Elbow Medial Ulnar Collateral Ligament chronic isolated insufficiency: anatomical M-UCL reconstruction technique and clinical experience in a mid-term follow-up

Bartoli, Matteo; Pederzini, Luigi Adriano; Severini, Gabriele; Serafini, Fabio; Prandini, Mauro

doi:10.1007/s12306-018-0559-3

Cited by 5 publications

(4 citation statements)

References 40 publications

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“…In addition, none of the included studies defined "normal" ROM or strength in relation to the preinjury measurements on the operated upper extremity or the measurements on the contralateral upper extremity. Interestingly, only 2 studies 1,4 reported the successful completion of a throwing program as an RTS criterion. One possible explanation of this phenomenon could be that the included athletes in each study followed different rehabilitation programs and the completion of a throwing program was based on the preference of the physical therapist.…”

Section: Discussionmentioning

confidence: 99%

“…The number of RTS criteria used in each of the included articles ranged from 1 to 5 (Table 1). Time from surgery (range, 6-16 months) was the most common RTS criterion used, and it was reported by all 14 of the included studies (100%), followed by absence of pain (3/14 studies; 21%), 2,11,28 successful completion of a throwing program (3/14; 21%), 1,4,11 normal range of motion (ROM) and muscle strength in the shoulder and elbow of the operated upper extremity (1/14; 7%), 11 and normal strength of the forearm muscles (1/14; 7%). 11 Figure 2 presents the frequency of each RTS criterion reported among the included studies.…”

Section: Rts Criteriamentioning

confidence: 99%

“…One of these studies 11 defined this criterion as "normal throwing balance, rhythm, and coordination," but no definition was provided in the other 2 articles. 1,4 (4) Normal Strength of Forearm Muscles. Normal strength of the forearm muscles was reported as a criterion by 1 study, without further details.…”

Section: Rts Criteriamentioning

confidence: 99%

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Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures

Griffith

Bolia

Fretes

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: There is a lack of consensus to guide patient return to sport (RTS) after elbow ulnar collateral ligament surgery (eUCLS). Purpose: To describe the reported RTS criteria after eUCLS in the athletic population. Study Design: Scoping review; Level of evidence, 4. Methods: This scoping review was performed by adhering to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Scoping Review) guidelines. We searched 5 electronic databases (MEDLINE, Scopus, SPORTDiscus, Embase, Google Scholar Advanced) and the gray literature for English-language studies that reported at least 1 RTS criterion in athletes after eUCLS. Data were extracted and summarized as frequencies or arithmetic mean and standard deviation. Results: Included were 14 studies and 1335 athletes with a mean age of 21.4 ± 1.1 years. Time from surgery (range, 6-16 months) was the most common RTS criterion used, and it was reported by all 14 of the included articles. RTS criteria reported less often were pain (3/14; 21%), successful completion of a throwing program (3/14; 21%), muscle strength of the forearm muscles (1/14; 7%), and “normal” range of motion and muscle strength of the elbow and shoulder joints on the operated upper extremity (1/14; 7%). All studies used 1 to 5 of the above RTS criteria. Conclusion: Only 14 studies reported 1 or more RTS criteria after eUCLS in athletes, and time was the most common RTS criterion used. Our results highlight the need for a coordinated effort among surgeons, physical therapists, and athletic trainers in order to establish evidence-based RTS criteria after eUCLS in athletes so athletes can safely to sport and prolong their athletic careers.

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Section: Discussionmentioning

confidence: 99%

Section: Rts Criteriamentioning

confidence: 99%

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Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures

Griffith

Bolia

Fretes

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…Options for overcoming compromised bone tunnels include use of alternative fixation techniques, avoidance of tunnels using an alternative graft configuration, creating new tunnels in a different location (if the tunnels/sockets from the primary surgery were in an inappropriate position), or bone grafting the prior tunnels and returning for reconstruction at a later date after consolidation. If the ulnar tunnel is compromised, utilization of the Anatomic UCL Reconstruction Technique [34,35] may be reasonable to consider as the graft is configured in such a way that prior ulnar tunnels/sockets are spanned and can be completely avoided (Fig. 2).…”

Section: Surgical Techniquesmentioning

confidence: 99%

Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes

Keyt

Tangtiphaiboontana

Turner

et al. 2020

Curr Rev Musculoskelet Med

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Purpose of Review The purposes of this review are to describe the epidemiology, treatment options, and clinical outcomes of revision medial ulnar collateral ligament reconstruction in baseball pitchers. Recent Findings Rates of revision UCL range from 1 to 15% and have slowly increased over the past several years. Revision UCL procedures are associated with higher complication rates, likely due to the distortion of innate anatomy after primary reconstruction. Techniques for reconstruction are largely influenced by the index surgery and integrity of the ulnar and humeral bone tunnels/sockets. Current literature reporting on the outcomes following revision UCL reconstruction is limited to case series and database studies. Mean time between primary reconstruction and revision surgery is approximately 5 years and return to play rates range from 47 to 85%. Summary Outcomes following revision UCL reconstruction are relatively guarded compared with those of primary UCL reconstruction with the most studies reporting lower return to play rates, decreased workloads compared with pre-injury levels of play, and shorter career longevity following revision surgery. Future research regarding optimal reconstruction techniques and post-operative rehabilitation are needed as the incidence and demand for this procedure is expected to increase.

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Elbow Injuries in Throwing Athletes

Pederzini

Bartoli

Cheli

et al. 2021

Management of Track and Field Injuries

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Elbow Medial Ulnar Collateral Ligament chronic isolated insufficiency: anatomical M-UCL reconstruction technique and clinical experience in a mid-term follow-up

Cited by 5 publications

References 40 publications

Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures

Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 2: Ulnar Collateral Ligament of the Elbow Procedures

Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes

Elbow Injuries in Throwing Athletes

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