Medial Ulnar Collateral Ligament Reconstruction of the Elbow in Throwing Athletes

Dodson, Christopher C.; Thomas, Arthur N.; Dines, Joshua S.; Nho, Shane J.; Williams, Riley J.; Altchek, David W.

doi:10.1177/0363546506290988

Cited by 243 publications

(270 citation statements)

References 12 publications

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“…Since then multiple reports 3,6 have been published mentioning its occurrence in athletes specially in basketball players. 10,11 In our study, we took 14 athletes & 20 manual labourers.…”

Section: Resultsmentioning

confidence: 99%

“…We diagnosed the MCL tear by clinical (positive valgus stress test & milking manoeuvre) & radiological (MRI) examination. Though MCL tear most commonly occurs among overhead throwing athletes, 2,3,6 it can occur among the general population especially among manual labourers (like masons) involved in overhead carrying and throwing heavy objects. In our study, 58.8% of the study populations were not athletic.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Result of Ulnar Collateral Ligament Reconstruction in Post–traumatic Valgus Instability of Elbow

Saha¹,

Dutta²,

Halder³

et al. 2017

jemds

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“…Since then multiple reports 3,6 have been published mentioning its occurrence in athletes specially in basketball players. 10,11 In our study, we took 14 athletes & 20 manual labourers.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Result of Ulnar Collateral Ligament Reconstruction in Post–traumatic Valgus Instability of Elbow

Saha¹,

Dutta²,

Halder³

et al. 2017

jemds

View full text Add to dashboard Cite

show abstract

“…With the introduction of the docking technique as described by Rohbrough and Altcheck [28], Dodson et al reported a 90 % rate of return to previous level of play for at least 1 year and only a 2 % rate of ulnar neuropathy postoperatively [32]. These results were reconfirmed by Koh et al who used a modified docking technique and reported a 95 % rate of return to sports at the athlete's previous level of competition for at least 1 year and a 5 % rate of ulnar neuropathy [33].…”

Section: Discussionmentioning

confidence: 99%

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

Rossy

2016

Curr Rev Musculoskelet Med

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Overhead athletes subject their elbows to significant valgus stresses throughout the throwing cycle. A steady rise in the number of medial-sided elbow injuries over the years has lead to increased awareness regarding the pathophysiology of the Bpitcher's elbow.^As our understanding of the functional anatomy and throwing biomechanics has become more sophisticated, we have seen a concurrent improvement in the outcomes associated with managing these injuries. Despite this improvement, continued anatomical and biomechanical research is still needed to further optimize outcomes and return to sport.

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“…The 50-N load was selected to simulate the tension on the sutures tied over a cortical bone bridge in ligament-reconstruction procedures [14], while the 200-N cyclic load was chosen because it locates in the ranges of force on the ACL during level walking (169 N) [5] and the load on the ulnar collateral ligament during throwing (290 N) [4]. A black line was drawn on the tendon at a point 5 cm from the distal end of the tendon, and black marks were made on both suture limbs where they extended from the tendon.…”

Section: Methodsmentioning

confidence: 99%

Do Needleless Knots have Similar Strength as the Krackow Suture? An In Vitro Porcine Tendon Study

Hong

Kuo

Yeh

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Background Numerous needleless techniques for tendon graft fixation that feature several advantages have been reported. However, there are few studies that have compared the holding strength between the needleless techniques (rolling hitch and modified rolling hitch) and traditional suture methods. Questions/purposes To compare the tendon graft-holding strength of the rolling hitch and modified rolling hitch with the Krackow stitch in an in vitro porcine biomechanical model. Methods Thirty fresh-frozen porcine flexor profundus tendons were randomly divided into three groups of 10 specimens. The experimental procedure was designed to assess elongation of the suture-tendon construct across the needleless tendon-grasping techniques and the Krackow stitch. All suture configurations were completed with a braided nonabsorbable suture. Each tendon was pretensioned to 100 N for three cycles, cyclically loaded from 50 to 200 N for 200 cycles, and then finally loaded to failure. Elongation, load to failure, and mode of failure were recorded for each specimen.

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Medial Ulnar Collateral Ligament Reconstruction of the Elbow in Throwing Athletes

Abstract: The docking technique reliably returns athletes to competitive throwing with a low perioperative morbidity.

Cited by 243 publications

References 12 publications

Result of Ulnar Collateral Ligament Reconstruction in Post–traumatic Valgus Instability of Elbow

Result of Ulnar Collateral Ligament Reconstruction in Post–traumatic Valgus Instability of Elbow

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

Do Needleless Knots have Similar Strength as the Krackow Suture? An In Vitro Porcine Tendon Study

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