Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers

Gibson, Brett W.; Webner, David; Huffman, G. Russell; Sennett, Brian J.

doi:10.1177/0363546506296737

Cited by 120 publications

(120 citation statements)

References 18 publications

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“…Similar methods of data acquisition have been used in previous studies. 2,4,7 Data frequency tables were created to show the total number of primary and revision UCL reconstructions by year. The total revision incidence, as well as revision rates by year, was calculated from these tables to evaluate any historical trends.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, most MLB pitchers were observed to return to previous levels of performance within 2 seasons following primary UCL reconstruction. 2 Erickson et al 3 also reported a high incidence of return to play among MLB pitchers who had undergone UCL reconstruction and a subsequent rise in performance metrics when compared against demographic-matched controls.…”

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confidence: 98%

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Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

Wilson

Pidgeon

Morrell

et al. 2015

The Journal of Hand Surgery

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 98%

Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

Wilson

Pidgeon

Morrell

et al. 2015

The Journal of Hand Surgery

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“…Little is known about postoperative pitching performance among pitchers who return to MLB play. Performance outcomes have been described in MLB pitchers who have undergone repair of the ulnar collateralligament 8 and repair of isolated glenoid labral injuries. 9 Therefore, the purpose of our study was to describe pitching performance outcomes in MLB players who needed surgery to treat RCTs and to compare performance variables and return to play between these athletes and a randomly selected cohort of MLB players.…”

mentioning

confidence: 99%

Performance After Rotator Cuff Tear and Operative Treatment: A Case-Control Study of Major League Baseball Pitchers

Namdari

Baldwin

Ahn

et al. 2011

Journal of Athletic Training

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Context:Little is known about pitching performance or lack of it among Major League Baseball (MLB) pitchers who undergo operative treatment of rotator cuff tears.Objective: To assess pitching performance outcomes in MLB players who needed operative treatment of rotator cuff tears and to compare performance in these athletes with that in a control group of MLB players.Design: Case-control study. Setting: Publicly available player profiles, press releases, and team injury reports.Patients or Other Participants: Thirty-three MLB pitchers with documented surgery to treat rotator cuff tears and 117 control pitchers who did not have documented rotator cuff tears were identified.Main Outcome Measure(s): Major League Baseball pitching attrition and performance variables.Results: Players who underwent rotator cuff surgery were no more likely not to play than control players. Performance variables of players who underwent surgery improved after surgery but never returned to baseline preoperative status. Players who needed rotator cuff surgery typically were more experienced and had better earned run averages than control players.Conclusions: Pitchers who had symptomatic rotator cuff tears that necessitated operative treatment tended to decline gradually in performance leading up to their operations and to improve gradually over the next 3 seasons. In contrast to what we expected, they did not have a greater attrition rate than their control counterparts; however, their performances did not return to preoperative levels over the course of the study.Key Words: pitching, clinical outcome, shoulder Key Points• Pitchers who had operative treatment of symptomatic rotator cuff tears tended to have a gradual decline in performance before surgery and to improve gradually over the 3 seasons after surgery. • The attrition rate was not greater in pitchers who had operative treatment than in the control pitchers.• Pitchers who had surgery for rotator cuffs tears did not return to their preoperative performance levels during the study period.R otator cuff tears (RCTs) can cause great pain and dysfunction in both work-related and non-work-related activities of daily living, as well as loss of shoulder motion and strength. Without treatment, full-thickness RCTs can be career-ending injuries for professional athletes. Although tears often occur in patients aged 40 years and 0Ider,1.2 overhead athletes, particularly professional baseball pitchers, present a unique cohort of athletes at great risk for this type of overuse lllJury.Professional baseball pitchers subject the rotator cuff to supraphysiologic loads that lead to rotator cuff tendinitis, partialthickness RCTs, and, in advanced stages, full-thickness RCTs.3-5 At one time, RCT was considered a career-ending injury for a Major League Baseball (MLB) pitcher. As the approach to the operative and nonoperative management of RCTs in athletes has evolved over the past 3 decades, the goal of operative treatment of partial-thickness and full-thickness tears in these elite-level athletes also...

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“…Whether owing to greater motivation, enhanced rehabilitation, or genetic superiority, elite athletes may be more likely to return to competition than their lessgifted colleagues. 3,16 There are several legitimate and complementary ways to report recovery in competitive athletes, including the time required to regain competitive form, 7,8 the ability to return to the previous level of competition, 1,6,8,17 performance statistics that reflect the reacquisition of sportspecific skills, 8,13,17 the risk of reinjury, 21 the level of residual symptoms and limitations as measured with a specialized outcomes instrument, 11 and the subsequent duration of an athlete's playing career. 4,5 The time that any athlete spends at the pinnacle of his performing ability may be very brief, so an acutely injured professional may initially focus upon recovering quickly and regaining his preinjury skill level before his small window of opportunity closes forever.…”

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confidence: 99%

Durability

Reider¹

2011

Am J Sports Med

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Durability''It takes a licking and keeps on ticking'' -Timex watch slogan, 1950s Popularized by spokesman John Cameron SwayzeIn light of his near-fatal automobile accident the year before, selection in the second round of the 1991 draft might be considered a minor miracle. He was reportedly signed over the objections of his new coach, who expostulated that it would take a fatal plane crash to get this new draftee on the field. Although there is no record that such a catastrophe ever occurred, he ultimately did take 5 snaps at quarterback in his first and only season with the Atlanta Falcons, producing 2 interceptions and no completions. It was not an auspicious beginning for a career in the National Football League. 19Before the 1992 season began, he was traded to one of the oldest franchises in the NFL for a future draft pick. According to his official website, the team physicians recommended that the trade be voided after diagnosing avascular necrosis of his hip during the induction physical. They were overruled by Ron Wolfe, the team's general manager. Our hero got his big break when Don Majkowski, the starting quarterback, went down with a knee injury in the third game of the season. With 13 seconds left on the clock, Brett Lorenzo Favre threw the first of what would become an illustrious series of game-winning touchdowns, demonstrating a talent for generating ''the kind of a happiness that rarely descends on 63 398 people all at the same time.'' 2

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Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers

Abstract: Most major league pitchers return from ulnar collateral ligament reconstruction by the second season after surgery with no statistical change in mean innings pitched, earned run average, or walks and hits per inning pitched from preinjury levels.

Cited by 120 publications

References 18 publications

Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

Performance After Rotator Cuff Tear and Operative Treatment: A Case-Control Study of Major League Baseball Pitchers

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