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Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
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Return to Play Following Ulnar Collateral Ligament Reconstruction
Edward Lyle Cain1, Owen McGonigle1
1Andrews Sports Medicine and Orthopaedic Center, American Sports Medicine Institute, 805 St. Vincent's Drive, Suite 100, Birmingham, AL 35205, USA.
Clinics in Sports Medicine
|August 21, 2016
Summary
Ulnar collateral ligament injuries in overhead athletes often require surgical reconstruction for return to play. Despite a prolonged rehabilitation, surgery successfully restores athletes to their previous competition level.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Biomechanics of overhead activities
Background:
- Ulnar collateral ligament (UCL) injuries are common in overhead athletes, particularly pitchers.
- Symptoms include activity-related pain, decreased velocity, and loss of control.
- Treatment spectrum includes nonoperative management and surgical reconstruction.
Purpose of the Study:
- To review the current understanding of UCL injuries in overhead athletes.
- To discuss treatment options, focusing on surgical reconstruction and rehabilitation.
- To evaluate the efficacy of surgical treatment in returning athletes to competition.
Main Methods:
- Review of existing literature on UCL injuries in overhead athletes.
- Analysis of surgical techniques and rehabilitation protocols.
- Synthesis of outcomes data regarding return to competition.
Main Results:
- Surgical reconstruction is often necessary for athletes to return to high-level competition.
- Multiple surgical techniques have been described for UCL reconstruction.
- The rehabilitation process is extensive, involving phased progression.
- Studies demonstrate high success rates for surgical treatment in restoring athletes to their prior level.
Conclusions:
- Ulnar collateral ligament reconstruction is a viable and effective treatment for overhead athletes.
- Successful return to sport requires a comprehensive and phased rehabilitation program.
- Further research may focus on optimizing surgical techniques and rehabilitation strategies.

