Skip to main content
SpringerLink
Log in

Ulnar Collateral Ligament Reconstruction: Alternative Surgical Techniques

  • Chapter
  • First Online:
Elbow Ulnar Collateral Ligament Injury

  • 1473 Accesses

Abstract

Injury to the ulnar collateral ligament (UCL) is often seen in the throwing athlete. Reconstruction of the UCL has evolved since the introduction of the figure-of-eight technique by Dr. Frank Jobe. Regarding the surgical approach and the graft fixation method, progress has been made to improve the biomechanical properties of the reconstruction and more closely match the native UCL kinematics, which has resulted in the optimization of established UCL reconstruction techniques. In the recent literature, alternative surgical techniques have been proposed, including use of interference screw graft fixation and cortical suspensory graft fixation. This chapter discusses these alternative fixation methods, as well as hybrid technique options.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Werner SL, et al. Biomechanics of the elbow during baseball pitching. J Orthop Sports Phys Ther. 1993;17(6):274–8.

    Article  CAS  PubMed  Google Scholar 

  2. Jobe FW, Stark H, Lombardo SJ. Reconstruction of the ulnar collateral ligament in athletes. J Bone Joint Surg Am. 1986;68(8):1158–63.

    CAS  PubMed  Google Scholar 

  3. Callaway GH, et al. Biomechanical evaluation of the medial collateral ligament of the elbow. J Bone Joint Surg Am. 1997;79(8):1223–31.

    CAS  PubMed  Google Scholar 

  4. Rohrbough JT, et al. Medial collateral ligament reconstruction of the elbow using the docking technique. Am J Sports Med. 2002;30(4):541–8.

    PubMed  Google Scholar 

  5. Ahmad CS, Lee TQ, ElAttrache NS. Biomechanical evaluation of a new ulnar collateral ligament reconstruction technique with interference screw fixation. Am J Sports Med. 2003;31(3):332–7.

    PubMed  Google Scholar 

  6. Hechtman KS, et al. Long-term results of ulnar collateral ligament reconstruction in throwing athletes based on a hybrid technique. Am J Sports Med. 2011;39(2):342–7.

    Article  PubMed  Google Scholar 

  7. Jackson TJ, et al. Ulnar collateral ligament reconstruction using bisuspensory fixation: a biomechanical comparison with the docking technique. Am J Sports Med. 2013;41(5):1158–64.

    Article  PubMed  Google Scholar 

  8. Dines JS, et al. Clinical outcomes of the DANE TJ technique to treat ulnar collateral ligament insufficiency of the elbow. Am J Sports Med. 2007;35(12):2039–44.

    Article  PubMed  Google Scholar 

  9. Cain EL Jr, et al. Outcome of ulnar collateral ligament reconstruction of the elbow in 1281 athletes: results in 743 athletes with minimum 2-year follow-up. Am J Sports Med. 2010;38(12):2426–34.

    Article  PubMed  Google Scholar 

  10. Vitale MA, Ahmad CS. The outcome of elbow ulnar collateral ligament reconstruction in overhead athletes: a systematic review. Am J Sports Med. 2008;36(6):1193–205.

    Article  PubMed  Google Scholar 

  11. Fleisig GS, et al. Biomechanics of overhand throwing with implications for injuries. Sports Med. 1996;21(6):421–37.

    Article  CAS  PubMed  Google Scholar 

  12. Paletta GA Jr, et al. Biomechanical evaluation of 2 techniques for ulnar collateral ligament reconstruction of the elbow. Am J Sports Med. 2006;34(10):1599–603.

    Article  PubMed  Google Scholar 

  13. Armstrong AD, et al. A biomechanical comparison of four reconstruction techniques for the medial collateral ligament-deficient elbow. J Shoulder Elbow Surg. 2005;14(2):207–15.

    Article  PubMed  Google Scholar 

  14. Wilk KE, Arrigo C, Andrews JR. Rehabilitation of the elbow in the throwing athlete. J Orthop Sports Phys Ther. 1993;17(6):305–17.

    Article  CAS  PubMed  Google Scholar 

  15. Ochi N, et al. Anatomic relation between the medial collateral ligament of the elbow and the humero-ulnar joint axis. J Shoulder Elbow Surg. 1999;8(1):6–10.

    Article  CAS  PubMed  Google Scholar 

  16. Conway JE, et al. Medial instability of the elbow in throwing athletes. Treatment by repair or reconstruction of the ulnar collateral ligament. J Bone Joint Surg Am. 1992;74(1):67–83.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orlando Health Orthopedic Institute, Orlando, FL, USA

    Benjamin C. Service MD

  2. Chief of Sports Medicine, Orlando Health Orthopedic Institute, 32806, Orlando, FL, USA

    Daryl C. Osbahr MD

  3. Kerlan Jobe Orthopedic Clinic, Los Angeles, CA, USA

    Neal S. Elattrache

Authors
  1. Benjamin C. Service MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Neal S. Elattrache
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Daryl C. Osbahr MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Daryl C. Osbahr MD .

Editor information

Editors and Affiliations

  1. Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, USA

    Joshua S. Dines

  2. Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, USA

    David W. Altchek

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Service, B., Elattrache, N., Osbahr, D. (2015). Ulnar Collateral Ligament Reconstruction: Alternative Surgical Techniques. In: Dines, J., Altchek, D. (eds) Elbow Ulnar Collateral Ligament Injury. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7540-9_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7540-9_19

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7539-3

  • Online ISBN: 978-1-4899-7540-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation