Ulnar Collateral Ligament Reconstruction; the Rush Experience

Erickson, Brandon J.; Bach, Bernard R.; Cohen, Mark S.; Bush‐Joseph, Charles A.; Cole, Brian J.; Verma, Nikhil N.; Nicholson, Gregory P.; Romeo, Anthony A.

doi:10.1016/j.arthro.2016.03.073

Cited by 36 publications

(96 citation statements)

References 21 publications

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“…The main value of the Downs and Black scale was 11.1 points, showing that the mean quality of included studies was poor. In fact, among the 15 studies considered, 12 had poor results and 3 had fair results (5 papers had 9 points, 5 papers had 12 points, 1 paper had 13 points, 1 paper had 14 points, and 3 papers had 15 points).…”

Section: Resultsmentioning

confidence: 99%

“…The average age at treatment was 28.45 years, ranging from 13 to 86 years. The total number of patients for each study ranged between 8 and 187. The elbow involved in the MUCL lesion was specified in only 5 studies: the dominant side was involved in 302 (97.4%) of 310 elbows, while the non‐dominant side was involved in 8 (2.6%) elbows.…”

Section: Resultsmentioning

confidence: 99%

“…The elbow involved in the MUCL lesion was specified in only 5 studies: the dominant side was involved in 302 (97.4%) of 310 elbows, while the non‐dominant side was involved in 8 (2.6%) elbows. The type of injury was described in all studies except for 1 study: sport‐related and accidental trauma‐related MUCL injuries (usually not isolated lesions) were the two main causes. The types of lesion are detailed in Table .…”

Section: Resultsmentioning

confidence: 99%

“…The types of lesion are detailed in Table . Patients were assessed at an average follow‐up period of 32.6 months, ranging from 12 to 60 months . After dividing the patients into three groups according to the different therapeutic treatment: 81 patients had a conservative treatment (C‐group), 269 patients had surgical treatment only (S‐group), and 163 patients underwent surgery after a failed conservative treatment (C&S‐group).…”

Section: Resultsmentioning

confidence: 99%

“…As reported in Table , in the S‐group the surgical procedures were: DANE TJ technique, docking and double docking technique, suture anchor, and suture to bone with drill holes.…”

Section: Resultsmentioning

confidence: 99%

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Conservative Versus Surgical Management of Elbow Medial Ulnar Collateral Ligament Injury: A Systematic Review

Biz

Crimì

Belluzzi

et al. 2019

Orthopaedic Surgery

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ObjectiveSeveral studies have been published regarding the treatment of medial ulnar collateral ligament (MUCL) injuries for professional overhead athletes. However, there is a paucity of data regarding non‐professional athletes. The aim of this systematic review was to compare the rate of outcome scores and complications of conservative versus operative treatments both in non‐professional athletes and in non‐sport‐related trauma patients with MUCL lesions.MethodsA systematic review of the published literature was performed by applying the PRISMA guidelines. A search was conducted using three databases: Medline, Science Direct, and Web of Science. The keywords used were “ulnar collateral ligament injury,” “elbow,” “surgery,” and “conservative treatment”. Patients were divided into three groups: patients who underwent conservative treatment (C‐group), surgical treatment (S‐group), and surgery after a failed conservative treatment (C&S‐group). Clinical outcomes were analyzed: Disability of Arm, Shoulder and Hand (DASH), Conway scale, Carson score, and Kerlan–Jobe Orthopaedic Clinic score (KJOC).ResultsA total of 15 studies were included, evaluating 513 patients. Although good and excellent outcomes were found for most patients during daily and/or sport activities, independently of the type of treatment, the C‐group had better results. Excellent results were found in 98.8% of the C‐group, in 88.1% of the S‐group, and in 87.7% of the C&S‐group. The complication rate in the C‐group was statistically higher compared to the S and C&S groups (P < 0.001). However, its complication rate was higher with lower patient satisfaction.ConclusionsThere is insufficient evidence to establish statistically significant differences in the effects of conservative versus surgical treatments on the functional outcomes of patients with MUCL lesions. However, a period of rehabilitation therapy and the functional request of the single injured subject are useful to discern which patients genuinely require MUCL surgical repair.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…As reported in Table , in the S‐group the surgical procedures were: DANE TJ technique, docking and double docking technique, suture anchor, and suture to bone with drill holes.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Conservative Versus Surgical Management of Elbow Medial Ulnar Collateral Ligament Injury: A Systematic Review

Biz

Crimì

Belluzzi

et al. 2019

Orthopaedic Surgery

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Forearm flexor injury is associated with medial ulnar collateral ligament injury in throwing athletes

Zaremski

Pazik

Dean

et al. 2021

PM&R

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Background Elbow ulnar collateral ligament (UCL) injuries have become increasingly common in throwing athletes. The forearm flexors (FF) have been studied as biomechanical stabilizers for the medial elbow. However, there are no studies investigating the association of concomitant UCL injuries and FF injuries in throwing athletes. Objective To determine if throwing athletes with a complete UCL injury had a greater likelihood of concomitant FF injury than those with a partial UCL injury. Design Descriptive retrospective epidemiological study. Setting Academic, tertiary care medical center. Patients Throwing related UCL injuries in patients aged 12–24 years. Interventions/Methods Electronic medical records and key word searches identified all patients from January 1, 2010 to December 31, 2019. A board certified and fellowship trained musculoskeletal radiologist reviewed all advanced imaging studies. Results Fifty‐four patients (46 male, 8 female, mean age 17.1 years, SD 2.3) were included. Fifty‐four UCL injuries (21 complete ruptures, 16 proximal partial injuries, 17 distal partial injuries) were confirmed by magnetic resonance imaging (MRI). Twenty‐eight FF injuries (22 strains, 6 tears) were diagnosed with MRI and/or MRI‐arthrogram. There was a significant association between sustaining a FF injury and UCL reconstruction (UCL‐R) (X2 = [1, N = 54], = 3.97, P = .046) (15/22, 68.2%), as well as FF injury and UCL injury location (X2 = [1, N = 33], = 3.86, P = .049) (10/17, distal partial UCL injury, 58.8%). Analysis of FF injury and complete UCL tear is not significant (X2 = [1, N = 54], = 3.02, P = .08) (14/21, 66.7%). Conclusions The data indicate that FF injury is associated with UCL injury in throwing athletes. Future prospective studies should investigate causation versus correlation of FF and UCL injury in throwing athletes. The results of this study have applications to multiple sports medicine areas that include but are not limited to surgical, nonsurgical, prehabilitation, rehabilitation, and sports performance. This study reveals a strongly significant association between FF injury and concomitant UCL injury in throwing athletes.

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Return to Sport and Sports-Specific Outcomes Following Ulnar Collateral Ligament Reconstruction in Adolescent Athletes: A Systematic Review

et al. 2019

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Background: The incidence of elbow injuries and ulnar collateral ligament (UCL) reconstruction in adolescent athletes is increasing. Knowledge and expectations of outcomes following this procedure are necessary for proper counseling and decision-making in this age group. Questions/Purposes: We sought to report patient-reported outcomes, rate of return to sport, and rate of complications and reoperation following UCL reconstruction in adolescent athletes. Methods: A systematic review was conducted for adolescent athletes undergoing UCL reconstruction. The primary outcome measure was patientreported outcome scores, specifically the Conway Scale, the Andrews-Timmerman score, and the Kerlan-Jobe Orthopaedic Clinic (KJOC) score. Secondary outcome measures included return to sport, rate of subsequent procedures, and complication rate. A descriptive analysis was performed. Results: Seven studies met the inclusion criteria. The average patient-reported outcome scores ranged from 81 to 87% (Conway, Bexcellent^), 83.6 to 92.7 (Andrews-Timmerman), and 76 to 89.3 (KJOC). The average rates of return to sport were 84% to preinjury level or higher, 93% to any level, and 57% to a higher level. Complication rates ranged from 0.7 to 11%. Rate of subsequent elbow procedures ranged from 0 to 10%. Conclusions: This systematic review demonstrates favorable outcomes in adolescent athletes following UCL reconstruction. Patient-reported outcome scores and rates of return to sport were comparable with those reported in adult athletes. The procedure is not without risk of complications, and patients and parents should be counseled regarding this risk prior to surgery.

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Ulnar Collateral Ligament Reconstruction; the Rush Experience

Abstract: Background: Ulnar collateral ligament reconstruction (UCLR) is a common surgery performed in professional, collegiate, and high school athletes.

Cited by 36 publications

References 21 publications

Conservative Versus Surgical Management of Elbow Medial Ulnar Collateral Ligament Injury: A Systematic Review

Conservative Versus Surgical Management of Elbow Medial Ulnar Collateral Ligament Injury: A Systematic Review

Forearm flexor injury is associated with medial ulnar collateral ligament injury in throwing athletes

Return to Sport and Sports-Specific Outcomes Following Ulnar Collateral Ligament Reconstruction in Adolescent Athletes: A Systematic Review

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