Abstract
Ulnar collateral ligament (UCL) injuries of the elbow are typically seen in overhead athletes due to the significant valgus stress on the medial structures of the elbow during throwing. Consistency between history, physical examination, and imaging studies is necessary to make the diagnosis. Patients who desire to continue competitive overhead activity and have failed conservative measures have been treated successfully with UCL reconstruction using the Andrews modification of the original Jobe technique at the American Sports Medicine Institute (ASMI). In the treatment of over 2000 athletes with UCL reconstruction, return to sport at the same or higher level can be expected 9 months to 1 year after surgery. Significant complications with this procedure are low, and failure to return to sport is typically due to factors other than the UCL reconstruction. The increasing prevalence of this procedure has been recognized especially in youth baseball players, which has led to further investigation into pitching mechanics and the prevention of these injuries.
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Video 18.1 Surgical approach and ulnar nerve transposition
Video 18.2 Anatomic tunnel preparation
Video 18.3 Graft passage and tensioning
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Scillia, A., Dugas, J. (2015). American Sports Medicine Institute Techniques and Outcomes. In: Dines, J., Altchek, D. (eds) Elbow Ulnar Collateral Ligament Injury. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7540-9_18
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