9.25 6 2.05 (range, [6][7][8][9][10][11][12], whereas the mean score for comparative studies (n = 3) was 18 6 2.65 (range, [16][17][18][19][20][21]. Based on the classification system Ekhtiari et al, 13 the noncomparative studies were of low quality and the comparative studies were of good quality.…”
Section: Subgroup Analysismentioning
confidence: 99%