Treatment of Partial Ulnar Collateral Ligament Tears in the Elbow With Platelet-Rich Plasma

Podesta, Luga; Crow, Scott A.; Volkmer, Dustin; Bert, Timothy M.; Yocum, Lewis A.

doi:10.1177/0363546513487979

Cited by 207 publications

(170 citation statements)

References 40 publications

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“…Numerous studies have demonstrated the ability of PRP to heal damaged tissue, including medial collateral ligament injuries of the knee, elbow tendinitis and Achilles tendon tears 80 81. Podesta et al 82 recently reported the clinical outcomes of 34 patients undergoing a single PRP injection for partial UCL tears and concluded that PRP is a viable and safe option for young athletes, older recreational athletes or in-season professional athletes with partial tears who do not want to undergo a season-ending UCL reconstruction. They reported promising results, with return to play in 30 athletes (88%) at an average of 12 weeks after injection 82.…”

Section: Considerationmentioning

confidence: 99%

Review of Jobe et al (1986) on reconstruction of the ulnar collateral ligament in athletes

et al. 2018

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This classic examines the landmark publication ‘Reconstruction of the Ulnar Collateral Ligament in Athletes’ by Jobe et al, published in 1986. Dr Frank W Jobe was the first to perform and describe a standard technique for ulnar collateral ligament (UCL) reconstruction with the use of a figure-of-eight configuration and submuscular ulnar nerve transposition to treat throwing athletes with UCL insufficiency. Before Jobe’s pioneering work, the initial operative approach to patients with UCL tears involved repair of the native ligament. Despite this treatment, injuries of the UCL were considered career-ending in those days. The original article describes the surgical technique for UCL reconstruction and the postoperative rehabilitation and outcomes in 16 throwing athletes, including Major League Baseball pitcher Tommy John (Los Angeles Dodgers). Jobe reported good results, with 10 of the 16 patients returning to their previous level of participation in sports, one patient returning to a lower level of participation and five patients retiring from professional athletics due to reasons not related to the operation. However, a high incidence of ulnar nerve complications was reported, requiring secondary surgery in two patients. In the decades following the original publication by Jobe et al, modifications of the Jobe technique, involving different graft choices, tunnel positions, and graft configurations and fixation methods have resulted in improved clinical results. Originally presented as a treatment option for elite athletes only, UCL reconstruction has gained public interest as incidence rates of ‘Tommy John surgery’ have reached epidemic proportions, especially in high school-aged baseball pitchers in the USA.

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Section: Considerationmentioning

confidence: 99%

Review of Jobe et al (1986) on reconstruction of the ulnar collateral ligament in athletes

et al. 2018

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“…When conservative treatments fail, autologous PRP may be considered. The goals of PRP treatment of spinal disc herniation are pain resolution and a return to pre-injury function [6][7][8][9].…”

Section: Spine Research Issn 2471-8173mentioning

confidence: 99%

Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results

Cameron¹,

Thielen²

2017

Spine Res

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“…Comparisons of cortical area and subperiosteal area of the humerus relative to the radius of cricketers and swimmers further emphasize how the upper arm adapts to high frequency loading compared to distal segments of the limb, irrespective of loading pattern. Throwing related injuries like ulnar collateral ligament (UCL) tears often transpire due to disproportionate stress placed on the elbow and proximal forearm during high velocity throwing motions compared to more distal segments (Fleisig et al, 1995;Hariri and Safran, 2010;Podesta et al, 2013). The greater rigidity identified at the cricketer's humeral midshaft and mid-proximal radius may therefore result from the high strain placed on the proximal portion of the upper limb during repetitive throwing, especially considering the swimmer's and controls' mid-proximal radial structure did not differ significantly by comparison.…”

Section: Regional Geometry Along the Limbsmentioning

confidence: 99%

Phenotypic plasticity and constraint along the upper and lower limb diaphyses of Homo sapiens

Nadell

Shaw

2015

American J Phys Anthropol

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Treatment of Partial Ulnar Collateral Ligament Tears in the Elbow With Platelet-Rich Plasma

Abstract: The results of this study indicate that PRP is an effective option to successfully treat partial UCL tears of the elbow in athletes.

Cited by 207 publications

References 40 publications

Review of Jobe et al (1986) on reconstruction of the ulnar collateral ligament in athletes

Review of Jobe et al (1986) on reconstruction of the ulnar collateral ligament in athletes

Autologous Platelet Rich Plasma for Neck and Lower Back Pain Secondary to Spinal Disc Herniation: Midterm Results

Phenotypic plasticity and constraint along the upper and lower limb diaphyses of Homo sapiens

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