Ulnar collateral ligament rupture can produce significant valgus elbow instability and substantial dysfunction in overhead athletes including baseball pitchers, javelin throwers, and quarterbacks, among others. Surgical reconstruction of this ligament has led to encouraging postoperative results including return to full athletic participation at elite levels. However, complications from surgical reconstruction of the ulnar collateral ligament do occur including nerve injury, infection, arthrofibrosis, and graft rupture, among others. A comprehensive understanding of these complications and the mechanisms by which they occurred may aid in reducing their incidence and improving surgical outcomes.
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