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$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

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Ulnar Collateral Ligament Evaluation and Diagnostics.

Michael C Ciccotti¹, Michael G Ciccotti²

¹The Steadman Clinic and Steadman Philippon Research Institute, 181 W. Meadow Drive, 4th Floor, Vail, CO 81657, USA.

Clinics in Sports Medicine

|May 25, 2020

Summary

This summary is machine-generated.

Overhead throwing causes predictable elbow injuries. Diagnosing ulnar collateral ligament (UCL) injuries involves history, exam, and imaging, with MRI as the gold standard and ultrasound as a valuable tool.

Keywords:

Baseball Diagnostic imaging MRI Overhead throwing athlete Physical examination Stress ultrasound Ulnar collateral ligament injury

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Area of Science:

Orthopedic Sports Medicine
Biomechanics of Throwing
Diagnostic Imaging in Sports Injuries

Background:

The overhead throwing motion generates specific forces on the elbow: medial tension, lateral compression, and posterior shear.
These forces predictably lead to a pattern of injuries, particularly affecting the ulnar collateral ligament (UCL).

Purpose of the Study:

To outline the diagnostic approach for ulnar collateral ligament (UCL) injuries in athletes.
To highlight the roles of clinical evaluation and imaging modalities in diagnosing UCL injuries.

Main Methods:

Diagnosis relies on careful patient history, comprehensive physical examination, and appropriate diagnostic imaging.
Magnetic resonance imaging (MRI) is considered the gold standard for UCL injury diagnosis.
Stress ultrasound is emerging as a valuable adjunct, especially in complex cases.

Main Results:

Athletes with UCL injuries report acute or chronic medial elbow pain.
Symptoms include reduced throwing effectiveness, loss of velocity, and decreased control.
Imaging modalities aid in confirming the diagnosis and guiding treatment.

Conclusions:

Accurate diagnosis of UCL injury is achievable through a combination of clinical assessment and advanced imaging.
While MRI remains the gold standard, stress ultrasound offers a practical and effective alternative in challenging scenarios.