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A Partial Posterior Bundle Ulnar Collateral Ligament Tear in a 10-year old Boy
Todd P Pierce1, Jennifer Kurowicki1, Kimona Issa1
1Department of Orthopaedics, Seton Hall University, School of Health and Medical Sciences, South Orange, New Jersey.
Surgical Technology International
|January 10, 2018
Summary
A rare posterior bundle ulnar collateral ligament (UCL) tear in a pediatric athlete was successfully treated. Cessation of throwing and physical therapy allowed return to sport in 10 months.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Injuries
Background:
- Medial elbow pain is increasing in pediatric overhead athletes.
- Ulnar collateral ligament (UCL) tears are a potential cause.
- Avulsion fractures at the medial epicondyle are common due to open growth plates.
Observation:
- Posterior bundle UCL tears are rare in pediatric patients.
- A 10-year-old boy presented with a partial posterior bundle UCL tear.
- The patient was treated non-operatively.
Findings:
- The patient's UCL tear was successfully managed non-operatively.
- Treatment involved cessation of throwing activities and physical therapy.
- The athlete returned to baseball 10 months post-diagnosis.
Implications:
- Non-operative management can be effective for pediatric posterior UCL tears.
- This case highlights a potential treatment pathway for similar injuries.
- Early diagnosis and tailored rehabilitation are crucial for return to sport.
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