دورية أكاديمية
أعرض في EDS

Ulnar Collateral Ligament Reconstruction: Anatomy, Indications, Techniques, and Outcomes.

التفاصيل البيبلوغرافية
العنوان: Ulnar Collateral Ligament Reconstruction: Anatomy, Indications, Techniques, and Outcomes.
المؤلفون: Erickson BJ; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois berickso.24@gmail.com., Harris JD; Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas Weill Cornell College of Medicine, New York, New York., Chalmers PN; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois., Bach BR Jr; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois., Verma NN; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois., Bush-Joseph CA; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois., Romeo AA; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois.
المصدر: Sports health [Sports Health] 2015 Nov-Dec; Vol. 7 (6), pp. 511-7. Date of Electronic Publication: 2015 Sep 22.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101518422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-0921 (Electronic) Linking ISSN: 19410921 NLM ISO Abbreviation: Sports Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications
مواضيع طبية MeSH: Elbow Injuries*, Athletic Injuries/*surgery , Collateral Ligaments/*injuries , Collateral Ligaments/*surgery , Elbow Joint/*surgery, Arthralgia/etiology ; Athletic Injuries/diagnosis ; Athletic Injuries/epidemiology ; Athletic Injuries/physiopathology ; Biomechanical Phenomena ; Collateral Ligaments/anatomy & histology ; Elbow Joint/anatomy & histology ; Elbow Joint/physiopathology ; Humans ; Postoperative Complications
مستخلص: Context: Ulnar collateral ligament (UCL) injuries lead to pain and loss of performance in the thrower's elbow. Ulnar collateral ligament reconstruction (UCLR) is a reliable treatment option for the symptomatic, deficient UCL. Injury to the UCL usually occurs because of chronic accumulation of microtrauma, although acute ruptures occur and an acute-on-chronic presentation is also common.
Evidence Acquisition: Computerized databases, references from pertinent articles, and research institutions were searched for all studies using the search terms ulnar collateral ligament from 1970 until 2015.
Study Design: Clinical review.
Level of Evidence: Level 5.
Results: All studies reporting outcomes for UCLR are level 4. Most modern fixation methodologies appear to be biomechanically and clinically equivalent. Viable graft choices include ipsilateral palmaris longus tendon autograft, gracilis or semitendinosus autograft, and allograft. Clinical studies report excellent outcomes of UCLR for both recreational and elite level athletes with regard to return to sport and postoperative performance. Complications, although rare, include graft rerupture or attenuation, ulnar nerve symptoms, stiffness, pain, and/or weakness leading to decreased performance.
Conclusion: Injuries to the UCL have become commonplace among pitchers. Nonoperative treatment should be attempted, but the limited studies have not shown promising results. Operative treatment can be performed with several techniques, with retrospective studies showing promising results. Complications include ulnar neuropathy as well as failure to return to sport. Detailed preoperative planning, meticulous surgical technique, and a comprehensive rehabilitation program are essential components to achieving a satisfactory result.
(© 2015 The Author(s).)
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فهرسة مساهمة: Keywords: Tommy John; biomechanics; elbow; instability; pitcher; surgical management; throwing athlete; ulnar collateral ligament reconstruction
تواريخ الأحداث: Date Created: 20151027 Date Completed: 20160816 Latest Revision: 20221207
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC4622381
DOI: 10.1177/1941738115607208
PMID: 26502444
قاعدة البيانات: MEDLINE
الوصف
تدمد:1941-0921
DOI:10.1177/1941738115607208