Outcomes for ulnar collateral ligament reconstruction: a retrospective review using the KJOC assessment score with two-year follow-up in an overhead throwing population

O’Brien, Daniel F.; O'Hagan, Thomas; Stewart, Robert; Atanda, Alfred; Hammoud, Sommer; Cohen, Steven B.; Ciccotti, Michael G.

doi:10.1016/j.jse.2015.01.020

Cited by 65 publications

(55 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This technique, known as Tommy John surgery after the first major league baseball player to have this done, has been widely practised and there are several reports on outcomes in the literature 19. Rates of return to the sport have ranged from 66% to 97% based on the athlete’s level of competition and surgical technique 20–24. Time out of sport following this type of surgery can be up to 1 year 25…”

Section: Introductionmentioning

confidence: 99%

Repair of the ulnar collateral ligament of the elbow with internal brace augmentation: a 5-year follow-up

Wilson¹,

Hopper

Byrne

et al. 2018

BMJ Case Rep

View full text Add to dashboard Cite

The ulnar collateral ligament (UCL) is the primary restraint to valgus angulation at the elbow. Injury to the UCL is increasingly common and can lead to instability, especially in athletes involved in overhead throwing. Conventional treatment is reconstruction using tendon autograft but performance levels are often restricted after long periods of rehabilitation. Modern surgical techniques have led to renewed interest in repair of the ligament, with the aim of restoring native anatomy. This has the benefit of retained proprioception and no graft harvest morbidity. Furthermore, augmentation of the repair with an Internal Brace protects the healing ligament, while allowing early rehabilitation and accelerated return to play. Here we present the first patient treated with this technique who achieved excellent recovery with return to college level American Football after 4 months. Five years later he has good elbow function and plays at the same level.

show abstract

Section: Introductionmentioning

confidence: 99%

Repair of the ulnar collateral ligament of the elbow with internal brace augmentation: a 5-year follow-up

Wilson¹,

Hopper

Byrne

et al. 2018

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…3,4,9,12 Since its original description there have been many modifications to the UCLR technique, including varying graft choices, alternate methods to secure the graft on the ulna and medial epicondyle, and management of the ulnar nerve. 3,6,11,12,15,18 Although many different techniques currently exist, no study to date has compared 2 surgical techniques performed at a single institution, and no study has been able to elucidate how the ulnar nerve should be managed (always transposed vs only transposed if the patient has preoperative symptoms).…”

mentioning

confidence: 99%

Do Clinical Results and Return-to-Sport Rates After Ulnar Collateral Ligament Reconstruction Differ Based on Graft Choice and Surgical Technique?

Erickson

Cvetanovich

Frank

et al. 2016

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Ulnar collateral ligament reconstruction (UCLR) has become a common procedure performed in overhead-throwing athletes of many athletic levels.Purpose/Hypothesis:The purpose of this study was to determine whether clinical outcomes and return-to-sport (RTS) rates differ among patients undergoing UCLR based on graft choice, surgical technique, athletic competition level, handedness, and treatment of the ulnar nerve. We hypothesized that no differences would exist in clinical outcomes or RTS rates between technique, graft choice, or other variables.Study Design:Cohort study; Level of evidence, 3.Methods:All patients who underwent UCLR from January 1, 2004 through December 31, 2014 at a single institution were identified. Charts were reviewed to determine patient age, sex, date of surgery, sport played, handedness, athletic level, surgical technique, graft type, and complications. Patients were contacted via telephone to obtain the RTS rate, Conway-Jobe score, Timmerman-Andrews score, and Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow score.Results:Eighty-five patients (mean age at surgery, 19.3 ± 4.7 years; 92% male; 78% right hand–dominant) underwent UCLR between 2004 and 2014 and were available for follow-up. Overall, 87% were baseball pitchers, 49.4% were college athletes, and 41.2% were high school athletes. No significant difference existed between the docking and double-docking techniques, graft choice, handedness, sex, activity level, and treatment of the ulnar nerve with regard to clinical outcomes, RTS, or subsequent surgeries (all P > .05). More complications were seen in the docking technique compared with the double-docking technique (P = .036). Hamstring autograft was used more commonly with the docking technique (P = .023) while allograft was used more commonly with the double-docking technique (P = .0006).Conclusion:Both the docking and double-docking techniques produce excellent clinical outcomes in patients undergoing UCLR. No difference in outcome scores was seen between surgical technique or graft type. The double-docking technique had fewer complications than the docking technique.

show abstract

“…Traditionally, imprecise generic scoring systems have been used to determine outcome after the treatment of sports injuries. 13 More recently, research at our institution [13][14][15] and other centers [16][17][18][19][20] has employed sport-specific scoring systems and metrics to better assess the true outcomes of our nonoperative and operative interventions. Dugas et al 7 in the current study are commended as they have moved from those less precise tools to a more specific return to prior level of play evaluation.…”

mentioning

confidence: 99%

Editorial Commentary: Anterior Cruciate Ligament Injury and Our National Pastime

Ciccotti

2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

Outcomes for ulnar collateral ligament reconstruction: a retrospective review using the KJOC assessment score with two-year follow-up in an overhead throwing population

Cited by 65 publications

References 35 publications

Repair of the ulnar collateral ligament of the elbow with internal brace augmentation: a 5-year follow-up

Repair of the ulnar collateral ligament of the elbow with internal brace augmentation: a 5-year follow-up

Do Clinical Results and Return-to-Sport Rates After Ulnar Collateral Ligament Reconstruction Differ Based on Graft Choice and Surgical Technique?

Editorial Commentary: Anterior Cruciate Ligament Injury and Our National Pastime

Contact Info

Product

Resources

About