1,054 results match your criteria Ulnar Collateral Ligament Injury


Rehabilitation and Return to Sport Following Elbow Injuries.

Arthrosc Sports Med Rehabil 2022 Jun 5;4(3):e1245-e1251. Epub 2022 Mar 5.

Stanford University Department of Orthopaedic Surgery, Sports Medicine Service, Palo Alto, California.

Elbow injuries are frequently seen in throwing and overhead athletes. This review provides a framework for diagnosis, treatment, and particularly rehabilitation of common elbow pathologies, including ulnar collateral ligament injury, valgus extension overload, and medial and lateral epicondylitis. Advanced rehabilitation facilitates complete return to functional sport-specific activity and is based on objective criteria. Read More

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Terrible triad injury of the elbow: A PROCESS-compliant surgical case series from Eastern Morocco.

Ann Med Surg (Lond) 2022 Jun 4;78:103914. Epub 2022 Jun 4.

Department of Traumatology and Orthopedics, Mohammed VI University Hospital, Oujda, Morocco.

Introduction: The terrible triad of the elbow (TTE) is a lesion associating a dislocation of the elbow, a fracture of the radial head, and a fracture of the coronoid process, with a high potential of complication. The treatment is based on the restoration of bone lesions and external capsular ligament repair. The systematic repair of the medial collateral ligament (MCL) is still debated in the literature. Read More

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Terrible triad injury of the elbow: a historical perspective.

Int Orthop 2022 Jun 20. Epub 2022 Jun 20.

Department of Orthopedics and Traumatology, Hôpital Pellegrin, Place Amélie Raba-Léon, 33000, Bordeaux, France.

Purpose: The aims of this study are to summarize (1) the history of terrible triad injury (TTi) treatment and (2) the clinical and biomechanical data that engendered its evolution.

Methods: A literature search was performed using five electronic databases. Results were discussed as a chronologic review of the relevant literature between 1920 and 2022. Read More

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A Novel Surgical Reconstruction Technique in the Management of Chronic Ulnar Collateral Ligament Tears with Volar Subluxation.

Eurasian J Med 2022 Jun;54(2):191-196

Department of Orthopedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum, Turkey.

Background: We hypothesized that ulnar collateral ligament reconstruction is inadequate for metacarpo- phalangeal joint stabilization in chronic ulnar collateral ligament injuries with volar subluxation due to dor- sal joint capsule injury. We consecutively performed both ulnar collateral ligament and dorsal joint capsule reconstruction to treat patients with a chronic ulnar collateral ligament tear with volar subluxation. This study aimed to present our preliminary results and experience with this technique in managing such cases. Read More

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YouTube as a source of patient education information for elbow ulnar collateral ligament injuries: a quality control content analysis.

Clin Shoulder Elb 2022 Jun 23;25(2):145-153. Epub 2022 May 23.

Weill Cornell Medicine, New York, NY, USA.

Background: While online orthopedic resources are becoming an increasingly popular avenue for patient education, videos on YouTube are not subject to peer review. The purpose of this cross-sectional study was to evaluate the quality of YouTube videos for patient education in ulnar collateral ligament (UCL) injuries of the elbow.

Methods: A search of keywords for UCL injury was conducted through the YouTube search engine. Read More

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Anatomical and radiological description of ligament insertions on the radial aspect of the scaphoid bone.

Hand Surg Rehabil 2022 May 31. Epub 2022 May 31.

Unit of Anatomy, Faculty of Medicine of Geneva, Rue Michel Servet 1, 1206 Geneva, Switzerland; Unit of Hand and Peripheral Nerve Surgery, Geneva University Hospital, Rue Gabrielle Perret-Gentil 4, 1205 Geneva, Switzerland.

Anatomical studies on the radial side of the scaphoid mention inter-ligamentous connections, but without detailed description of their relations to one another. The purpose of this study was to provide an anatomical and radiological description of the ligamentous structure on the radial side of the scaphoid. High-field 3-Tesla 3D MRI scans of 7 cadaveric formaldehyde-fixed wrists were performed to assess the presence and location of each ligament. Read More

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Collateral Ligament Ruptures of the Thumb Metacarpophalangeal Joint A Review of 500 Surgical Cases.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):122-128

A retrospective review was conducted of 500 consecutive patients who underwent surgery for complete collateral ligament ruptures of their thumb metacarpophalangeal (MP) joints comprising 362 ulnar collateral and 138 radial collateral ligaments. Complete rupture was confirmed in all cases at surgery. When surgery was carried out within 3 weeks of the injury, reinsertion of the ligament was pos- sible in 98% of cases. Read More

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Ulnar Collateral Ligament Reconstruction Does Not Decrease Spin Rate or Performance in Major League Pitchers.

Am J Sports Med 2022 Jul 26;50(8):2190-2197. Epub 2022 May 26.

Stanford Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA, USA.

Background: Ulnar collateral ligament reconstruction (UCLR) is commonly performed in Major League Baseball (MLB) pitchers, with variable reported effects on velocity and traditional rate statistics. Currently, no studies have evaluated spin rate in the context of return to play (RTP) after injury. Greater spin rate has become increasingly sought after in the baseball community, as it is believed to be a vital aspect of pitch effectiveness. Read More

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A Comparison of Acute Versus Chronic Thumb Ulnar Collateral Ligament Surgery Using Primary Suture Anchor Repair and Local Soft Tissue Advancement.

J Hand Surg Glob Online 2022 May 27;4(3):141-146. Epub 2022 Mar 27.

Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger Musculoskeletal Institute, Danville, PA.

Purpose: To assess patient satisfaction and functional outcomes of primary suture anchor repair with local soft tissue advancement for both acute and chronic thumb ulnar collateral ligament (UCL) injuries.

Methods: We retrospectively reviewed patient charts who had undergone operative UCL repair between 2006 and 2013. Patients who had more than 8 weeks between the time of injury and surgery were classified as having chronic injuries. Read More

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Unique Indications for Internal Joint Stabilizer (IJS) for Elbow Instability.

J Shoulder Elbow Surg 2022 May 10. Epub 2022 May 10.

Department of Orthopaedics, UT Health San Antonio, San Antonio, TX, USA.

Background: Treatment of elbow instability remains challenging despite advancements in surgical techniques. The objective of this study was to evaluate obesity, advanced age or frailty, and altered cognitive function (due to mental handicap, stroke, dementia, or traumatic brain injury) as unique indications for the use of the internal joint stabilizer to augment surgical treatment of elbow instability.

Methods: This was a retrospective review of all patients 18 years and older with elbow instability who were managed with an internal joint stabilizer (IJS) along with standard measures of care for their specific injury, such as fracture fixation and collateral ligament reconstruction. Read More

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Results of arthroscopically assisted reduction and fixation of antero-medial coronoid facet fractures at short term follow-up.

J Shoulder Elbow Surg 2022 May 9. Epub 2022 May 9.

Osteoarticular Department, Orthopaedic and Traumatology Unit, Azienda Ospedaliera of Faenza, RA, Italy.

Background: Varus posteromedial rotatory instability is a typical pattern of elbow injury that involves fracture of the anteromedial facet (AMF) of the coronoid as well as injuries to the lateral ligament complex and the posterior bundle of the medial collateral ligament. Some Authors support the idea that subtype-2 AMF coronoid fractures require fixation to restore elbow stability, but this topic is still an issue in literature. The purpose of this study was to assess the clinical and radiological outcomes of arthroscopic-assisted reduction and fixation (ARIF) for AMF fractures. Read More

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Elbow Ulnar Collateral Ligament Injuries in Overhead Athletes: An Infographic Summary.

Authors:
Jason L Zaremski

Sports Health 2022 Jul-Aug;14(4):527-529. Epub 2022 May 12.

Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, Gainesville, FL.

Ulnar collateral ligament (UCL) injuries of the elbow are common in throwing athletes. Given that the UCL's primary function is to provide valgus stability during the deceleration phase of throwing, injury to the UCL will render throwing difficult to nearly impossible. Injuries will occur more so in the sports of baseball, softball, and javlineers participating in track and field. Read More

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Baseball Injury Resulting in Type III Salter-Harris Fracture of the First Proximal Phalangeal Base: A Case Report.

J Chiropr Med 2021 Dec 6;20(4):218-223. Epub 2022 Apr 6.

Radiology Department, Logan University, Chesterfield, Missouri.

Objective: The purpose of this report is to describe the clinical, radiographic, and diagnostic ultrasound findings in a patient who sustained a type III Salter-Harris fracture of the first proximal phalanx.

Clinical Features: A 14-year-old male baseball player presented to a chiropractic clinic with a 2-day history of proximal thumb pain, which began following a forceful hyperabduction injury while sliding into base. Thenar swelling was evident on clinical examination, and both active and passive thumb motions were painful in all directions. Read More

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December 2021

Does Proximal vs. Distal Injury Location of the Medial Ulnar Collateral Ligament of the Elbow Differentially Impact Elbow Stability? An Ultrasound-Guided and Robot Assisted Biomechanical Study.

J Shoulder Elbow Surg 2022 Apr 25. Epub 2022 Apr 25.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: The location (proximal vs. distal) of elbow medial ulnar collateral ligament (MUCL) tears impacts clinical outcomes of non-operative treatment. The purposes of our study were to i) determine whether selective releases of the MUCL could be performed under ultrasound guidance without disrupting overlying soft tissues, ii) assess the difference in medial elbow stability for proximal and distal releases of the MUCL using stress ultrasound and a robotic testing device, and iii) elucidate the flexion angle that resulted in the greatest amount of medial elbow laxity after MUCL injury. Read More

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The triangular fibrocartilage complex in the human wrist: A scoping review toward uniform and clinically relevant terminology.

Clin Anat 2022 Jul 16;35(5):626-648. Epub 2022 Apr 16.

Department of Medical Biology, Section Clinical Anatomy and Embryology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.

The aim of this scoping review was to assess the composition, terminology, and anatomy of the triangular fibrocartilage complex (TFCC) of the wrist and propose unambiguous terminology regarding the individual components. The review was conducted according to the methodological framework by Arksey and O'Malley (International Journal of Social Research Methodology, 2005, 8, 19-32). Electronic databases were searched from inception until September 1, 2021 for original anatomical studies, using MeSH terms and keywords on terminology and anatomy of TFCC components. Read More

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Return to play after ulnar collateral ligament reconstruction with concurrent posterior-compartment decompression.

J Shoulder Elbow Surg 2022 Jun 12;31(6S):S2-S7. Epub 2022 Mar 12.

Kerlan-Jobe Orthopaedic Institute, Los Angeles, CA, USA.

Background: Medial ulnar collateral ligament (UCL) injuries and posterior elbow impingement commonly affect throwing athletes. Surgical intervention for each of these pathologies individually has been demonstrated to be successful with high return-to-play (RTP) rates. Our purpose was to report RTP rates for patients treated with concurrent UCL reconstruction (UCLR) and arthroscopic posterior débridement performed by the senior author. Read More

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Elbow Ulnar Collateral Ligament Injuries in Throwing Athletes: Diagnosis and Management.

J Hand Surg Am 2022 03;47(3):266-273

Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Danville, PA. Electronic address:

Ulnar collateral ligament (UCL) injuries of the elbow are common in overhead throwing athletes. With throwing, the elbow experiences substantial valgus stress and repetitive microtrauma can lead to injury. Increasing rates of injury among both youth and professional throwers has resulted in a "UCL epidemic. Read More

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Sites of flexor-pronator muscle injury and relationship between ulnar collateral ligament injury and flexor-pronator muscle injury in baseball players: a retrospective cohort study.

J Shoulder Elbow Surg 2022 Feb 18. Epub 2022 Feb 18.

Department of Orthopaedic Surgery, AR-Ex Oyamadai Orthopedic Clinic Tokyo Arthroscopy Center, Tokyo, Japan.

Background: Ulnar collateral ligament (UCL) and flexor-pronator muscle (FPM) injuries are common in baseball players. However, the sites of FPM injuries and the relationship between UCL and FPM injuries in baseball players have not been fully clarified. The purpose of this study was to identify the sites of FPM injuries and to determine the relationships of location and severity of UCL injury with the presence of FPM injuries in baseball players. Read More

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February 2022

Ulnar Collateral Ligament Reconstruction With the Modified Jobe Technique in Baseball Pitchers.

Orthop J Sports Med 2021 Apr 27;9(4):2325967121998339. Epub 2021 Apr 27.

Nagoya Sports Clinic, Nagoya, Japan.

Background: Tearing and insufficiency of the ulnar collateral ligament (UCL) of the elbow result in valgus instability, which can lead to pain while throwing and decline in performance in overhead athletes.

Purpose: To assess the clinical results of a modified UCL reconstruction technique using 1 bone hole in the ulna and 1 bone tunnel in the humerus in baseball players.

Study Design: Case series; Level of evidence, 4. Read More

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Rehabilitation and Return to Play of the Athlete after an Upper Extremity Injury.

Arthrosc Sports Med Rehabil 2022 Jan 28;4(1):e163-e173. Epub 2022 Jan 28.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.

Shoulder and elbow injuries during athletic participation are very common and may require operative intervention if refractory to conservative care. In recovering from these upper extremity injuries, proper postoperative rehabilitation and setting reasonable expectations regarding return to play are very important. This review article focuses on the most common surgically treated shoulder and elbow injuries, including rotator cuff tears, SLAP tears, anterior and posterior shoulder instability, and elbow ulnar collateral ligament tears. Read More

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January 2022

Validation of the spontaneous lateral laxity sign for radial collateral ligament sprain of the metacarpophalangeal joint of the fingers: Anatomical study.

Hand Surg Rehabil 2022 Jun 5;41(3):347-352. Epub 2022 Feb 5.

Institut Montpelliérain de la Main et du Membre Supérieur, Clinique Saint-Roch, 560 Avenue du Colonel Pavelet, 34070 Montpellier, France.

Severe collateral ligament sprain of the metacarpophalangeal joint (MCP) of the fingers is rare. Clinical examination is mandatory to diagnose severity. The purpose of our study was to validate a clinical sign for MCP joint laxity: the spontaneous lateral laxity sign (SLLS), recently described by Meyer et al. Read More

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Elbow Osteochondral Allograft Transplantation and Lateral Ulnar Collateral Ligament Repair with Internal Brace: A Case Report.

JBJS Case Connect 2022 01 20;12(1). Epub 2022 Jan 20.

Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY.

Case: A 23-year-old woman with an Osborne-Cotterill lesion and posterolateral rotatory instability (PLRI) of the elbow was treated with osteochondral allograft transplantation (OCA) and lateral ulnar collateral ligament (LUCL) repair with internal brace. Two years after surgery, she reported resolution of pain and returned to all recreational activities. She reported no mechanical symptoms and no episodes of postoperative instability. Read More

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January 2022

Differences in Shoulder Internal Rotation Strength Between Baseball Players With Ulnar Collateral Ligament Reconstruction and Healthy Controls.

Orthop J Sports Med 2022 Jan 7;10(1):23259671211065025. Epub 2022 Jan 7.

Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois, USA.

Background: Studies have indicated decreased shoulder internal rotation (IR) and external rotation (ER) strength in the throwing limb of baseball players after ulnar collateral ligament injury. There is limited evidence on the recovery of shoulder rotation strength after primary ulnar collateral ligament reconstruction (UCLR).

Hypothesis: At the time of return to throwing, baseball players who underwent UCLR would demonstrate decreased IR and ER shoulder strength in the throwing arm as compared with healthy baseball players. Read More

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January 2022

High-definition magnetic resonance images on medial elbow injuries in preadolescent Little Leaguers.

J Orthop Sci 2022 Jan 5. Epub 2022 Jan 5.

Department of Orthopaedic Surgery and Sports Medicine, Mito Clinical Education and Training Center, University of Tsukuba Hospital, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Mito, Ibaraki, 310-0015, Japan.

Background: The incidence of throwing-related elbow injuries is still rising. The study aimed to enhance the pathology of acute medial elbow injuries among young Little Leaguers by examining the medial elbows of symptomatic 9-10 years old Little Leaguers using High-Definition Magnetic Resonance Images (HDMRI), which uses a small-diameter surface coil on the target area, leading to greater image resolution.

Method: We identified Little Leaguers aged 9-10 years old. Read More

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January 2022

Establishing the Role of Elbow Muscles by Evaluating Muscle Activation and Co-contraction Levels at Maximal External Rotation in Fastball Pitching.

Front Sports Act Living 2021 30;3:698592. Epub 2021 Nov 30.

Department of Biomechanical Engineering, Delft University of Technology, Delft, Netherlands.

Baseball pitching is associated with a high prevalence of ulnar collateral ligament injuries, potentially due to the high external valgus load on the medial side of the elbow at the instant of maximal shoulder external rotation (MER). studies show that external valgus torque is resisted by the ulnar collateral ligament but could also be compensated by elbow muscles. As the potential active contribution of these muscles in counteracting external valgus load during baseball pitching is unknown, the aim of this study is to determine whether and to what extent the elbow muscles are active at and around MER during a fastball pitch in baseball. Read More

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November 2021

Epidemiology of Hand and Wrist Injuries in Collegiate-Level Athletes in the United States.

J Hand Surg Am 2021 Dec 8. Epub 2021 Dec 8.

Leni and Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

Purpose: Hand and wrist injuries are common among competitive athletes and can have a substantial impact on playing time and future participation. The purpose of this study was to provide epidemiological data from the National Collegiate Athletic Association Injury Surveillance Program to correlate injury diagnosis with the need for surgery and time loss.

Methods: Using the National Collegiate Athletic Association Injury Surveillance Program, this retrospective study extracted data of hand and wrist injuries for all 25 National Collegiate Athletic Association sports from the academic years 2004-2005 to 2013-2014. Read More

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December 2021

Changes in Medial Elbow Joint Space When Elbow Valgus Stress Is Applied at Different Limb Positions and Loads In Vivo.

Orthop J Sports Med 2021 Nov 22;9(11):23259671211045981. Epub 2021 Nov 22.

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.

Background: Ulnar collateral ligament (UCL) injury is a common sports injury among overhead-throwing athletes and causes medial elbow pain and instability. UCL injury is generally diagnosed based on symptoms, physical findings, and image evaluation. To standardize the method for evaluating elbow valgus instability, more information is needed regarding changes in the medial elbow joint space (JS) in healthy elbows. Read More

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November 2021

Return-to-Play Rates and Clinical Outcomes of Baseball Players After Concomitant Ulnar Collateral Ligament Reconstruction and Selective Ulnar Nerve Transposition.

Orthop J Sports Med 2021 Nov 23;9(11):23259671211055428. Epub 2021 Nov 23.

Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA.

Background: Injury to the ulnar collateral ligament (UCL) leading to medial elbow instability and possible ulnar neuritis is common in overhead-throwing athletes. Treatment may require UCL reconstruction (UCLR) and concomitant ulnar nerve transposition (UNT) for those with preoperative ulnar neuritis.

Purpose: To evaluate the return-to-play (RTP) rates, clinical outcomes, and rates of persistent ulnar neuritis after concomitant UCLR and UNT in a cohort of baseball players with confirmed preoperative ulnar neuritis. Read More

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November 2021

Long-term outcomes following surgical repair of acute injuries of the thumb metacarpophalangeal joint ulnar collateral ligament.

Hand Surg Rehabil 2022 Apr 2;41(2):210-213. Epub 2021 Dec 2.

Queen Margaret Hospital, Whitefield Road, Dunfermline KY12 0SU, Scotland. Electronic address:

The primary aim of this study was to describe the long-term patient reported outcomes following surgical repair of acute injuries to the thumb metacarpophalangeal (MCP) joint ulnar collateral ligament (UCL). The secondary aims were to describe the long-term health related quality of life, patient satisfaction and complication rate. From a single surgeon series, 30 patients were identified over an 11 year period (February 2000-February 2011). Read More

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Recent and chronic sprains of the First Metacarpo-Phalangeal Joint.

Orthop Traumatol Surg Res 2022 02 27;108(1S):103156. Epub 2021 Nov 27.

Clinique universitaire de chirurgie réparatrice, de la main et des brûlés, Hôpital Michalon, CHU Grenoble, 38043 Grenoble cedex 09, France.

Sprains of the first metacarpo-phalangeal joint (MCPJ) are a common form of hand injury that mainly affects the ulnar collateral ligament. Although the diagnosis is made on the physical findings, radiographs must be obtained and ultrasonography or magnetic resonance imaging (MRI) is necessary in some cases. If the joint is unstable or a bony fragment is displaced, surgery must be performed within 4 weeks after the injury. Read More

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February 2022