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Bones of the Upper Limb: Ulna

Bones of the Upper Limb: Ulna

The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...

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Ulnar Collateral Ligament Reconstruction.

Edward Lyle Cain¹, Mims G Ochsner¹

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

|May 25, 2020

Summary

Ulnar collateral ligament (UCL) reconstruction helps overhead athletes return to play. While generally safe, transient ulnar neuritis is a risk, and UCL injury prevention is crucial for young athletes.

Keywords:

Return to play after UCL reconstruction UCL UCL complications UCL reconstruction UCL reconstruction techniques UCL tear

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Area of Science:

Orthopedic Surgery
Sports Medicine
Rehabilitative Medicine

Background:

Ulnar collateral ligament (UCL) injuries significantly impact overhead athletes.
Ulnar collateral ligament reconstruction (UCL-R) enables many athletes to return to their sport.
The incidence of UCL injuries in young athletes is increasing due to year-round participation in overhead sports.

Purpose of the Study:

To review current techniques and outcomes of UCL reconstruction.
To highlight common complications associated with UCL reconstruction.
To emphasize the need for preventative strategies for UCL injuries in young athletes.

Main Methods:

Review of existing literature on UCL reconstruction techniques.
Analysis of complication rates and outcomes following UCL reconstruction.
Discussion of epidemiological trends in UCL injuries among young athletes.

Main Results:

Various UCL reconstruction techniques yield acceptable results with low overall complication rates.
Transient ulnar neuritis is the most frequent complication post-UCL reconstruction.
A rising trend in UCL injuries necessitates a shift towards prevention.

Conclusions:

UCL reconstruction is an effective treatment for overhead athletes, allowing a return to high-level play.
Awareness and management of potential complications, such as ulnar neuritis, are important.
The sports medicine community must prioritize the prevention of UCL injuries in addition to treatment.