Operative Treatment of Ulnar Collateral Ligament Insufficiency of the Elbow in Female Athletes

Argo, David; Trenhaile, Scott W.; Savoie, Felix H.; Field, Larry D.

doi:10.1177/0363546505281240

Cited by 86 publications

(69 citation statements)

References 24 publications

(55 reference statements)

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“…Repair of the ligament, especially in the absence of secondary pathologic changes, should allow a more rapid return to sports than will the standard reconstruction. 4 In 1981, Norwood et al 20 reported on 4 male patients undergoing primary repair of the ulnar collateral ligament after acute disruption. All patients were able to return to previous activity.…”

Section: Discussionmentioning

confidence: 99%

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Primary Repair of Ulnar Collateral Ligament Injuries of the Elbow in Young Athletes

et al. 2008

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Section: Discussionmentioning

confidence: 99%

“…Our return-to-sport percentage is similar to recent reports and supersedes some other studies on undergoing reconstruction (68%-81%). 4,5,8,14,23,25,27 Studies have suggested that previous surgery may have a detrimental effect on outcome. 8,27 This was not noted in our study, but only 3 of the patients had previous surgery.…”

Section: Discussionmentioning

confidence: 99%

Primary Repair of Ulnar Collateral Ligament Injuries of the Elbow in Young Athletes

et al. 2008

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“…There were six complications, two of which required return to the operating room all occurring in athletes who were able to return to sport. A recent systematic review identified three clinical series with a total of 92 patients undergoing MUCL repair including this and older series and reported similar results [64,69,63,67].…”

Section: Discussionmentioning

confidence: 61%

Elbow Injuries in the Adolescent Thrower

Griffith

Kercher

Willimon

et al. 2018

Curr Rev Musculoskelet Med

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Purpose of Review With an increasing rate of adolescent elbow injuries, especially in throwing athletes, the purpose of this review is to investigate the current literature regarding the diagnosis, treatment, and non-operative and operative outcomes of medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures. Recent Findings Acceptable outcomes with both non-operative and operative treatments of medial epicondyle fractures have been reported, with surgical indications continuing to evolve. Unstable osteochondritis dissecans lesions, especially in patients with closed growth plates, require operative fixation, and emerging open and arthroscopic techniques including lesion debridement, marrow stimulation, autograft transfer, and allograft transplantation are described with good outcomes. Ulnar collateral repair has emerged as an exciting treatment option for an avulsion of either end of the ligament in young throwing athletes, with faster rehabilitation times than traditional ulnar collateral ligament reconstruction. Olecranon stress fractures are increasing in prevalence, and when a non-operative treatment course is unsuccessful, athletes have a high return-to-play rate after percutaneous cannulated screw placement. Summary With proper indications, non-operative and operative treatment modalities are reported with a high return-to-play and acceptable clinical outcomes for common elbow injuries, including medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures, in adolescent throwing athletes. Further research is needed to better define treatment algorithms, surgical indications, and outcomes.

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“…30 Recent studies have reported 90% to 95% rates of return to sports. [32][33][34][35] UCL reconstruction has become the gold standard for surgical treatment for UCL insufficiency.…”

Section: Medial Distraction Injury: Uclmentioning

confidence: 99%

Elbow Pain and Injury in Young Athletes

Kramer

2010

Journal of Pediatric Orthopaedics

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Elbow pain and injury in young athletes include both acute traumatic and chronic overuse injuries. The anatomy of the developing pediatric elbow and the rapid growth of youth sports have led to an increase in chronic repetitive stress elbow injuries in the pediatric population. These injuries occur mostly in overhead athletes, throwers, and gymnasts. Force dissipation during throwing or axial loading results in lateral compression elbow injuries such as Panner's disease and osteochondritis dissecans of the capitellum or radial head. Medial distraction forces are responsible for medial injuries such as UCL failure, medial epicondyle apophysitis, and avulsion. Valgus extension overload causes posteromedial elbow impingement, olecranon apophysitis, and olecranon stress fractures. Conservative treatment modalities such as activity modification and physical therapy are successful in most cases, but early recognition is important as delays in diagnosis may prolong symptoms and necessitate operative intervention.

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Operative Treatment of Ulnar Collateral Ligament Insufficiency of the Elbow in Female Athletes

Abstract: This study demonstrated excellent overall results in 16 and good results in 3 female patients after medial elbow repair or reconstruction. Women appear to be able to consistently return to a high level of function after repair or reconstruction for medial elbow instability.

Cited by 86 publications

References 24 publications

Primary Repair of Ulnar Collateral Ligament Injuries of the Elbow in Young Athletes

Primary Repair of Ulnar Collateral Ligament Injuries of the Elbow in Young Athletes

Elbow Injuries in the Adolescent Thrower

Elbow Pain and Injury in Young Athletes

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