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UCL Injury in the Non-throwing Athlete
Nicholas Ramos1, Orr Limpisvasti2
1Kerlan Jobe Institute, 6801 Park Terrace, Los Angeles, CA, 90045, USA. Nikko.ramos@gmail.com.
Current Reviews in Musculoskeletal Medicine
|November 23, 2019
Summary
Ulnar collateral ligament (UCL) injuries in non-throwing athletes are less studied but show promise with rehabilitation and surgery. More research is needed for optimal treatment strategies for these UCL injuries.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanics
Background:
- Ulnar collateral ligament (UCL) injuries are well-documented in overhead throwing athletes.
- Repetitive valgus stress from throwing is a primary cause of UCL injuries.
- Non-throwing athletes also experience UCL injuries due to similar biomechanical forces.
Purpose of the Study:
- To review the current literature on ulnar collateral ligament injuries in non-throwing athletes.
- To evaluate the existing evidence on the diagnosis and treatment of UCL injuries in this population.
- To identify gaps in knowledge regarding UCL injuries in athletes who do not throw overhead.
Main Methods:
- Systematic review of existing studies on UCL injuries in non-throwing athletes.
- Analysis of retrospective studies, case series, and non-operative management outcomes.
- Evaluation of surgical repair and reconstruction outcomes in this specific athlete group.
Main Results:
- Literature on UCL injuries in non-throwing athletes is scarce compared to throwing athletes.
- Non-operative management and focused rehabilitation show good return-to-play rates.
- Surgical interventions for UCL injuries in non-throwing athletes can yield positive outcomes.
- Current evidence is primarily low-level, often lacking control groups.
Conclusions:
- Ulnar collateral ligament injuries in non-throwing athletes are an under-researched area.
- Both conservative and surgical treatments appear effective, but evidence quality is low.
- Further high-quality research is necessary to establish optimal treatment algorithms for UCL injuries in non-throwing athletes.

