Long-term results after ulnar collateral ligament reconstruction of the elbow in European athletes with interference screw technique and triceps fascia autograft

Kodde, Izaäk F.; Rahusen, Frank T. G.; Eygendaal, Denise

doi:10.1016/j.jse.2012.07.010

Cited by 50 publications

(37 citation statements)

References 34 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 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 first treatments were: hinged external fixator, conservative treatment after closed reduction and short‐term immobilization, PRP injection, and physical therapy. The second treatments were mainly represented (13/15 studies) by ligament open repair procedures, performed using different techniques. It is worth noting that surgical treatment was performed in 7 studies (C&S‐group) after a failed conservative treatment in 163 patients (31.8% of overall patients) (Tables ).…”

Section: Resultsmentioning

confidence: 99%

“…The second treatments were mainly represented (13/15 studies) by ligament open repair procedures, performed using different techniques. It is worth noting that surgical treatment was performed in 7 studies (C&S‐group) after a failed conservative treatment in 163 patients (31.8% of overall patients) (Tables ). In these studies, a conservative treatment (immobilization, physical therapy, and infiltrations) was attempted for a minimum of 3 months to a maximum of 9 months before surgery.…”

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%

See 2 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

View full text Add to dashboard Cite

show abstract

“…Kodde et al presented their data from a study of twenty European athletes who underwent MCL reconstruction by means of a strip of triceps fascia that was secured proximally and distally with interference screws. Despite good initial results, the investigators noted that only 70% of athletes were able to return to and stay in sports 36 . It is unclear if the method of fixation or graft choice is responsible for this inferior outcome.…”

Section: Four-strand Docking Techniquementioning

confidence: 99%